CN-370000-HW558-DC03M.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

HW558

D000 N/ADC003M

Earth Systems

Jim Paxton

850-245-8928Killian Talley

ERIC_4258

Emerald Cleaners

868 Blanding Boulevard, Orange Park, Clay

Deletion

Task Assignment authorizes Earth Systems to complete well abandonment activities at site in accordance with the attached scope of work, cost esimtate, and bid documentation.

Well Abandonment Report

07/30/2021

10/29/2021

5633.01 0 0 0

Killian Talley Digitally signed by Killian Talley Date: 2021.05.26 14:24:59 -04'00'

Killian Talley Digitally signed by Killian Talley Date: 2021.05.26 14:25:05 -04'00'

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

Date: 2021.06.01 13:56:51 -04'00'

James Paxton Digitally signed by James Paxton DN: C=US, E=jpaxton@eathsys.net, O=Earth Systems Inc, CN=James Paxton Date: 2021.06.01 14:27:40-04'00'

5633.01

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 Well Abandonment Report 07/30/2021

Subtasks 1-2: FDEP receipt and approval of Well Abandonment Report $ 5,633.01

$ 5,633.01

HW558

DC003M

Florida Department of Memorandum Environmental Protection

Printed on recycled paper.

To: HW558 Contract Negotiation File Emerald Cleaners Orange Park, Clay County

ERIC_4258

From: Killian Talley, Project Manager Date: May 26, 2021 Subject: Negotiation Summary

HW558 DC003M

Task Assignment authorizes Earth Systems to oversee abandonment of wells and generate a well abandonment report.

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

Subtask 2: Well Abandonment & Reporting This subtask includes labor and related costs for oversight of monitoring well abandonment as required by the site rehabilitation completion order issued on May 24, 2021. Mobilization to site will not occur sooner than June 14th. Well abandonment will be completed by a licensed water well driller. As part of abandonment activities resulting areas will be restored to previous conditions as part of site restoration. Upon completion of all site activities Earth Systems will prepare a well abandonment report for review.

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 $5,633.01 with 27 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 ESTI MATEContractor: Earth Systems

Date: 26-May-21

Task #: SubTask 1 Project Management SubTask 6

Site: Emerald Cleaners SubTask 2 Well Abandonment SubTask 7

Activity/Phase: Well Abandonment 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

$40.62 (Paxton) Project Manager 0 2.3 $42.30 (Tumeo P.E.) Principal Manager 1 1 0 0 0 0 0 0 0 0 $31.25 Staff Associate Eng./Geologist/Scientist 0 0 0 0 0 0 0 0 0 0 $40.62 (Paxton) Senior Engineer/Geologist/Scientist 10 10 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 Senior Technician/Field Geologist 0 0 0 0 0 0 0 0 0 0 $23.02 (Byrnes) Senior Technician/Field Geologist 12 12 0 0 0 0 0 0 0 0 $18.00 (Morse) Technician/Draftsperson II 1 1 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 27 2 25 0 0 0 0 0 0 0 0

Direct Labor $854.71 $94.97 $759.74 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 63.00% $538.47 $59.83 $478.64 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Gen & Admin 65.00% $555.56 $61.73 $493.83 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fringe 34.00% $290.60 $32.29 $258.31 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Labor $2,239.34 $248.82 $1,990.52 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Other Direct Costs $42.74 $4.75 $37.99 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

FDEP COST ESTI MATEContractor: Earth Systems

Date: 26-May-21

Task #: SubTask 1 Project Management SubTask 6

Site: Emerald Cleaners SubTask 2 Well Abandonment SubTask 7

Activity/Phase: Well Abandonment 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 Travel

Vehicle Rental $97.00 $97.00 $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 $97.00 $97.00 $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) $2,725.00 $2,725.00 $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

$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 $0.00 $0.00

Subcontractor Subtotal $2,725.00 $2,725.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Handling Fee $272.50 $272.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $2,997.50 $2,997.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs $0.00 $0.00 $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 $0.00 $0.00 $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 $32.50 $32.50 $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) $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) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $32.50 $32.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $5,409.08 $253.57 $5,155.51 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $223.93 $24.88 $199.05 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $5,633.01 $278.45 $5,354.56 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$278.45

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Emerald Cleaners SUBTASK-2: Well Abandonment

DATE: 5/26/2021

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Jim Paxton - Project Manager Well Abandonment Reporting 10 M Tumeo - Principal Manager Report Review 1 Terry Byrnes - Senior Tech. mobe/demobe (2 hr) Fieldwork: Supervise the abandonment of 210' of wells. 12

MW006, MW007, MW008, MW009, MW010, MW011, MW012, DW013, MW014, DW015, and SVE004 Manhole Kath Morse - Drafting Edit figure 1 Shannon Meserve- Admin Scanning, copying, mailing, and invoice 1

TOTAL LABOR 25.0

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables $32.50 day 1 $32.50

TOTAL EQUIPMENT $32.50

VEHICLE TYPE RATE UNIT USEAGE

Truck $97.00 day 1 $97.00

TOTAL VEHICLE $97.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

TOTAL LAB $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Preferred Drillling Solutions Well Abandonment 1 $2,725.00 $2,725.00

TOTAL $2,725.00

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

March 11, 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 Well Abandonment

Emerald Cleaners 868 Blanding Boulevard #136, Orange Park, Florida FDEP Facility No. ERIC_4258

Dear Mr. Talley:

Earth Systems has prepared this proposal for conducting well abandonment activities 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 – Well Abandonment and Reporting

Earth Systems will mobilize a staff scientist to the site to supervise Preferred Drilling Solutions (PDS) during the abandonment of monitoring wells MW006, MW007, MW008, MW009, MW010, MW011, MW012, DW013, MW014, and DW015 (total of 210 feet).

Following the well abandonment activities, manholes and well pads will be removed and patched with concrete along with the manhole for SVE004. After well abandonment, Earth Systems will provide a Well Abandonment Report.

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 $278.45

July 30, 2021

Proposal to Conduct Well Abandonment Celebrity Cleaners Gainesville, FL

ERIC_3990

Subtask 2 – Conduct Well Abandonment Activities

$5,354.56 May 31, 2021 Well Abandonment Report

Total/Completion Date $5,633.01 July 30, 2021

If you have questions or comments concerning this proposal, please contact me at (904) 247-0740.

Sincerely, EARTH SYSTEMS

James Paxton Operations Manager

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Figure 1

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SITE PLAN

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CHILLER UNIT

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PARKING FOR DRY CLEANERS

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ROOF OVERHANG

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SS

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SS

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4"PVC

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CONC.

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WATER VALVE

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WATER VALVE

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WATER VALVE

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FIRE HYDRANT

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4"PVC

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6'CHAIN LINK FENCE

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CATCH

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CONCRETE WALK

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ASPHALT

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CONCRETE

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WATER

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METER

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WATER

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METER

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CONC.

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3"METAL POLE

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4'HIGH (TYPICAL)

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CYLINDERS IN THIS AREA

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EDGE OF PAVEMENT

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PIZZA HUT

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RESTAURANT

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DISCOUNT

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APPROXIMATE LOCATION OF FORMER PCE DRYCLEANER MACHINE

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07/18 FIG1

AutoCAD SHX Text 868 Blanding Boulevard #136

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AutoCAD SHX Text Orange Park, Florida

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SKID-MOUNTED

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REMEDIATION

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ACCESS FOR WELLS MW004 & MW005

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ONE-STORY CONCRETE BLOCK (BOILER ROOM)

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DW013

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MW012

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MW011

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MW003

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MW009

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MW010

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(GONE)

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MW001

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(GONE)

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MW002

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(GONE)

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MW008

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MW006

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MW005

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MW004

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SVW001

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SVW002

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SVW003

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SVW004

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MW007

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DW015

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MW014

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GRASS

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SVE WELL LOCATION

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DEEP MONITORING WELL LOCATION

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Preferred Drilling Solutions, Inc.

8820 66th St, Pinellas Park, FL 33782

Ph: 727-561-7477 Fax: 727-561-9028 www.pdsflorida.com

Consultant Name: Earth Systems

Site Name & Location: Emerald Cleaners Date: 3/9/21 FAC ID#:

868 Blanding Blvd, Orange Park, FL

PROPOSED SCOPE OF WORK:

Abandon 10-1" MW's totaliing 195' and 1-1.5' MW 15' in depth, remove pads and manholes restore grade

Remove manhole lids and steel rings at 2 SVE locations, restore grade with concrete

*Note: It is against PDS policy to drill in Pea Gravel. Borings in Pea Gravel will be terminated or can proceed solely at the risk of the consultant, DEP or Property Owner

Unit Unit Rate Number of Units Extended Price

Rig Type: Auger/Mud Rotary_____ Sonic_____ Other_____

Split Spoon Collection (continuous or 5' intervals) (can be used in conjunction with well installation) (includes decon)

<50 foot boring depth per foot $0.00 50 foot to 100 foot boring depth per foot $0.00 >100 foot boring depth per foot $0.00

Borehole Grouting

4 - inch borehole diameter per foot $0.00 6 - inch borehole diameter per foot $0.00 8 - inch borehole diameter per foot $0.00

1" - 2" Well Installation (includes steamcleaning decon, screen, riser, sand pack, seal and grout)

<50 foot boring depth per foot $0.00 50 foot to 100 foot boring depth per foot $0.00 >100 foot boring depth per foot $0.00

4" Well Installation (includes steamcleaning decon, screen, riser, sand pack, seal and grout)

<50 foot boring depth per foot $0.00 50 foot to 100 foot boring depth per foot $0.00 >100 foot boring depth per foot $0.00

Recovery Well Diameter: 4-6" per foot $0.00 Double Cased Wells $0.00

6" Surface Casing per foot $0.00 8" Surface Casing per foot $0.00 per well $0.00 and saw/jackhammer prep.)

1"- 2" Well Abandonment (includes grouting) per foot $6.00 210 $1,260.00 3"- 4" Well Abandonment (includes grouting) per foot $0.00 5"- 6" Well Abandonment (includes grouting) per foot $0.00 2' x 2' Well Pad Removal and Patch each $85.00 9 $765.00

Mobilization roundtrip $400.00 1 $400.00

Per Diem per man / per night $0.00 DOT Approved 55-gal Drum each $0.00 Permits (Drilling or abandonment only) each $0.00 SVE Manhole Lid and Steel Ring remova, and Restoration each $150.00 2 $300.00

$0.00

$0.00 Additional Development Time per hour $0.00 Additional Decontamination Time per hour $0.00 Standby/Delay/Difficult Access Time per hour $0.00

TOTAL QUOTE PRICE $2,725.00

Days to Complete Scope of Work: 1 Project No.:

Signature and Title of Person Submitting Quote: _________________________________ Kevin Bonacum, Estimator Date: 3/9/21

Well Completion (includes 30 minute development, MH w/ cover, concrete pad, locking well cap, DRILLING

MISCELLANEOUS

Earth Systems, Emerald Cleaners, Orange Park

Sonic Auger DPT Horizontal Directional Drilling

DATE: 2/25/2021

ESTIMATE #: 221050

ID QTY Unit Rate TOTAL

1 1 ls 600.00$ 600.00$

2 Per Diem 0 night 200.00$ -$

3 1" Well Abandonment (Total 195') 195 foot 6.00$ 1,170.00$

4 1.5" Well Abandonment 15 foot 6.00$ 90.00$

5 Removal of 2' x 2' Pad w/8" BD Flush Completion 5 each 95.00$ 475.00$

6 Removal of 2' x 2' Pad w/8" BD Flush Completion (Grass) 4 each 75.00$ 300.00$

7 Removal of Lid & Manhole Ring fill w/Concrete 2 each 50.00$ 100.00$

8 Drums (Soil) (As Needed) 0 each 55.00$ -$

9 Drums (Water) (As Needed) 0 each 55.00$ -$

10 Offsite Disposal of Concrete and Manhole Debris 1 each 250.00$ Included

11 Permits (Clay County-Permit Required/No Fee) -$

Completion: 1/2 day Subtotal 2,735.00$

Todd Hodgson

Todd Hodgson TOTAL 2,735.00$

Partner

PROJECT

Emerald Cleaners 868 Blanding Blvd.

CUSTOMER

Luke Russell Earth Systems

Well Abandonments

DESCRIPTION

Mobilization

THANK YOU FOR YOUR BUSINESS!

Project Description:

(9) 1" Well Abandonments (195' total) w/Removal of 2' x 2' Pad and 8" Flush Manhole

***Damage to utilities on private property during borehole clearance are the responsibility of the client***

"Actual quantities used and days onsite will be invoiced"

(904) 247-0740

***Utility Locates on Private Property are the responsibility of the client***

If you have any questions concerning this proposal contact Todd Hodgson at (407) 426-7885 at Todd@drillprollc.com.

Jacksonville Beach, Florida 32250 Orange Park, Florida223 12th Ave North

Note: It is Groundwater Protection policy that if 'Pea Gravel' is encountered, ANY type of boring/drilling will be terminated immediately and the boring location will need to be relocated to a clear location by the client.

(1) 1.5" Well Abandonments (15' total) w/Removal of 2' x 2' Pad and 8" Flush Manhole

(2) Removal of Manhole Lid and Ring and Fill w/concrete patch (trench area)

(5 Locations in Aspalt (Concrete Patch), (4) Locations in Grass (existing surface patch), (2) in Trench Remove Lid and Ring and fill w/Concrete to match existing

2300 Silver Star Road, Orlando, Florida (407) 426-7885 fax (407) 426-7586 mailto:Mike@amrc-environmental.com mailto:Mike@amrc-environmental.com mailto:Mike@amrc-environmental.com