DEP CONTRACT NO.

Task Assignment #: Change Order No.:

Contractor Name:

Contractor Representative:

DEP Contract Manager: Phone #:

Site Name:

Site ID / Facility ID::

Description of Change [use additional pages if necessary]:

The Deliverable and Invoice Schedule is attached.

Final Deliverable:

TASK ASSIGNMENT TYPE AND NOT TO EXCEED AMOUNTS:

Cost Reimbursement Fixed Fee

Original Task Amount

Task Amount Prior to this Change Order Net Increase/decrease in task amount Task amount with all change orders $0.00 $0.00 $0.00 $0.00

Original Task Completion Date:

Completion Date Prior to this Change:

Net Increase/Decrease in Task Period:

Completion Date with all Change Orders:

DEP Task Manager:

DEP Contract Manager:

Contractual Authority:

Contractor Representative:

CC: Procurement Section (MS 93) Section Representative ________

FIXED PRICE

TASK ASSIGNMENT NOTIFICATION CHANGE ORDER FORM

ITEM

$0.00

$0.00

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).

Final Deliverable Due Date:

$0.00

$0.00

CHANGE IN TASK TIME

FEE SCHEDULE

COST PLUS FIXED FEE

TOTAL

WCP TAFORM 01_18

HW552

1DC004T

Professional Service Industries, Inc. (PSI)

Nana Westmark

850-245-8928Killian Talley

Tempo Cleaners

ERIC_5476

This Task Assignment Change Order corrects a previous error in the cost estimate and authorizes PSI to conduct more extensive baseline groundwater sampling prior to injection based remediation at the Tempo Cleaners site in in accordance with the attached scope of work and cost estimate.

Injection Completion Report 07/29/2022

$ 117,066.41 $ 0.00 $ 0.00 $ 0.00

$ 117,066.41 $ 0.00 $ 0.00 $ 0.00 $ 117,066.41

$ 2,745.10 $ 0.00 $ 0.00 $ 0.00 $ 2,745.10

$ 119,811.51

05/27/2022

05/27/2022

4 months

09/30/2022

Killian Talley Digitally signed by Killian Talley Date: 2021.10.13 21:28:25 -04'00'

Killian Talley Digitally signed by Killian Talley Date: 2021.10.13 21:28:34 -04'00'

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2021.10.14 10:28:40 -04'00'

Nana G Westmark Digitally signed by Nana G Westmark Date: 2021.10.14 13:30:30 -04'00'

$ 119,811.51 $ 0.00 $ 0.00 $ 0.00

$ 117,066.41

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

WCP TAFORM 01_18

Contract Number:

Task Assignment #:

Change Order #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

HW552

DC004T

$ 119,811.51

Subtask 2-3: Submittal of baseline sampling field event notes

Subtasks 4-5: Submittal of injection and performance monitoring field notes

Subtasks 1&6: Submittal of Injection Completion Report

Subtasks 2-3: FDEP receipt and approval of baseline sampling field event notes

Subtasks 1&6: FDEP receipt and approval of Injection Completion Report

Subtasks 4-5: FDEP receipt and approval of Injection and performance monitoring field notes

12/29/2021

03/03/2022

07/29/2022

$ 93,543.30

$ 13,767.61

$ 12,500.60

Florida Department of Memorandum Environmental Protection

To: HW552 Contract Negotiation File

Tempo Cleaners Fern Park, Seminole County

ERIC_5476

Date: October 13, 2021 Subject: Negotiation Summary

HW552 DC004T-1

Task Assignment Change Order corrects previous error in the original cost estimate and authorizes additional costs for baseline sampling.

Subtask 1: Project Management An automatic calculation based upon total direct labor hours determines the labor hours within this subtask. The cost increase related to this subtask is $163.31.

Subtask 2 – 6:

No changes to these subtasks.

Subtask 3: Baseline Monitoring Changes to subtask include correction of error in original cost estimate where per diem was not correctly calculated in excel. Additional changes include costs and labor for more extensive baseline monitoring of the site prior to remedial activities. Thirteen additional groundwater samples will be taken from site monitoring wells in accordance with the plan from the approved Remedial Action Plan Modification. Results from sampling will be shared and discussed witht eh FDEP prior to proceeding with injection activities. The cost increase related to this subtask is $2,581.79.

The cost increase related to this change order is $2,745.10.

The FDEP Project Manager agrees to the scope of work and final cost associated with this Task Assignment Change Order. The final cost for this Task Assignment Change Order is $119,811.51 with 450 labor hours.

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

FDEP COST ESTI MATEContractor: Professional Service Industries, Inc.

Date: 20 Rev June 24, 2021, Sept 21,2021

Task #: DC004T SUBTASK 1: Project Management SUBTASK 6: Evaluation, Reporting

Site: Tempo RAP Implementat SUBTASK 2: Pre-Injection SUBTASK 7:

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

Project Manager: Nana Westmark SUBTASK 4: Injection SUBTASK 9:

SUBTASK 5: Performance Monitoring SUBTASK 10:

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

Professional Service Industries, Inc.

$48.08 Project Manager 34 33.6 $62.50 Principal Consultant 0 0 0.0 0 0 0 0 0 0 0 $52.89 Senior Engineer, MR 26 0 0.0 16 0 10 0 0 0 0 $48.08 Senior Geologist, NW 28 17 3.0 0 8 0 0 0 0 0 $45.67 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 $56.50 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 159 14 0.0 71 22 52 0 0 0 0 $32.94 Project Geologist, CC 19 0 19.0 0 0 0 0 0 0 0 $29.81 Project Scientist, RF 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 30 0 6.0 4 8 12 0 0 0 0 $25.00 Staff Engineer 0 0 0.0 0 0 0 0 0 0 0 $24.04 Staff Scientist, RF 0 0 0.0 0 0 0 0 0 0 0 $24.76 Staff Scientist, RH 152 0 33.5 57 61 0 0 0 0 0 $24.04 Environmental Specialist 0 0 0.0 0 0 0 0 0 0 0 $24.04 Environmental Scientist 0 0 0.0 0 0 0 0 0 0 0 $18.30 Environmental Technician, RR 0 0 0.0 0 0 0 0 0 0 0 $18.75 Administrative Assistant 2 0 0.0 0 0 2 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 450 34 31 61.5 148 99 76 0 0 0 0

Professional Service Industries, Inc.

Direct Labor $14,530.44 $1,614.49 $1,261.58 $1,746.56 $4,608.39 $2,789.06 $2,510.36 $0.00 $0.00 $0.00 $0.00

Overhead 170.96% $24,841.24 $2,760.13 $2,156.80 $2,985.92 $7,878.50 $4,768.18 $4,291.71 $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) $39,371.68 $4,374.62 $3,418.38 $4,732.48 $12,486.89 $7,557.24 $6,802.07 $0.00 $0.00 $0.00 $0.00

Other Direct Costs $726.52 $80.72 $63.08 $87.33 $230.42 $139.45 $125.52 $0.00 $0.00 $0.00 $0.00

RAP Implementation - Injection

REV: 02/03 CEF_PSI.XLS Page 1

Date: 20 Rev June 24, 2021, Sept 21,2021

Task #: DC004T SUBTASK 1: Project Management SUBTASK 6: Evaluation, Reporting

Site: Tempo RAP Implementat SUBTASK 2: Pre-Injection SUBTASK 7:

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

Project Manager: Nana Westmark SUBTASK 4: Injection SUBTASK 9:

SUBTASK 5: Performance Monitoring SUBTASK 10:

Totals 1 2 3 4 5 6 7 8 9 10

RAP Implementation - Injection

Travel Vehicle Rental $1,810.00 $0.00 $291.00 $1,034.00 $485.00 $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 $1,755.00 $0.00 $405.00 $1,350.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Travel $3,565.00 $0.00 $696.00 $2,384.00 $485.00 $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, (Unconventional) $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 / GPR $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

IDW $2,475.00 $0.00 $115.00 $2,245.00 $115.00 $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 Injection Chemicals $21,282.47 $0.00 $0.00 $21,282.47 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Injection Services $32,800.00 $0.00 $0.00 $32,800.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment $625.70 $0.00 $0.00 $625.70 $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 $57,183.17 $0.00 $115.00 $56,953.17 $115.00 $0.00 $0.00 $0.00 $0.00 $0.00 Handling Fee $5,718.32 $0.00 $11.50 $5,695.32 $11.50 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $62,901.49 $0.00 $126.50 $62,648.49 $126.50 $0.00 $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs $4,543.00 $0.00 $2,349.00 $0.00 $2,194.00 $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 $4,543.00 $0.00 $2,349.00 $0.00 $2,194.00 $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 $455.00 $0.00 $97.50 $195.00 $162.50 $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) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (IDW related) $174.60 $0.00 $58.20 $0.00 $116.40 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Other) $4,137.05 $0.00 $1,324.05 $1,770.25 $1,042.75 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $4,766.65 $0.00 $1,479.75 $1,965.25 $1,321.65 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $115,874.34 $4,455.34 $3,481.46 $9,471.06 $79,715.05 $11,823.84 $6,927.59 $0.00 $0.00 $0.00 $0.00 Completion Fee $3,937.17 $437.46 $341.84 $473.25 $1,248.69 $755.72 $680.21 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $119,811.51 $4,892.80 $3,823.30 $9,944.31 $80,963.74 $12,579.56 $7,607.80 $0.00 $0.00 $0.00 $0.00

REV: 02/03 CEF_PSI.XLS Page 2

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Tempo RAP Implementation SUBTASK 3: Baseline Monitoring DATE: 10/26/2020 Rev June 24, 2021, Sept 21,2021

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Geologist, NW Technical oversight 2 Develop Baseline Monitoring LOE and CE 1

Staff Scientist, R Hanson Load / Unload 1

Travel (1 roundtrips for gw sampling) 4 Collect groundwater elevations (14 wells) (10 minutes per well) 2.5 Collect groundwater samples 1 shallow wells @ 1 hour each 2 7 intermediate wells @ 1.5 hours each 15 1 deep wells @ 2 hrs each 4 I irrigation well @ 2 hrs each 2 Documentation of groundwater sampling & measurements 1 Pickup / drop off samples 2

33.5 Project Geologist, C Cummins Data reduction/evaluation 7

Preparation of field deliverable of monitoring 6 Prepare ADaPT package 4 Report - Prepare tables and figures 2

GIS/CADD Specialist, D Grove Create figures 6

TOTAL LABOR 61.5

EQUIPMENT ITEM RATE UNIT USAGE TOTALS

Shallow Groundwater Sampling Kit $208.55 day 3 $625.65 Deep Groundwater Sampling Kit $349.20 day 2 $698.40 Drum for IDW $58.20 each 1 $58.20

$1,324.05 Expendables $32.50 day 3 $97.50

TOTAL EQUIPMENT $1,479.75

VEHICLE TYPE RATE UNIT USAGE

Equipment Van / Truck (staff scientist) $97.00 day 3 $291.00

TOTAL VEHICLE $291.00

PER DIEM STAFF RATE UNIT USAGE

Lodging, (Staff Scientist) $99.00 3 $297.00 Meals, (Staff Scientist) $36.00 3 $108.00

TOTAL PER DIEM $405.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

VOHs by EPA Method 8260 $66.00 15 1 $1,056.00 Iron $11.50 2 0 $23.00 Sodium $11.50 2 $23.00 Total Dissolved Solids $11.50 2 $23.00 Total Organic Carbon $26.00 4 $104.00 Methane, Ethane, Ethene $160.00 7 $1,120.00 Gene-Trac® FGA/Dhc Included in SiREM scope 0 $0.00

TOTAL LAB $2,349.00

SUBCONTRACTOR COSTS

NAME PURPOSE Units

Petrotech Southeast IDW transport and dispos $115.00 1 $115.00

TOTAL $115.00

Page 3 HW552_DC004T-1_CEFLOE_Final

Date: 0 Rev June 24, 2021, Sept 21, 2021

Task #: DC004T SUBTASK 1: Project Management SUBTASK 6: Evaluation, Reporting

Site: Tempo RAP Implementat SUBTASK 2: Pre-Injection SUBTASK 7:

Activity/Phase: SUBTASK 3: Baseline Monitoring - CO for additional VOH samples SUBTASK 8:

Project Manager: Nana Westmark SUBTASK 4: Injection SUBTASK 9:

SUBTASK 5: Performance Monitoring SUBTASK 10:

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

Professional Service Industries, Inc.

$48.08 Project Manager 1 1.1 $62.50 Principal Consultant 0 0 0.0 0 0 0 0 0 0 0 $52.89 Senior Engineer, MR 0 0 0.0 0 0 0 0 0 0 0 $48.08 Senior Geologist, NW 1 0 1.0 0 0 0 0 0 0 0 $45.67 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 $56.50 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 3 0 3.0 0 0 0 0 0 0 0 $29.81 Project Scientist, RF 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 2 0 2.0 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 Scientist, RF 0 0 0.0 0 0 0 0 0 0 0 $24.76 Staff Scientist, RH 10 0 9.5 0 0 0 0 0 0 0 $24.04 Environmental Specialist 0 0 0.0 0 0 0 0 0 0 0 $24.04 Environmental Scientist 0 0 0.0 0 0 0 0 0 0 0 $18.30 Environmental Technician, RR 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 17 1 0 15.5 0 0 0 0 0 0 0

Professional Service Industries, Inc.

Direct Labor $485.01 $53.89 $0.00 $431.12 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 170.96% $829.17 $92.13 $0.00 $737.04 $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) $1,314.18 $146.02 $0.00 $1,168.16 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Other Direct Costs $24.25 $2.69 $0.00 $21.56 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

RAP Implementation - Injection

REV: 02/03 CEF_PSI.XLS Page 1

Date: 0 Rev June 24, 2021, Sept 21, 2021

Task #: DC004T SUBTASK 1: Project Management SUBTASK 6: Evaluation, Reporting

Site: Tempo RAP Implementat SUBTASK 2: Pre-Injection SUBTASK 7:

Activity/Phase: SUBTASK 3: Baseline Monitoring - CO for additional VOH samples SUBTASK 8:

Project Manager: Nana Westmark SUBTASK 4: Injection SUBTASK 9:

SUBTASK 5: Performance Monitoring SUBTASK 10:

Totals 1 2 3 4 5 6 7 8 9 10

RAP Implementation - Injection

Travel Vehicle Rental $97.00 $0.00 $97.00 $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 ($270.00) $0.00 ($270.00) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Travel ($173.00) $0.00 ($173.00) $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, (Unconventional) $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 / GPR $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

IDW $0.00 $0.00 $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 Injection Chemicals $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Injection Services $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment $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 Handling 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

Laboratory Analytical Costs $858.00 $0.00 $858.00 $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 $858.00 $0.00 $858.00 $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 $32.50 $0.00 $32.50 $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) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (IDW related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Other) $557.75 $0.00 $557.75 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $590.25 $0.00 $590.25 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $2,613.68 $148.71 $0.00 $2,464.97 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $131.42 $14.60 $0.00 $116.82 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $2,745.10 $163.31 $0.00 $2,581.79 $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 : Tempo RAP Implementation SUBTASK 3: Baseline Monitoring - CO for additional VOH samples DATE: 10/26/2020 Rev June 24, 2021, Sept 21, 2021

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Geologist, NW Technical oversight 0 Develop Baseline Monitoring LOE and CE 1

Staff Scientist, R Hanson Load / Unload 0 Travel (1 roundtrips for gw sampling) 0 Collect groundwater elevations (14 wells) (10 minutes per well) 0 Collect groundwater samples 1 shallow wells @ 1 hour each 1 7 intermediate wells @ 1.5 hours each 4.5 1 deep wells @ 2 hrs each 2 I irrigation well @ 2 hrs each 2 Documentation of groundwater sampling & measurements 0 Pickup / drop off samples 0

9.5 Project Geologist, C Cummins Data reduction/evaluation 2

Preparation of field deliverable of monitoring 0 Prepare ADaPT package 1 Report - Prepare tables and figures 0

GIS/CADD Specialist, D Grove Create figures 2

TOTAL LABOR 15.5

EQUIPMENT ITEM RATE UNIT USAGE TOTALS

Shallow Groundwater Sampling Kit $208.55 day 1 $208.55 Deep Groundwater Sampling Kit $349.20 day 1 $349.20 Drum for IDW $58.20 each 0 $0.00

$557.75 Expendables $32.50 day 1 $32.50

TOTAL EQUIPMENT $590.25

VEHICLE TYPE RATE UNIT USAGE

Equipment Van / Truck (staff scientist) $97.00 day 1 $97.00

TOTAL VEHICLE $97.00

PER DIEM STAFF RATE UNIT USAGE

Lodging, (Staff Scientist)

Mistake discovered in original LOE, correct $ was supposed to be $198, calculation error in cell of $495, therefore we are deducting $297, then adding additional per diem of $99 for additional night $99.00 1 ($198.00)

Meals, (Staff Scientist)

Mistake discovered in original LOE, correct $ was supposed to be $72, calculation error in cell of $180, therefore we are deducting $108, then adding additional of $36 for additional $36.00 1 ($72.00)

TOTAL PER DIEM ($270.00)

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

VOHs by EPA Method 8260 $66.00 13 0 $858.00 Iron $11.50 0 0 $0.00 Sodium $11.50 0 $0.00 Total Dissolved Solids $11.50 0 $0.00 Total Organic Carbon $26.00 0 $0.00 Methane, Ethane, Ethene $160.00 0 $0.00 Gene-Trac® FGA/Dhc Included in SiREM scope 0 $0.00

TOTAL LAB $858.00

SUBCONTRACTOR COSTS

NAME PURPOSE Units

Petrotech Southeast IDW transport and disposal $115.00 0 $0.00

TOTAL $0.00

Page 3 HW552_DC004T-1_CEFLOE_Delta

From: Nana Westmark To: Talley, Killian Subject: RE: Tempo TACO DC004T request to address baseline sampling Date: Thursday, September 23, 2021 10:42:49 AM Attachments: D39D4E67A3A44BB7929464A1B60F0408.png

7F2445AF59E1451E9D352C1D26402784.png

I think if we push back everything 90 days, that would work. Does that work for you?

From: Talley, Killian Sent: Thursday, September 23, 2021 10:41 AM To: Nana Westmark Subject: [External] RE: Tempo TACO DC004T request to address baseline sampling

Hey Nana, Attached is our old TA. The second page talks about the deliverable dates. What do you believe are new reasonable dates? (Keep in mind for the approval order item we may have to wait 30 days after posting that before we can inject).

Sincerely, Killian Talley Florida Department of Environmental Protection 2600 Blair Stone Road, MS 4520 Tallahassee, FL 32399-2400 From: Nana Westmark <nana.westmark@intertek.com> Sent: Tuesday, September 21, 2021 1:08 PM To: Talley, Killian <Killian.Talley@dep.state.fl.us> Subject: Tempo TACO DC004T request to address baseline sampling Importance: High

Good Afternoon Killian – Per our conversation, PSI is pleased to submit the TACO request for Tempo ERIC_5476 for DC004T, to address the additional sampling analysis for VOHS and a time extension due to issues with the RAP Mod approval (PE seal) & Noticing requirements

When we originally developed the Cost Estimate and Level of Effort for RAP Implementation, we had completed a round of GW sampling in which would serve as our baseline monitoring.

We have prepared a TACO to address the following:

1. Add VOH analysis in the baseline monitoring

2. Correction of typo in the per diem rates for the original DC004T

3. Time extension until June 2022.

4. Nana Westmark, PG, CHMM

Senior Geologist / Principal Consultant Building & Construction Intertek-PSI mailto:nana.westmark@intertek.com mailto:Killian.Talley@dep.state.fl.us mailto:Killian.Talley@dep.state.fl.us mailto:nana.westmark@intertek.com