Liquid Waste Hauler Permit - 2025
Dec 03, 2024
submission
#74
Add Hauler Info
New or Existing Permit?
| Do you have an existing permit with the City of Fort Worth? | Yes, I have an existing permit. |
Existing Permits
| Please type a few letters of your company name into the search box below. Click on the company name if found in search results. (If your company is not in the list, please indicate below and complete the form for a new company) | Chem Can Services |
| Contact Name | Patrick West |
| permit id | 78 |
| mailing address | 3032 Wichita Ct, Fort Worth, TX 76140, USA |
| [email protected] | |
| phone | (817) 568-2333 |
| business address | 3032 Wichita Ct, Fort Worth, TX 76140, USA |
EIN / Tax ID ( FORMAT: ##-####### )
| Please enter your EIN or Tax ID (FORMAT: ##-#######) | 27-3249250 |
Owner / Manager of Operations Driver’s License
| Please upload an image of the Owner or Manager of Operations Driver’s license | PW ID for City of FW.pdf |
TCEQ Registrations & Insurance
| TCEQ Registration # | 24296 |
| TCEQ Registration Expiration Date | 2026-08-31 |
| Please upload all of your insurance cards here (fleet, individual vehicle or apportioned) | 72, 2023 MACK MD6 LP, 1M2MDBAAXPS006827.pdf |
Liquid Waste Types
| Please indicate below all types of liquid waste to be transported | Chemical/Portable Toilet |
Disposal Locations
| Do you use the City Operated disposal location? (This requires an additional agreement and a one-time deposit.) | No |
Confirmations
| Within the five (5) years preceding the date of this application, have you been convicted of a misdemeanor or felony that has been punishable by confinement and/or a fine exceeding $500.00 and which directly relates to the duty or responsibility in operating a liquid waste transportation business? | No |
| Do you currently have fines or charges pending from this, or other, municipality relating to the liquid waste transportation business? | No |
Add Vehicle Info
Existing Vehicles to be permitted (renewed)
| How many existing vehicles do you need to permit? | 9 |
Existing Vehicle #1
| Vehicle 1 | 78-10 |
| Capacity Units | Gallons |
| Capacity | 1500 |
| VIN | 5PVNV8JV6K4S59040 |
| License Plate State | TX |
| License Plate Number | LMX8791 |
| Year | 2019 |
| Make | Hino |
| Hauler Company Name | Chem Can Services |
Existing Vehicle #2
| Vehicle 2 | 78-17 |
| Capacity Units | Gallons |
| Capacity | 1500 |
| VIN | 5PVNJ8JT9H4557284 |
| License Plate State | TX |
| License Plate Number | HVB9982 |
| Year | 2017 |
| Make | Hino |
| Hauler Company Name | Chem Can Services |
Existing Vehicle #3
| Vehicle 3 | 78-15 |
| Capacity Units | Gallons |
| Capacity | 1500 |
| VIN | 5PVNJ8JV0F4558774 |
| License Plate State | TX |
| License Plate Number | GXB5042 |
| Year | 2015 |
| Make | Hino |
| Hauler Company Name | Chem Can Services |
Existing Vehicle #4
| Vehicle 4 | 78-18 |
| Capacity Units | Gallons |
| Capacity | 1500 |
| VIN | 5PVNJ8JT8H4557647 |
| License Plate State | TX |
| License Plate Number | JCT2727 |
| Year | 2017 |
| Make | Hino |
| Hauler Company Name | Chem Can Services |
Vehicle #5
| Vehicle 5 | 78-16 |
| Capacity Units | Gallons |
| Capacity | 1500 |
| VIN | 5PVNJ8JL3G4551883 |
| License Plate State | TX |
| License Plate Number | HJS6006 |
| Year | 2016 |
| Make | Hino |
| Hauler Company Name | Chem Can Services |
Vehicle #6
| Vehicle 6 | 78-14 |
| Capacity Units | Gallons |
| Capacity | 1500 |
| VIN | 5PVNJ8JT86S56674 |
| License Plate State | TX |
| License Plate Number | GJB3990 |
| Year | 2015 |
| Make | Hino |
| Hauler Company Name | Chem Can Services |
Vehicle #7
| Vehicle 7 | 78-21 |
| Capacity Units | Gallons |
| Capacity | 1100 |
| VIN | 5PVNJ8JJ4K4S50944 |
| License Plate State | TX |
| License Plate Number | MTD8414 |
| Year | 2019 |
| Make | Hino |
| Hauler Company Name | Chem Can Services |
Vehicle #8
| Vehicle 8 | 78-03 |
| Capacity Units | Gallons |
| Capacity | 700 |
| VIN | 1FDUF5GT5LDA13588 |
| License Plate State | TX |
| License Plate Number | PJZ9940 |
| Year | 2020 |
| Make | Ford |
| Hauler Company Name | Chem Can Services |
Vehicle #9
| Vehicle 9 | 78-24 |
| Capacity Units | Gallons |
| Capacity | 1500 |
| VIN | 5PVNJ8JV5L5S80422 |
| License Plate State | TX |
| License Plate Number | NNT1521 |
| Year | 2019 |
| Make | Hino |
| Hauler Company Name | Chem Can Services |
New Vehicles
| How many new vehicles do you need to permit that did not appear in the list above? | 4 |
New Vehicle #1
| Make | Hino |
| Model | 268 |
| Year | 2020 |
| VIN | 5PVNJ8JV9L5S79578 |
| License plate # | NTJ9084 |
| Capacity | 1500 |
| Capacity Units | GAL |
| Has this new vehicle #1 ever been permitted with Fort Worth in the past? | Yes |
New Vehicle #1 - Past Fort Worth Permit Number
| Please enter the Fort Worth permit number that was used for this truck in the past | FW78-23 |
New Vehicle #2 - Details
| Make | HINO |
| Model | 268 |
| Year | 2020 |
| VIN | 5PVNJ8AV2M5T51139 |
| License plate # | NNW2851 |
| Water Volume (gallons) | 500 |
| Waste Volume (gallons) | 1500 |
| Has this new vehicle #2 ever been permitted with Fort Worth in the past? | Yes |
New Vehicle #2 - Past Fort Worth Permit Number
| Please enter the Fort Worth permit number that was used for this truck in the past | FW78-25 |
New Vehicle #3 - Details
| Make | HINO |
| Model | MACK |
| Year | M6 |
| VIN | 1M2MDBAAXPS006827 |
| License plate # | SSD9699 |
| Water Volume (gallons) | 500 |
| Waste Volume (gallons) | 1000 |
| Has this new vehicle #3 ever been permitted with Fort Worth in the past? | No |
New Vehicle #4 - Details
| Make | HINO |
| Model | L6 |
| Year | 2024 |
| VIN | 5PVNJ7AL0R5T50054 |
| License plate # | TNH3060 |
| Water Volume (gallons) | 500 |
| Waste Volume (gallons) | 1000 |
| Has this new vehicle #4 ever been permitted with Fort Worth in the past? | No |
Add Driver Info
Number of Drivers
| How many drivers do you need to register? | 11 |
Driver #1
| Driver Name | Ricardo Acosta |
| Driver's License Number | 03187630 |
| Driver's License State | tx |
| Driver's License Expiration Date | 2032-09-13 |
| Please upload an image of the Driver's License | RIC ID.pdf |
Driver #2
| Driver Name | Jose Colorado |
| Driver's License Number | 34574431 |
| Driver's License State | tx |
| Driver's License Expiration Date | 2031-11-03 |
| Please upload an image of the Driver's License | DL for ftw.pdf |
Driver #3
| Driver Name | Troy Ruthrauff |
| Driver's License Number | 18483093 |
| Driver's License State | tx |
| Driver's License Expiration Date | 2025-03-01 |
| Please upload an image of the Driver's License | Troy DL.pdf |
Driver #4
| Driver Name | Esteban Martinez |
| Driver's License Number | 10481695 |
| Driver's License State | tx |
| Driver's License Expiration Date | 2030-10-06 |
| Please upload an image of the Driver's License | FW ID for permit.pdf |
Driver #5
| Driver Name | Jesus Canales |
| Driver's License Number | 18849045 |
| Driver's License State | tx |
| Driver's License Expiration Date | 2032-10-06 |
| Please upload an image of the Driver's License | DL for ftw.pdf |
Driver #6
| Driver Name | Bryan Rodriguez |
| Driver's License Number | 38214041 |
| Driver's License State | tx |
| Driver's License Expiration Date | 2024-08-02 |
| Please upload an image of the Driver's License | Bryan ID.pdf |
Driver #7
| Driver Name | Martin Gutierrez |
| Driver's License Number | 25608727 |
| Driver's License State | tx |
| Driver's License Expiration Date | 2028-12-09 |
| Please upload an image of the Driver's License | Martin ID.pdf |
Driver #8
| Driver Name | Cesar Colorado |
| Driver's License Number | 21029416 |
| Driver's License State | tx |
| Driver's License Expiration Date | 2027-11-03 |
| Please upload an image of the Driver's License | Cesar IF.pdf |
Driver #9
| Driver Name | Ruben Jimenez |
| Driver's License Number | 520217851 |
| Driver's License State | NM |
| Driver's License Expiration Date | 2031-11-03 |
| Please upload an image of the Driver's License | DL for ftw.pdf |
Driver #10
| Driver Name | Ruben Merida |
| Driver's License Number | 19482598 |
| Driver's License State | tx |
| Driver's License Expiration Date | 2025-09-28 |
| Please upload an image of the Driver's License | FW ID for permit.pdf |
Driver #11
| Driver Name | Anthony Mendez |
| Driver's License Number | 39781612 |
| Driver's License State | tx |
| Driver's License Expiration Date | 2030-04-22 |
| Please upload an image of the Driver's License | FW ID for permit.pdf |
Staff Verification
Number of Vehicles
| Please enter the total number of vehicles to be included in permit (and inspected) | 13 |
| Does this hauler need to pay the $600 fee for the city operated disposal location? | No |
| Please specify the permit id # of the hauler: | 2025-78 |
Inspection Scheduling
Notes to Hauler about Inspection Scheduling (this will go out via email)
| Comments to Hauler: | Please contact Jeremy Pressley at 817.392.8273 or [email protected] to schedule an inspection. |