Statement of Work Tank Cleaning and Inspection.pdf

1 | P a g e

SOUTHWESTERN REGION 03

PRESCOTT NATIONAL FOREST

POTABLE WATER TANKS

CLEANING AND INSPECTIONS

STATEMENT OF WORK

U.S. FOREST SERVICE

04/07/2026

2 | P a g e

TABLE OF CONTENTS

1.0 GENERAL INFORMATION

1.1 WORK SUMMARY

1.2 PROJECT LOCATION

1.3 PERFORMANCE PERIOD & WORK RESTRICTIONS

1.4 SITE ACCESS

1.5 POINTS OF CONTACT

1.6 CONTRACTOR STAGING

1.7 SUPERVISION, QUALITY CONTROL, AND SAFETY

1.8 SUBMITTALS

2.0 PROJECT SCOPE

2.1 SCOPE

2.2 TECHNICAL REQUIREMENTS / TASKS

2.2.1 Tank Cleaning

2.2.2 Tank Inspection

2.2.3 Tank Inspection Submittals

2.3 SCOPE ATTACHMENTS

ATTACHMENT A – PROJECT VICINITY MAP

ATTACHMENT B – WATER TANK PICTURES

3 | P a g e

1.0 GENERAL INFORMATION

1.1 WORK SUMMARY

The work includes mobilizing to seven (7) water storage tanks, cleaning, inspection, and reporting.

1.2 PROJECT LOCATION

Water Tank Site Tank Latitude (decimal degrees)

Tank Longitude (decimal degrees)

Travel time from Office

(min)

Travel Miles from Office

(mi) Mingus Campground 34.701570 -112.119907 60 30 Potato Patch Campground 34.707222 -112.152530 40 27 Horsethief Basin Cabin 34.160734 -112.292018 130 65 Groom Creek Horse Camp 34.469393 -112.443745 15 7 Lynx Lake Recreation Area 34.514804 -112.394130 20 8 Granite Basin 34.597154 -112.536556 20 7 Crown King West 34.205691 -112.344197 120 58

Table 1 – Tank Locations

The Bradshaw Ranger District office is at 344 S. Cortez Street, Prescott, AZ 86303.

Mingus Campground Water Tank:

Drive east on Aubrey Steet, then turn left on S. Marina Street. Drive 0.4 miles, then turn right into E. Gurley Street. Continue 1.1 miles, then take a slight left onto AZ-89N. Drive 6.6 miles, then right onto AZ-89A ramp towards AZ-69 / Prescott Valley / Jerome. Drive 6.7 miles, then turn left to stay on AZ-89A. Continue 12.2 miles, then turn right at NFSR 104. Drive 2.5 miles, then turn left at the intersection. Drive 0.5 miles and the water tank is on the west side of the road.

Potato Patch Campground Water Tank:

Drive east on Aubrey Steet, then turn left on S. Marina Street. Drive 0.4 miles, then turn right into E. Gurley Street. Continue 1.1 miles, then take a slight left onto AZ-89N. Drive 6.6 miles, then right onto AZ-89A ramp towards AZ-69 / Prescott Valley / Jerome. Drive 6.7 miles, then turn left to stay on AZ-89A. Continue 12.2 miles, then turn left onto NFSR 106. Drive 0.1 miles, then turn left onto an unmarked dirt road past the fenced communications building. The tank is on the west side of the road.

Horsethief Basin Cabin Water Tank:

Drive east on Aubrey Steet, then turn left on S. Marina Street. Drive 0.4 miles, then turn right into E. Gurley Street. Continue 1.1 miles, then keep right to continue on AZ-69S. Drive 30.8 miles, then turn right S. Spring Lane. Drive 0.7 miles, then turn right onto E. Duffers Lane.

4 | P a g e

Duffers Lane turns into E. Spring Valley Access road after 0.1 miles. Continue 1.1 miles, then turn left onto Antelope Creek Road. Drive 5.6 miles, the continue straight onto the Crown King Cut Off. Drive 0.9 miles, then turn right onto Bumble Bee Rd / Crown King Rd / NFSR 259. Drive

17.3 miles, then continue straight on Senator Highway / NFSR 52. Drive 6.0 miles, then arrive at Horsethief Basin Cabin. The cabin and water tank are on the east side of the road. NFSR 52 is an operational maintenance level two (ML-2) road, recommended for high-clearance vehicles only.

Groom Creek Horse Camp Water Tank:

Take S. Cortez Street to E. Carleton Street, then turn right. Drive 0.3 miles, then turn right on S.

Mt. Vernon Avenue. S. Mt Vernon Avenue becomes Senator Highway. Drive 6 miles, then turn right onto NFSR 9403W. Continue 0.4 miles, and the well house and water tank are on the south side of the road. NFSR 9403W is a ML-2 road.

Lynx Lake Recreation Area Water Tank:

Drive east on Aubrey Steet, then turn left on S. Marina Street. Drive 0.4 miles, then turn right into E. Gurley Street. Continue 1.1 miles, then keep right to continue on AZ-69S. Drive 3.0 miles, then turn right onto S. Walker Road. Drive 2.7 miles, then turn right onto NFSR 9401V. Continue

0.4 miles, then arrive at the water tank. NFSR 9401V is a ML-2 road.

Granite Basin Water Tank:

Drive west on Aubrey Street, then turn right onto S. Montezuma Street. Drive 1.4 miles, then continue west onto Whipple Street. Drive 0.7 miles, then then continue 3.0 miles on W. Iron Springs Road. Turn right onto N. Granite Basin Road and drive 1.6 miles. The water tank is on the east side on top of the saddle.

Crown King West Water Tank:

Drive east on Aubrey Steet, then turn left on S. Marina Street. Drive 0.4 miles, then turn right into E. Gurley Street. Continue 1.1 miles, then keep right to continue on AZ-69S. Drive 30.8 miles, then turn right at S. Spring Lane. Drive 0.7 miles, then turn right onto E. Duffers Lane.

Duffers Lane turns into E. Spring Valley Access Road after 0.1 miles. Continue 1.1 miles, then turn left onto Antelope Creek Road. Drive 5.6 miles, the continue straight onto the Crown King Cut Off. Drive 0.9 miles, then turn right onto Bumble Bee Rd / Crown King Rd / NFSR 259. Drive

16.7 miles, then turn right onto Main Street / NFSR 259A. Drive 0.2 miles, then turn right to get on NFSR 259A. Drive 0.3 miles, then arrive at the Crown King administrative site. Continue past the warehouse/barn, and bunkhouse, to arrive at the water tank.

1.3 PERFORMANCE PERIOD & WORK RESTRICTIONS

The performance period shall be thirty (30) days from the issuance of Notice to Proceed. The Notice to Proceed is based on the Government’s acceptance of pertinent submittals required within 14 days of award.

5 | P a g e

1.4 SITE ACCESS

Access will be provided with label keys, PNF personnel, or combination of both.

1.5 POINTS OF CONTACT

Contracting Officer’s Representative:

Richard Polanco, richard.polanco@usda.gov, 928-853-8285

1.6 CONTRACTOR STAGING

The Contractor may set up operations within the adjacent areas of the water tanks, including within the fenced portions.

1.7 SUPERVISION, QUALITY CONTROL, AND SAFETY

Provide a competent person to oversee all work activities in accordance with CFR 1926.62(b) (https://www.osha.gov/laws-regs/regulations/standardnumber/1926/1926.62).

1.8 SUBMITTALS

After award, furnish submittals for the following items:

- Qualified personnel certificates (within 14 days)

- Inspection Schedule (within 14 days)

- Disinfection Procedures (within 14 days)

- Draft Inspection Report(s) (see 2.2.3 Tank Inspection Submittals) o Electronic Only

- Final Inspection Report(s) (see 2.2.3 Tank Inspection Submittals) o Electronic o Hard Copy mailto:richard.polanco@usda.gov https://www.osha.gov/laws-regs/regulations/standardnumber/1926/1926.62

6 | P a g e

2.0 PROJECT SCOPE

2.1 SCOPE

The Contractor shall furnish all supervision, materials, equipment and vehicles, tools, parts, labor, transportation, lodging, and miscellaneous items to perform cleaning and inspections on seven (7) water storage tanks in accordance with the drawings, specifications, and other attachments referenced and contained herein.

No changes to the specifications, terms, or conditions of this statement of work shall be made without the prior approval of the Contracting Officer, in writing.

Adhere to all Confined Space requirements and provide a safe environment in accordance with OSHA and other applicable safety requirements. Water storage tanks will be full, or partially full, at the time cleaning and inspections.

Site Capacity (gallons)

Height (feet) Material Water

Source System Open

System Closed

Mingus Campground 11000 24 Welded Steel Haul-Water April November Potato Patch Campground 11000 24 Welded Steel Haul-Water April November Horsethief Basin Cabin 10000 12 Welded Steel Well April December Groom Creek Horse Camp 5000 8 Welded Steel Well March November Lynx Lake Recreation Area 50000 8 Welded Steel Well Year-Round Granite Basin 15600 8 Bolted Steel City Year-Round Crown King West 95000 12 Welded Steel Well Year-Round

Table 2 – Tank Information

2.2 TECHNICAL REQUIREMENTS / TASKS

2.2.1 Tank Cleaning

Clean tanks in accordance with Arizona Department of Environmental Quality (ADEQ) and American Water Works Association (AWWA) standards. No process or materials shall be employed in such a manner that they will introduce additional hazards into each project site.

Clean all horizontal surfaces and tank walls to remove bio growths, sediment, sludge, debris and build up each tank. Water used for high-pressure water washing shall be clean and free from oil, acid, alkali, organic matter or other deleterious material. The water shall be equal to potable water in physical and chemical characteristics.

During cleaning of the sediments, any cracks or problems detected on the tank flow shall be recorded on video and brought to the attention of the COR. The Contractor shall

7 | P a g e use video recording to document existing conditions at the bottom of the tank and surrounding surfaces.

Cleaning compounds must be Environmental Protection Agency (EPA), Food and Drug Administration (FDA), and National Sanitation Foundation (NSF) approved. The use of cleaning materials containing chlorine such as beach solutions or any other hazardous material is not permitted.

Dispose excess water and sediment at an adjacent project area approved by the COR.

Dispose of all other tank waste material in accordance with all applicable federal, state and local requirements including any de-chlorination requirements.

2.2.2 Tank Inspection

Perform interior inspection work using a ROV (Remote Operated Vehicle), divers, or a combination of both. ROV equipment and divers shall be disinfected before inspection in water tank interior in accordance with AWWA standards. Perform exterior inspection by trained personnel abiding by OSHA regulations utilizing fall protection equipment.

Document any physical defects such as, but not limited to, water leaks, cracking, corrosion, foundation settlement, condition of the coating inside and outside of the tank, and defective welds or other defects that should be patched. Inspection provider is not responsible for correcting any deficiencies observed.

Review all structural, sanitary, safety, site security and interior and exterior coating conditions.

Review ladders, railings, shell, roof, vent, manways, welds, seams, foundation, anchors, safety systems, hatch, external overflow, nuts, bolts, gaskets, and all other appurtenances.

Determine if dimensions, construction, and other characteristics of the tank and appurtenances are AWWA and OSHA compliant

Check for proper function of level indicators, grounding system and cathodic protection (if applicable).

Inspect for exterior signs of wind damage or damage to the roof due to excessive snow accumulation. Note any trees in the immediate vicinity that could cause damage to the tank, either by falling branches or complete uprooting and falling on the tank or the surrounding related infrastructure.

Take photographs and create an inventory, in table format, of all deficiencies and tank appurtenances. Include applicable code, code description, and corrective action to be taken. Incorporate into the final report.

8 | P a g e

2.2.3 Tank Inspection Submittals

Electronically submit draft tank inspection reports within two (2) weeks after completing all inspection services. The draft report shall include:

- Date of Inspection, Location, Inspector Name, Size, Type of Tank, Coordinates

- Photographs

- Corrective actions/requirements/recommendations o Citations to the appropriate manual, OSHA requirement, or code for each safety deficiency o Cost estimates for each item

- All other inspection requirements as required by ADEQ and AWWA

- Signature by registered personnel.

Upon Government review of the draft submission, address all review comments, and submit a final inspection report. Submit one (1) hard copy of each tank inspection, and a thumb drive, containing all project deliverables, including photos, and videos, and organized by tank location.

2.3 SCOPE ATTACHMENTS

Attachment A – Project Vicinity Map Attachment B – Tank Pictures

9 | P a g e

ATTACHMENT A – PROJECT VICINITY MAP

10 | P a g e

ATTACHMENT B – WATER TANK PICTURES

Mingus Campground Water Storage Tank

Potato Patch Campground Water Storage Tank

11 | P a g e

Horsethief Basin Cabin Water Storage Tank

12 | P a g e

Groom Creek Horse Camp

Lynx Lake Recreation Area

13 | P a g e

Granite Basin Recreation Area

Crown King West

2.3 SCOPE ATTACHMENTS