Liquid Waste Hauler Permit - 2025
Dec 09, 2024
submission
#79
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) | Heritage-Crystal Clean, LLC |
| [email protected] | |
| mailing address | 2000 Center Dr Ste East C300, Hoffman Estates, IL 60192 |
| Contact Name | Ivona Zyla |
| permit id | 119 |
| phone | (847) 836-5670 |
| business address | 320 Scroggins Rd, Springtown, TX 76082, USA |
EIN / Tax ID ( FORMAT: ##-####### )
| Please enter your EIN or Tax ID (FORMAT: ##-#######) | 35-2083150 |
Owner / Manager of Operations Driver’s License
| Please upload an image of the Owner or Manager of Operations Driver’s license | Knight Toby - CDL A - Exp 10.21.2028 (1).pdf |
TCEQ Registrations & Insurance
| TCEQ Registration # | 23543 |
| TCEQ Registration Expiration Date | 2025-08-31 |
| Please upload all of your insurance cards here (fleet, individual vehicle or apportioned) | COI 6.1.24-6.1.25.pdf |
Liquid Waste Types
| Please indicate below all types of liquid waste to be transported | Sand/Grit Trap |
Disposal Locations
| Do you use the City Operated disposal location? (This requires an additional agreement and a one-time deposit.) | No |
| Please specify an additional Disposal Location #1 (If applicable) | Cold Springs; 1300 Cold Springs Rd, 400 ft S of Cold Springs Rd, Fort Worth, TX 76102 |
| Please specify an additional Disposal Location #2 (if applicable) | Valicor; 400 Della Rd, Hutchins, TX 75141 |
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? | 0 |
New Vehicles
| How many new vehicles do you need to permit that did not appear in the list above? | 1 |
New Vehicle #1
| Make | Kenworth |
| Model | T880 |
| Year | 2024 |
| VIN | 1NKZXK0XXRJ375699 |
| License plate # | 3570999 |
| Capacity | 3800 |
| Capacity Units | Gallons |
| Has this new vehicle #1 ever been permitted with Fort Worth in the past? | No |
Add Driver Info
Number of Drivers
| How many drivers do you need to register? | 1 |
Driver #1
| Driver Name | Jamie Vasquez |
| Driver's License Number | 14465791 |
| Driver's License State | Texas |
| Driver's License Expiration Date | 2025-08-12 |
| Please upload an image of the Driver's License | Vasquez Jamie - CDL - EXP 8.12.2025 (1).pdf |
Staff Verification
Number of Vehicles
| Please enter the total number of vehicles to be included in permit (and inspected) | 1 |
| Does this hauler need to pay the $600 fee for the city operated disposal location? | No |
| Please specify the permit id # of the hauler: | 2025-119a |