CN-370000-GC716-T8D.pdf

This is a Petroleum Preapproval Program Task Assignment issued by the Florida Department of Environmental Protection, Division of Waste Management, Bureau of Petroleum Storage Systems. The document pertains to FDEP Contract Number GC716 with Professional Service Industries, Inc. (Contractor #00222) for work at the Convenience Holdings Inc #705 facility located at 28274 Hwy 27 S, Dundee, Florida (Polk County). The task assignment was executed by FDEP/LP Site Manager Jessica R. Stulginski and FDEP Contract Manager Grant Willis, with Nana Westmark serving as the Contractor Representative. The work is categorized under Object Code 139900 with a Facility ID of 53862412, and the cost center is 37454043555 with an EO designation of WELLAB.

The task assignment, numbered GC716-008D, authorizes well abandonment activities at the site for Site Rehabilitation Completion under a Fixed Price arrangement with a total cost of $10,408.91 (including 10% retainage of $1,040.89). The scope includes abandonment of thirteen monitoring wells (MW-1 through MW-13), five vapor extraction wells (VW-3, VW-4, VW-5, VW-1, and VW-2), and ten air sparging wells (SP-1 through SP-10), with removal of well pads and patching. The work encompasses multiple deliverables including field notes, well abandonment reports, and associated documentation. The period of task performance runs through May 23, 2012, with all change orders requiring prior Department authorization. The pricing structure is detailed in the Task Assignment Template with itemized costs for various field activities, office work, and other related expenses. No cost-plus arrangements apply, and the FDEP share is 100% with no applicant/owner cost sharing.