IFB_2200_JRN1038_ATT_8_v1.pdf

This is a Notice of Chemical Delivery form used by Austin Water (AW) for tracking and verifying the delivery of chemicals, specifically powder activated carbon, to Austin Water treatment facilities in Texas. The form serves as a standardized document to be completed by chemical vendors and trucking companies at the time of delivery, capturing essential information including the chemical vendor name, trucking company details, delivery date and time, truck specifications, and driver information. The form requires documentation of the driver's Commercial Driver's License (CDL) number and expiration date, along with verification that the appropriate CDL endorsement (H for hazardous materials, N for tanker vehicles, or X for both) is present on the driver's license. A tank security seal number must also be recorded to ensure product integrity during transport.

The form includes verification requirements to be completed by Austin Water staff upon actual arrival, confirming that the CDL endorsement code is appropriate for the vehicle and chemical being transported. The completed form must be retained and submitted with related payment materials to Austin Water Accounts Payable, and must be emailed to the delivery location site supervisor when the driver is dispatched. The form was revised as of December 18, 2025, and establishes a protocol for communication between the chemical vendor, trucking company, driver, and Austin Water personnel to ensure compliance with hazardous materials transportation regulations and proper documentation of all chemical deliveries to Austin Water facilities.