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

HW558

D000 N/ADC023F

Earth Systems

Jim Paxton

850-245-8928Killian Talley

ERIC_4594

Jet Cleaners

7451 103rd Street, Jacksonville, Duval

Monitoring

This Task Assignment authorizes Earth Systems to conduct annual groundwater monitoring activities in accordance with the attached scope of work, cost estimate, and bid documentation.

Submittal of Groundwater Monitoring Report, GIS/ADaPT, IDW Manifest

01/15/2022

02/13/2022

7796.17 0 0 0

Killian Talley Digitally signed by Killian Talley Date: 2021.10.11 20:19:02 -04'00'

Killian Talley Digitally signed by Killian Talley Date: 2021.10.11 20:18:55 -04'00'

William E. Burns, Jr. Digitally signed by William E. Burns, Jr.

Date: 2021.10.12 09:35:06 -04'00'

James Paxton Digitally signed by James Paxton DN: C=US, E=jpaxton@eathsys.net, O=Earth Systems Inc, CN=James Paxton Date: 2021.10.12 09:52:43-04'00'

7796.17

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: Submittal of Groundwater Monitoring Report, GIS/ADaPT, IDW Manifest 01/15/2022

Subtasks 1-2: FDEP receipt and approval of Groundwater Monitoring Report, GIS/ADaPT, IDW Manifest $ 7,796.17

$ 7,796.17

HW558

DC023F

Florida Department of Memorandum Environmental Protection

Printed on recycled paper.

To: HW558 Contract Negotiation File Jet Cleaners Jacksonville, Duval County

ERIC_4594

From: Killian Talley, Project Manager Date: October 11, 2021 Subject: Negotiation Summary

HW558_DC023F

Task Assignment authorizes Earth Systems to conduct annual groundwater monitoring at the Jet 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 MNA Sampling & Reporting Subtask includes costs and labor for Earth Systems 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, seventeen (17) groundwater samples for analysis of volatile organic compounds via EPA Method 8260B, and transport and disposal of investigative derived waste. Upon receipt of the groundwater analytical data, Earth Systems will generate a Natural Attenuation Monitoring Report outlining and describing the field event, procedures, and analytical results. The report will also provide conclusion and recommendations.

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 $7,796.17 with 54 labor hours.

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

FDEP COST ESTIMATEContractor: Earth Systems

Date: 11-Oct-21

Task #: SubTask 1 Project Management SubTask 6

Site: Jet Cleaners # 7 SubTask 2 MNA Sampling 17 wells SubTask 7

Activity/Phase: MNA Sampling 2021 SubTask 3 SubTask 8

Project Manager: Killian Talley SubTask 4 SubTask 9

SubTask 5 SubTask 10

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

$42.30 (Beardall) Project Manager 0 4.5 $42.30 (Beardall) Principal Manager 2 2 0 0 0 0 0 0 0 0 $34.65 Associate Eng./Geologist/Scientist 0 0 0 0 0 0 0 0 0 0 $40.62 (Paxton) Project Manager 20 20 0 0 0 0 0 0 0 0 $31.25 Associate Eng./Geologist/Scientist 0 0 0 0 0 0 0 0 0 0 $21.15 Staff Eng/Geologist/Scientist 0 0 0 0 0 0 0 0 0 0 $26.15 (Russell) Senior Technician/Field Geologist 2 2 0 0 0 0 0 0 0 0 $23.02 (Byrnes) Senior Technician/Field Geologist 22 22 0 0 0 0 0 0 0 0 $18.00 (Morse) Technician/Draftsperson II 2 2 0 0 0 0 0 0 0 0 $12.75 Technician/Draftsperson I 0 0 0 0 0 0 0 0 0 0 $17.00 (Meserve) Administrative Assistant 1 1 0 0 0 0 0 0 0 0 $10.75 General Office Clerk 0 0 0 0 0 0 0 0 0 0

$0.00 0 0 0 0 0 0 0 0 0 0 $0.00 0 0 0 0 0 0 0 0 0 0 $0.00 0 0 0 0 0 0 0 0 0 0 $0.00 0 0 0 0 0 0 0 0 0 0 $0.00 0 0 0 0 0 0 0 0 0 0 $0.00 0 0 0 0 0 0 0 0 0 0 $0.00 0 0 0 0 0 0 0 0 0 0 $0.00 0 0 0 0 0 0 0 0 0 0 $0.00 0 0 0 0 0 0 0 0 0 0 $0.00 0 0 0 0 0 0 0 0 0 0 $0.00 0 0 0 0 0 0 0 0 0 0 $0.00 0 0 0 0 0 0 0 0 0 0 $0.00 0 0 0 0 0 0 0 0 0 0 $0.00 0 0 0 0 0 0 0 0 0 0

Total Hours 54 5 49 0 0 0 0 0 0 0 0

Direct Labor $1,697.33 $188.59 $1,508.74 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 63.00% $1,069.32 $118.81 $950.51 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Gen & Admin 65.00% $1,103.26 $122.58 $980.68 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fringe 34.00% $577.09 $64.12 $512.97 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Labor $4,447.00 $494.10 $3,952.90 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Other Direct Costs $84.87 $9.43 $75.44 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Travel

FDEP COST ESTIMATEContractor: Earth Systems

Date: 11-Oct-21

Task #: SubTask 1 Project Management SubTask 6

Site: Jet Cleaners # 7 SubTask 2 MNA Sampling 17 wells SubTask 7

Activity/Phase: MNA Sampling 2021 SubTask 3 SubTask 8

Project Manager: Killian Talley SubTask 4 SubTask 9

SubTask 5 SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10 Vehicle Rental $194.00 $194.00 $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 $194.00 $194.00 $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 Erwin Remedation $500.00 $500.00 $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 $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 $500.00 $500.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Handling Fee $50.00 $50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $550.00 $550.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs $1,188.00 $1,188.00 $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 $1,188.00 $1,188.00 $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 $65.00 $65.00 $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) $417.10 $417.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (IDW related) $405.50 $405.50 $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 $887.60 $887.60 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $7,351.47 $503.53 $6,847.94 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $444.70 $49.41 $395.29 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $7,796.17 $552.94 $7,243.23 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Jet Cleaners # 7

SUBTASK-2: MNA 2021

DATE: 10/11/2021

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Tech. - T. Byrnes Travel time to and from site 2 days 2 Senior Tech. - T. Byrnes WL measurements and GW samples from 17 wells + Trip 17 wells (MW001, MW004, MW007, 20

IW001 through IW005, IW007 through IW012, DW001 through DW003. Analyses for 8260 compounds (VOHs).

Purge water treated and disposed onsite as non-haz per generator's knowledge.

Report:

G Beardall - Principal Manager Senior Report Review 2 J Paxton - Project Manager GW sampling report preparation 20 L. Russell - Field Geologist ADaPT (8 mins/well * 17 wells) 2

Shanon Meserve - Admin Assistant Compiling PDF of MNA report, printing and shipping hard copy 1 Kath Morse - Draft Person II Figures 2

TOTAL LABOR 49.0

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables $32.50 day 2 $65.00 Shallow GWTR Sample Kit $208.55 day 2 $417.10 Portable Generator 5 KW $66.00 day 1 $66.00 Portable Compressor $48.50 day 1 $48.50 55-Gallon Drum $58.20 1 5 $291.00

TOTAL EQUIPMENT $887.60

VEHICLE TYPE RATE UNIT USEAGE

Truck $97.00 day 2 $194.00

TOTAL VEHICLE $194.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

GW VOHs 17 wells plus Trip $66.00 17 1 $1,188.00

TOTAL LAB $1,188.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Erwin Remediation Wste Removal Lump Sum 5 $100.00 $500.00

TOTAL $500.00

FINAL --7/24/96

223 12th Avenue North, Jacksonville Beach, Florida 32250, Tel 904.247.0740, Fax 904.247.7650

Florida • Colorado • North Dakota • New Jersey

September 30, 2021

Mr. Killian Talley Bureau of Waste Cleanup Division of Waste Management Florida Department of Environmental Protection 2600 Blair Stone Road, M. S. 4520 Tallahassee, Florida 32399-2400

Subject: Proposal to Conduct MNA Sampling 2021 Jet Cleaners # 7 7451 103rd Street, Jacksonville, Duval County, Florida

ERIC_4594

Dear Ms. Posey:

Earth Systems has prepared this proposal for conducting annual Monitoring of Natural Attenuation (MNA) sampling at the subject site. The tasks associated with this scope of work are as follows:

SUBTASK 1 – Project Management

Allowable costs for Project Management according to the Bureau of Waste Cleanup’s (BWC) contract with Earth Systems.

SUBTASK 2 – Annual MNA Sampling and Reporting

Earth Systems will mobilize a senior technician to the site to collect groundwater samples (with water level data) from 17 wells (MW001, MW004, MW007, IW001 through IW005, IW007 through IW012, DW001 through DW003). The samples will be analyzed for VOHs using EPA Method 8260. One trip blank will also be analyzed. All VOH samples will be analyzed by one of Earth Systems’ contract laboratories, Pace Analytical or Accutest. The well locations are depicted on the attached figure. The sampling event will take 2 days to complete. The last groundwater sampling event was conducted in December 2020. Earth Systems will supervise the removal of up to five drums of purge water by Erwin Remediation.

After receipt of the analytical results, Earth Systems will provide an Annual Monitoring of Natural Attenuation Report. The report will include updated tables and figures, the laboratory analytical data, and recommendations for additional work.

Proposal to MNA Sampling 2021 Jet Cleaners #7 7451 103rd Street Suite 30, Jacksonville, Florida

ERIC_4594

Cost and Schedule

The proposed cost and schedule for this project are provided in the table below.

Task Proposed Cost Proposed Schedule/Deliverables

Subtask 1 – Project Management $552.94

February 13, 2022

Subtask 2 – Conduct 2021 MNA sampling and prepare MNA Report $7,243.23

January 15, 2022 Groundwater sampling documentation, Laboratory Report, Annual MNA Report, GIS Tables, ADaPT Deliverables

Total/Completion Date $7,796.17

February 13, 2022

If you have questions or comments concerning this proposal, please contact me at

(904) 247-0740.

Sincerely, EARTH SYSTEMS

James Paxton Operations Manager

Figure 1

0 3015

( SCALE IN FEET )

SITE PLAN

LEGEND

408 Ditmar Street

Pensacola, FL 32503

ErwinRemediation@Gmail.com - P.O. Box 884 Gulf Breeze, FL 32562

(850) 292-6511

To: Mr. Luke Russell

Earth Systems

223 12th Avenue North

Jacksonville, FL 32250

September 29, 2021

Re: Drum Disposal – Jet’s Cleaners - Jacksonville, FL

Mr. Russell:

The price to dispose of five (5) 55-gallon drums containing non-hazardous groundwater impacted with dry-cleaning solvents located in Jacksonville Florida will be $100.00 per drum, or $500.00 total.

This price is a flat-rate that includes both the transportation and disposal for non-hazardous material and is valid for 12-months from the date of this letter.

If the water is deemed to be hazardous upon review of the lab reports by the disposal facility, additional charges will apply.

We appreciate the opportunity to work with you on this. Should you have any questions, please contact me directly at (850) 292-6511.

Respectfully, Jonathan Erwin

Erwin Remediation, Inc.

Email: ErwinRemediation@Gmail.com

Office: (850) 292-6511 mailto:Remediation@Gmail.com

9/29/21, 11:53 AM Clark Environmental Inc.: Quote Builder file:///C:/Users/luke/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/7C1ZTAP2/ES Jax drum.html 1/2

Quote Number: 18985

QUOTE

QUOTED TO: Luke Russell

QUOTE DATE: 9/29/2021

COMPANY NAME: Earth Systems QUOTED BY: Steve Harris

PHONE NUMBER: 904-247-0740

Ext.

FAX NUMBER: email PROJECT REFERENCE: Transportation and Disposal of Drums of Non Haz Purge Water.

CUSTOMER PO:

CONTACT EMAIL:

SITE ADDRESS: 7451 - 103 St Jax FL

CLARK ENVIRONMENTAL, INC. IS PLEASED TO PROVIDE THE

FOLLOWING COST ESTIMATE FOR

THE SITE/ PROJECT LISTED

ABOVE.

DESCRIPTION PRICE QTY. UNIT TOTAL

NON HAZ DRUM DISPOSAL W/CUSTOMER SUPPLIED ACCEPTABLE NON

HAZ. ANALYTICAL AND PROFILE STATING "Purge Water"

$60.00 5 55 GAL $300.00

DRUM TRANSPORTATION LOCATED ON HARD BLACK TOP OR

CONCRETE SURFACE EASILY ACCESSIBLE WITH 53 FOOT TRACTOR

TRAILER WITH LIFTGATE NO CURBS, GRASS OR DIRT TO CROSS. SEE

ADDITIONAL LOW VOLUME STOP CHARGE BELOW.

$50.00 5 55 GAL $250.00

DRUM LOW VOLUME STOP CHARGE FOR 6 DRUMS OR LESS.Per Stop. $50.00 1 FLAT RATE $50.00

TOTAL REQUIRED ITEMS $600.00

TOTAL OPTIONAL ITEMS $0.00

GRAND TOTAL $600.00

NOTES: Client to supply Testing and Profile for Non Haz disposal approval before drum pick up.all drums must be DOT shippable ,with access to drum on Hard Surface, must be able to get a 53 ft Tractor Trailer to drums location.please call with any questions,Thanks Steve Harris 863-559-1452

This quote will remain valid for thirty (30) days from the date listed above except for transportation which is subject to weekly change and is based on upon payment in net 30 days. Quote based on an accepted and approved profile. Please sign and return to accept this quotation and by signing agree to all terms and conditions.

Name (print) Title

9/29/21, 11:53 AM Clark Environmental Inc.: Quote Builder file:///C:/Users/luke/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/7C1ZTAP2/ES Jax drum.html 2/2

Signature Date

CLARK ENVIRONMENTAL, INC. * 755 Prairie Industrial Pkwy. * Mulberry, Florida 33860

Telephone: 863-425-4884 * Fax: 863-425-2854 WWW.ClarkEnvironmental.com

Perma-Fix of Florida, Inc. H:\House\earth systems\LukeR\092921.3 lr-q.doc

September 29, 2021

Earth Systems 223 12th Avenue North Jacksonville Beach, FL 32250 904-247-0740 (Office); 904-477-6309 (Cell)

Attention: Luke Russell

Subject: Hazardous Waste Transportation & Disposal Quotation 2021-0615 Jets Cleaners, 7451 103rd St., Jacksonville, FL

Sent via Email: LRussell@earthsys.net

Dear Luke:

On behalf of Perma-Fix Environmental Services, Inc. (Perma-Fix of Florida), I would like to thank you for the opportunity to provide you with this quotation outlining the costs associated with the drum transportation and disposal service for your client’s facility in Jacksonville, FL. Pricing is contingent upon review and plant approval of a signed Perma-Fix of Florida Waste Material Profile and wastes meeting waste class specifications highlighted below.

We appreciate the opportunity to address your waste disposal needs and are pleased to submit the following quotation.

Disposal Quantity/Size Unit Price Est. Total IDW – Non-Regulated Liquid (<20% solids, <1% Cl) (PF #Pending)

5 x 55 gal

$120.00 $600.00

Disposal Subtotal $600.00 Transportation Quantity Unit Price Est. Total

LTL Stop Fee (Jacksonville, FL) 1 $75.00 $75.00 LTL Transportation, per 55-gal drum) 5 $40.00 $200.00 Transportation, Min. Charge If needed $200.00 If needed

Transportation Subtotal $275.00 Other Fees

Florida Hazardous Waste Fee n/a 3.0% n/a Admin./Ins. Fee $875.00 14.0% $122.50 e-Manifest Filing Fee: x/HW manifest $35.00 n/a

Profile Fee: 1 $25.00 $25.00 Other Fees Subtotal $147.50

Estimated Total: $1,022.50

• Terms and conditions in Perma-Fix Waste Transportation & Disposal Agreement, Rev. 1 dated

October 2020, apply upon acceptance/signature of this quote.

• Current pricing is subject to change after 30 days.

Perma-Fix of Florida, Inc. H:\House\earth systems\LukeR\092921.3 lr-q.doc

• Demurrage: One hour free loading. $110.00 per hour thereafter.

• No-Load Charge: Stop + LTL Fees (includes cancellation with less than 48 hours’ notice).

• Payment terms are net 30 days with current credit application on file. Any remaining balance after the due date will be subject to a service charge of 1.5% per month – 18% annually. Payment-on-delivery options available with prior agreement.

We look forward to being of service to you. If you have any questions, or if I can be of further assistance, please call me at (352) 395-1342.

Sincerely, Mervin Dale

Mervin Dale Manager Support Services

PPEERRMMAA--FFIIXX EENNVVIIRROONNMMEENNTTAALL SSEERRVVIICCEESS,, IINNCC..

OOffffiiccee:: ((335522)) 339955--11334422

EEmmaaiill:: mmddaallee@@ppeerrmmaa--ffiixx..ccoomm

Quote Approval 2021-0615

Signature

Name, Printed

Date mailto:mdale@perma-fix.com