TE 3 - Inspection Form for KMC UICs.pdf

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Cesspools and Septic Tanks Pumping and Disposal Services, Island of Hawaii, Hawaii
Solicitation number
W912CN22Q0022
Issued by

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This solicitation is seeking quotations for cesspool and septic tank pumping and disposal services at two Army installations on Hawaii's Big Island. The 413th Contracting Support Brigade, Regional Contracting Office Hawaii requires a contractor to provide all management, tools, transportation, supplies, equipment and labor necessary to perform waste water inspection, pumping, cleaning, treatment and disposal services for cesspools and septic tanks. Services must comply with local, state and federal laws and regulations, and meet the requirements outlined in the Performance Work Statement. Quotations are solicited on a firm-fixed price basis under solicitation number W912CN22Q0022 as a full and open competition set-aside for small businesses. The North American Industry Classification System code is 562219 with a small business size standard of $8 million. Offerors must register in the System for Award Management database and have a Commercial and Government Entity code and Data Universal Numbering System number.

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Text version

TE 3

FACILITY: PAGE:_________of_________ LOCATION: *NOTE: Permit UH-2519 will expire 14-FEB-2023

Date Time Person Well No.

Thickness of Floating Material

Thickness of Sediment

Total Fluid Depth

REQUIRED INSPECTION FREQUENCY: Monthly Observations (by numbers):

1. Foul Odor 2. Sediment Build-Up 3. Losing Depth 4. Oily Sheen 5. Standing Water

6. Overflowing Well 7. Poor Drainage 8. Prohibited Discharge 9. Safety Concern 10.

Collapsed Well 11. Not Accessible 12. Satisfactory Operation 13. No Concern Seen

14. Broken/Leaky Parts 15.

KMC ID No. 8-2616.02

Wastewater Type:

Underground Injection Control (UIC) UIC (regular) Injection Well Periodic Recorded Inspection

PERMIT NO: UH-2519

Inspection Observations (use numbers) Notes on condition/level

Crater Rim Drive HVNP

Aquaculture

Sewage

Cooling

Recharge

Vehicle Wash

Industrial Runoff

Equipment Wash

A/C Condensate

Commercial Dewatering

Floor Drain

Laundry

Food Prep Seawater

Sheet1

File details come from the government source that posted it. Updated .