CN-370000-HW552-DC014K.pdf

DEP CONTRACT NO.

Task Assignment #: Module #: Grant #:

Contractor Name:

Contractor Representative:

DEP Contract Manager: Phone #:

DEP Site #:

Site Name:

Address(Street, City, County):

Phase:

Task Description [use additional pages if necessary]:

The Deliverable and Invoice Schedule is attached.

Final Deliverables:

Final Deliverable Due Date:

TASK ASSIGNMENT TYPE AND NOT TO EXCEED AMOUNTS:

FIXED FEE

RETAINAGE:

TOTAL TASK ASSIGNMENT VALUE: $0.00

DEP Task Manager:

DEP Contract Manager:

Contractual Authority:

Contractor Representative:

CC: Procurement Section (MS 93)

Section Representative ________

TASK ASSIGNMENT NOTIFICATION FORM

COST PLUS FIXED FEE

COST REIMBURSEMENT

FIXED PRICE FEE SCHEDULE

Period of Performance:

Execution of Task Assignment through:

DEP will review the deliverables to verify that they meet the specifications of this contract and task description. DEP’s Contract Manager shall notify the Contractor of any deficiencies in the deliverable(s) and shall give the Contractor reasonable opportunity to correct noted deficiencies and provide a revised deliverable(s).

WCP TAFORM 01_18

HW552

D000 N/ADC014K

Professional Service Industries (PSI)

Nana Westmark

850-245-8928Killian Talley

ERIC_5494

Pure Cleaners

954 W State Road 434, Longwood, Seminole County

Monitoring

This Task Assignment authorizes PSI to conduct annual groundwater monitoring activities in accordance with the March 27, 2020 scope of work, cost estimate, and bid documentation.

Groundwater Monitoring Report; GIS/ADaPT

07/03/2020

11/13/2020

$ 8,014.58 $ 0.00 $ 0.00 $ 0.00

$ 0.00

Killian Talley Digitally signed by Killian Talley Date: 2020.03.27 15:57:06 -04'00'

Killian Talley Digitally signed by Killian Talley Date: 2020.03.27 15:57:15 -04'00'

Digitally signed by Jennifer Farrell Date: 2020.03.30 10:01:47 -04'00'

Nana G Westmark Digitally signed by Nana G Westmark Date: 2020.03.30 12:39:32 -04'00'

$ 8,014.58

Task Assignment Notification/Change Order

Deliverables and Invoice Schedule Attachment

WCP TAFORM 04-2017

Contract Number:

Task Assignment #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

Subtasks 1-2: Groundwater Monitoring Report; GIS/ADaPT 07/03/2020

Subtasks 1-2: FDEP receipt and approval of Groundwater Monitoring Report;

GIS/ADaPT $ 8,014.58

$ 8,014.58

HW552

DC021H

Florida Department of Memorandum Environmental Protection

Printed on recycled paper.

To: HW552 Contract Negotiation File Pure Cleaners Longwood, Seminole County

ERIC_5494

From: Killian Talley, Project Manager Date: March 27, 2020 Subject: Negotiation Summary

HW552 DC014K

Task Assignment authorizes PSI to conduct annual groundwater monitoring at the Pure Cleaners site.

Subtask 1: Project Management An automatic calculation based upon total direct labor hours determines the labor hours within this subtask.

Subtask 2: Annual Groundwater Sampling and Analysis and Report Subtask includes costs and labor for PSI to conduct groundwater sampling along with analysis and reporting. Field event will be comprised of the following activities; collection of depth to water will be measured from site monitoring wells, field parameters for geochemical data, fifteen (15) groundwater samples for analysis of volatile organic compounds via EPA Method 8260B, and management of investigative derived waste. Upon receipt of the groundwater analytical data, PSI will generate a Groundwater Monitoring Report outlining and describing the field event, procedures, and analytical results. The report will also provide conclusion and recommendations. IDW will be transported and disposed by Horizon Environmental as the lowest responsive and responsible bidder.

The FDEP Project Manager agrees to the scope of work and final cost associated with this Task Assignment. The final cost for this Task Assignment is $8,104.58 with 61 labor hours.

PSI may invoice following the schedule established in the Deliverables and Invoice Schedule Attachment, which accompanies the Task Assignment Notification Form.

PSI Project Number: 0552-2619 PSI Proposal Number: 0552-298759

December 31, 2019

Professional Service Industries, Inc.

5801 Benjamin Center Drive, Suite 112, Tampa, FL 33634

Phone: (813) 886-1075 Fax: (813) 249-4916 www.intertek.com/building

Florida Department of Environmental Protection Hazardous Waste Cleanup Section 2600 Blair Stone Road, MS 4520 Tallahassee, FL 32399-2400

Attention: Mr. Killian Talley, Environmental Specialist III Phone: (850) 245-8705 Email: Killian.Talley@dep.state.fl.us

Re: Proposal for Annual Groundwater Monitoring

Pure Cleaners (a.k.a. Cleaners 46), 954 West State Road 434

Longwood, Seminole County, Florida FDEP Facility ID No. 59 9601438 / ERIC_5494

Dear Mr. Talley:

Professional Service Industries, Inc. (PSI), an Intertek company, is pleased to provide the proposal contained herein to conduct annual Groundwater Monitoring for the Pure Cleaners (a.k.a Cleaners 46) at 954 West State Road 434, Longwood, Florida. Included with this proposal is a brief discussion of project history to date, proposed scope of work, cost estimate and a proposed schedule for completion.

PROJECT BACKGROUND

Drycleaning operations at the Pure Cleaners began in the late 1970s or early 1980s. Based on documented impacts from the drycleaner, the facility was deemed eligible for acceptance into the Florida Drycleaning Solvent Cleanup Program in January 1997, and assessment activities commenced in July through October 1997. Contaminated sediments were excavated from a drainage ditch behind the drycleaners, and remediation was performed with Air Sparge/ Soil Vapor Extraction (AS/ SVE). The AS / SVE system operated for approximately 31 months and was deactivated. The business is still in operation as a drycleaner and the site has been under natural attenuation monitoring (NAM) since October 2002.

The most recent groundwater sampling event occurred in April 2019. The results of the sampling activities indicated concentrations of the contaminants of concern (COC) have steadily decreased mailto:Killian.Talley@dep.state.fl.us mailto:Killian.Talley@dep.state.fl.us

FDEP – Pure Cleaners (aka Cleaners 46) since 2011. Only one shallow well exhibited an exceedance of the VOH compounds in 2019 (vinyl chloride detected at 1.8 ug/L in MW014).

These results indicate the site may quality for an unrestricted closure if no detections of the contaminants of concern are found during the groundwater monitoring event.

PROPOSED SCOPE OF WORK

The proposal contained herein consists of conducting groundwater sampling and analysis, along with a report deliverable. The results will be used to confirm current groundwater quality conditions. Specifically, the proposed scope of work consists of the following subtasks:

1. Project Management

This scope is provided for in the template worksheets

2. Annual Groundwater Sampling and Analysis and Report

a. Mobilization to the site.

b. Collect groundwater elevation measurements from fifteen monitoring wells:

MW003, MW008, MW009, MW010, MW012, MW014, MW015, MW016,

MW017, MW018, MW019, MW020, MW026, MW029 and MW030.

c. Collect groundwater samples from fifteen monitoring wells and air sparge wells including:

i. shallow wells MW009, MW012, MW014, MW016, MW020, MW026, MW029 and MW030,

ii. Intermediate monitoring wells MW008, MW010, MW015, MW019,

iii. Air sparge wells AS004, AS006 and AS012.

d. Laboratory analysis of groundwater samples by a laboratory approved by the National Environmental Laboratory Accreditation Conference (NELAC). The samples will be analyzed for Volatile Aromatic Halocarbons, per EPA Method 8260.

e. Containerize purge water into a 55-gallon drum, label appropriately, and upon waste characterization, have transported to an approved facility for treatment.

f. Develop an Annual Groundwater Monitoring Report which will include current groundwater elevation maps, and current groundwater quality data. Conclusions and recommendations will be made which will include any modifications to the proposed annual groundwater sampling event.

g. Input data into GIS tables and submit electronic files as the deliverable.

h. Develop ADaPT package as electronic deliverable.

i. Submit manifest to the Department for the IDW upon receipt

FDEP – Pure Cleaners (aka Cleaners 46)

COST ESTIMATE AND SCHEDULE

The estimated cost to perform the above described services is shown on the attached Cost Estimate and Level of Effort sheet which includes the Natural Attenuation Monitoring Report deliverable. All PSI services will be conducted in accordance with the terms and conditions contained within DEP Contract No. HW552, Bureau of Waste Cleanup Services, dated December 10, 2010. The groundwater sampling will be scheduled for March – April 2020 with a report submittal in June 2020.

PSI appreciates the opportunity to be of service to the FDEP. We look forward to working with you on this important project. If you have any questions, please feel free to contact us at (813) 886-1075.

Respectfully submitted, PROFESSIONAL SERVICE INDUSTRIES, INC.

Erin Lennox Nana Westmark, PG, CHMM Project Scientist Principal Consultant / Contract Manager

Enclosure: Cost Estimate Level of Effort

\\Tampa-fs1\projects\552-Env\FDEP BWC\0552619 Pure Cleaners\PSI Proposal\2020 GW\Pure Cleaners GW 0552- 298759.docx

FDEP COST ESTIMATEContractor: Professional Service Industries, Inc.

Date: 12/31/2019

Task #: SUBTASK 1: Project Management SUBTASK 6:

Site: Pure Cleaners SUBTASK 2: Groundwater Monitoring SUBTASK 7:

Activity/Phase: Groundwater Monitoring SUBTASK 3: SUBTASK 8:

Project Manager: Nana Westmark SUBTASK 4: SUBTASK 9:

SUBTASK 5: SUBTASK 10:

Totals 1 2 3 4 5 6 7 8 9 10 Labor Rate Category

Professional Service Industries, Inc.

$48.08 Project Manager 4 4.3 $62.50 Principal Consultant 0 0 0 0 0 0 0 0 0 0 $39.67 Senior Engineer, 0 0.0 0 0 0 0 0 0 0 0 $48.08 Senior Geologist 8 8.0 0 0 0 0 0 0 0 0 $45.20 Senior Scientist 0 0.0 0 0 0 0 0 0 0 0 $34.62 Certified Industrial Hygientist 0 0.0 0 0 0 0 0 0 0 0 $50.00 Certified Hazardous Materials Manager 0 0.0 0 0 0 0 0 0 0 0 $50.00 Florida Licensed Asbestos Consultant 0 0.0 0 0 0 0 0 0 0 0 $48.08 Project Manager 0 0.0 0 0 0 0 0 0 0 0 $31.73 Project Engineer, MM 0 0.0 0 0 0 0 0 0 0 0 $32.94 Project Geologist, CC 12 11.5 0 0 0 0 0 0 0 0 $29.81 Project Scientist 0 0.0 0 0 0 0 0 0 0 0 $29.81 QA Officer 0 0.0 0 0 0 0 0 0 0 0 $32.21 Remediation Coordinator 0 0.0 0 0 0 0 0 0 0 0 $0.00 Professional Land Surveyor 0 0.0 0 0 0 0 0 0 0 0 $0.00 Chemist 0 0.0 0 0 0 0 0 0 0 0

$24.50 GIS Specialist, DG 4 4.0 0 0 0 0 0 0 0 0 $25.00 Staff Engineer 0 0.0 0 0 0 0 0 0 0 0 $24.04 Staff Geologist 0 0.0 0 0 0 0 0 0 0 0 $24.76 Staff Scientist, RH 0 0.0 0 0 0 0 0 0 0 0 $24.04 Staff Scientist, RF 34 33.5 0 0 0 0 0 0 0 0 $20.57 Environmental Scientist 0 0.0 0 0 0 0 0 0 0 0 $18.30 Environmental Technician 0 0.0 0 0 0 0 0 0 0 0 $18.75 Administrative Assistant 0 0.0 0 0 0 0 0 0 0 0 $15.50 Secretary 0 0.0 0 0 0 0 0 0 0 0 $15.00 Senior Laborer 0 0.0 0 0 0 0 0 0 0 0 $12.00 Laborer 0 0.0 0 0 0 0 0 0 0 0

Total Hours 61 4.3 57.0 0 0 0 0 0 0 0 0

Professional Service Industries, Inc.

Direct Labor $1,875.14 $208.35 $1,666.79 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 170.96% $3,205.74 $356.20 $2,849.54 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Gen & Admin 0.00% $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fringe 0.00% $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Sub-Total Labor (PSI) $5,080.88 $564.55 $4,516.33 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Other Direct Costs $93.76 $10.42 $83.34 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 CEF_PSI.XLS Page 1

FDEP COST ESTIMATEContractor: Professional Service Industries, Inc.

Date: 12/31/2019

Task #: SUBTASK 1: Project Management SUBTASK 6:

Site: Pure Cleaners SUBTASK 2: Groundwater Monitoring SUBTASK 7:

Activity/Phase: Groundwater Monitoring SUBTASK 3: SUBTASK 8:

Project Manager: Nana Westmark SUBTASK 4: SUBTASK 9:

SUBTASK 5: SUBTASK 10:

Totals 1 2 3 4 5 6 7 8 9 10 Travel

Vehicle Rental $291.00 $291.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Mileage Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Air Fare $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Per diem + Hotel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Travel $291.00 $291.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor (Equipment Procurement) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor Subtotal $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Procurement Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor (Services Procurement) Drilling (Conventional) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Drilling (Non-conventional) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Mobile Laboratory $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Surveying $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

IDW $125.00 $125.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Utilities $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor Subtotal $125.00 $125.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Handling Fee $12.50 $12.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $137.50 $137.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs $1,122.00 $1,122.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fast Turnaround Charges $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Sample Shipping $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory $1,122.00 $1,122.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Field Expenses Personal Protection $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Expendables $97.50 $97.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Drilling related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Analytical related) $625.65 $625.65 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (IDW related) $58.20 $58.20 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Other) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $781.35 $781.35 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $7,506.49 $574.97 $6,931.52 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $508.09 $56.46 $451.63 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $8,014.58 $631.43 $7,383.15 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 CEF_PSI.XLS Page 2

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Pure Cleaners SUBTASK 2: Groundwater Monitoring

DATE: 12/31/2019

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Field Activities Senior Geologist, N Westmark Develop Level of Effort, Cost Estimate 3

Staff Geologist, R Fetter Load / unload 1 Travel (1 round trip) 8 Collect groundwater elevations (15 wells) (10 minutes per well) 2.5 Collect groundwater samples 8 shallow wells @ 1 hour per well 8 7 intermediate wells (includes sparge wells @ 1.5 hours per well) 10.5 Documentation of groundwater sampling & measurements 1 Stage IDW 0.5 Pickup / drop off sample kits 2

33.5

Report Project Geologist, C Cummins Prepare tables and draft maps 4.0

Prepare GIS package (8 minute per point) 1.5 Data reduction / evaluation, prepare report 6.0

11.5

GIS / CAD Specialist, D Grove Create maps, figures 4.0

Senior Geologist, N Westmark Report Review, sign and seal 5.0 8.0

TOTAL LABOR 57.0

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

55-gallon drum $58.20 each 1 $58.20

Shallow groundwater sampling kit $208.55 day 3 $625.65 Deep groundwater sampling kit $349.20 day 0 $0.00

$625.65 Expendables $32.50 day 3 $97.50

TOTAL EQUIPMENT $781.35

VEHICLE TYPE RATE UNIT USEAGE

Equipment Van / Truck (GW Sampling) $97.00 day 3 $291.00

TOTAL VEHICLE $291.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00

$0.00

TOTAL PER DIEM $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC IDW

EPA Method 8260 $66.00 15 1 1 $1,122.00

TOTAL LAB $1,122.00

SUBCONTRACTOR COSTS

NAME PURPOSE UNIT COST

Horizon Environmental IDW drum pickup and disposal 1 $125.00 $125.00

TOTAL $125.00

Pure Cleaners GW 0552-298759.xlsx

PSI - Intertek Request for Annual Investigative Derived Waste (IDW) IDW Pick-up, transport, Disposal and Treatment

PROJECT BID TABULATIONS IDW

Facility Name Various Drycleaning Sites under FDEP Drycleaning Solvent Cleanup Program Facility Location Various Facility ID Various

Description of Service

Tampa Area Central / North

Florida South Florida Panhandle Keys Clark Environmental, Inc. water $90.00 $100.00 $110.00 $110.00 soil $110.00 $120.00 $130.00 $130.00 low volume fee Per diem per trip $150.00 $150.00 Low volume stop charge <6 drums $50.00 $50.00 Low volume stop charge <11 drums $200.00 water per drum $140.00 $140.00 $150.00 $260.00 $460.00 soil per drum $160.00 $160.00 $170.00 $280.00 $480.00

Horizon Environmental, LLC water $125.00 $125.00 $135.00 $85.00 NA soil $125.00 $125.00 $135.00 $85.00 NA

PetroTech Southeast water $95.00 NA NA NA NA soil $115.00 NA NA NA NA

1. ) Please include all costs for pick-up, transport, fuel costs, stoppage fee, disposal, based on per drum cost.

2.) PSI is neither the generator nor transporter for hazardous or non-hazardous waste

5. ) Waste is considered not hazardous.

6. ) Analytical results of waste will be provided by a NELAP -approved laboratory.

7.) A PSI Purchase Order referencing Terms & Conditions (attached) will be issued and must be signed prior to pick-up.

State of Florida

55-Gallon Drum Pick-up, Transport, Disposal at an approved facility.

3. Waste generated is from assessment / remediation of drycleaner sites under the State of Florida Drycleaning Solvent Cleanup Program with funding provided by the FDEP.

The Generator is the Florida Department of Environmental Protection, 2600 Blair Stone Road, Tallahassee, FL 32399, MS 4512 or 4505.

4. ) PSI is under contract with FDEP for the assessment and remediation of drycleaner projects, and hence signs profiles and manifests on behalf of FDEP, Hazardous Waste.

PSI - Intertek Request for Annual Investigative Derived Waste (IDW) IDW Pick-up, transport, Disposal and Treatment

Facility Name Various Drycleaning Sites under FDEP Drycleaning Solvent Cleanup Program in Florida

Facility Location Various

Facility ID Various

Description of Service

Tampa Area

Central / North

Florida South Florida Panhandle water $125.00 $125.00 $135.00 $85.00 soil $125.00 $125.00 $135.00 $85.00 low volume fee

Pick-up fee

$250.00 $250.00 $270.00 $170.00

1. ) Please include all costs for pick-up, transport, fuel costs, stoppage fee, disposal, based on per drum cost.

2.) PSI is neither the generator nor transporter for hazardous or non-hazardous waste

5. ) Waste is considered not hazardous.

6. ) Analytical results of waste will be provided by a NELAP -approved laboratory.

7.) A PSI Purchase Order referencing Terms & Conditions (attached) will be issued and must be signed prior to pick-up.

Description

55-Gallon Drum Pick-up, Transport, Disposal at an approved facility.

State of Florida

3. Waste generated is from assessment / remediation of drycleaner sites under the State of Florida

Drycleaning Solvent Cleanup Program with funding provided by the FDEP.

The Generator is the Florida Department of Environmental Protection, 2600 Blair Stone Road, Tallahassee, FL 32399, MS 4512 or 4505.

4. ) PSI is under contract with FDEP for the assessment and remediation of drycleaner projects, and hence signs profiles and manifests on behalf of FDEP, Hazardous Waste.

4/3/18

Horizon Environmental

PSI - Intertek Request for Annual Investigative Derived Waste (IDW) IDW Pick-up, transport, Disposal and Treatment

Facility Name Various Drycleaning Sites under FDEP Drycleaning Solvent Cleanup Program in Florida

Facility Location Various

Facility ID Various

Description of Service

Tampa Area

Central / North

Florida South Florida Panhandle water $95.00 soil $115.00 low volume fee

Pick-up fee

$210.00 $0.00 $0.00 $0.00

1. ) Please include all costs for pick-up, transport, fuel costs, stoppage fee, disposal, based on per drum cost.

2.) PSI is neither the generator nor transporter for hazardous or non-hazardous waste

5. ) Waste is considered not hazardous.

6. ) Analytical results of waste will be provided by a NELAP -approved laboratory.

7.) A PSI Purchase Order referencing Terms & Conditions (attached) will be issued and must be signed prior to pick-up.

Description

55-Gallon Drum Pick-up, Transport, Disposal at an approved facility.

State of Florida

3. Waste generated is from assessment / remediation of drycleaner sites under the State of Florida

Drycleaning Solvent Cleanup Program with funding provided by the FDEP.

The Generator is the Florida Department of Environmental Protection, 2600 Blair Stone Road, Tallahassee, FL 32399, MS 4512 or 4505.

4. ) PSI is under contract with FDEP for the assessment and remediation of drycleaner projects, and hence signs profiles and manifests on behalf of FDEP, Hazardous Waste.

Jason W. Yates 4/17/18 Vice President