CN-370000-HW686-DC006D.pdf

Funding Information:

Org. Code E.O.

Object Code

Budget Entity Appropriation

Category Grant # Project # Year Amount

Additional Funding Information attached on separate page.

Rev. 8/26/2020

STATE OF FLORIDA

DEPARTMENT OF ENVIRONMENTAL PROTECTION

Task Assignment This Task Assignment (TA) is entered into between the Parties named below, pursuant to Contract Number: .

1. TA Number: TA Completion Date:

TA Description:

2. Parties State of Florida Department of Environmental Protection (Department)

Department Project Manager: Department Project Manager Phone:

Contractor Name: (Contractor ) ntractor’st ’s Project Manager: ontractor’s t’s Project Manager Phone:

3. Project Number:

(If different from TA Number)

Project Location(s):

Project Name:

4. As consideration for the services rendered by Contractor under the terms of this TA, the Department shall pay the Contractor on the following bases, up to the Total TA Value as indicated below:

Fixed Price:

Fixed Unit Rate: (Extended Price)

Cost Reimbursement:

Total TA Value:

5. The Parties agree to comply with the terms and conditions of the underlying the Contract, and the following attachments which are hereby incorporated by reference:

Attachment 1:

Additional Attachments (if necessary):

IN WITNESS WHEREOF, this TA shall be effective on the last date signed below.

State of Florida Department of Environmental Protection

CONTRACTOR Department

Name:

Title: Secretary or Designee

(Authorized Signature) (Authorized Signature)

Date:

Additional signatures attached on separate page.

HW686

DC006D August 29, 2025

Soil and Groundwater Confirmatory Sampling with VOH and PFAS analysis

Mary Uribe 850-245-8990 Professional Service Industries, Inc. (Intertek-PSI)

Joshua Newell 863-712-4342

ERIC_5234

6642 Ridge Road Port Richey, Pasco County

Custom Commerce Laundry

$ 13,586.02

$ 13,586.02

Scope of Work

Professional Service Industries, Inc. (Intertek-PSI)

John Travis

John Travis Digitally signed by John Travis Date: 2025.04.16 13:11:49 -04'00'

N/A

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

WC TAFORM

Contract Number:

Task Assignment #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Custom Commerce ERIC_5234 SubTask 2 Soil & Groundwater VOH Confirmatory Sampling & Reporting

DATE: 4/15/2025

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, G Robinson Tenant / owner notification 1

Technical oversight 3

Review GW portion of final deliverable before submittal 1

Total hours: 5

Project Scientist, S Luth Field preparation 1

Travel (3) 2-hr roundtrips for soil & gw sampling 6

Core through existing surface advance hand auger to 3 ft bls for soil collection 1

Advance soil boring to 3 ft bls for soil collection 2

Backfill soil, patch surface, and cleanup site 1

Collect groundwater elevations at 7 wells 1

Collect groundwater samples

6 shallow wells @ 1.5 hour each 9

1 intermediate wells @ 1.5 hrs each 1.5

Documentation of soil & groundwater sampling & measurements 2

Label and stage IDW drum 1

Pick-up, / Drop off sample kits 1

Collect IDW sample for waste characterization 0.5

Total hours: 27

Project Engineer, J Newell Waste profiling, IDW manifest execution, T&D oversight 2

Data reduction/evaluation 5

Preparation of groundwater monitoring report 8

Report - Prepare final tables and figure 5

Review historic information for SRCO requirements 2

Make Recommendations for PARM/SRCO 4

Sign and seal document 1

Total Hours: 27

CADD / GIS Specialist, D Grove Prepare figures for RASS 2

Total hours: 2

Administrative Assistant, B Meynardie Finalize report, process invoices 2

Total Hours 2

TOTAL LABOR 63

VEHICLE TYPE RATE UNIT USEAGE

$0.00

Equipment Van / Truck $120.00 day 3 $360.00

$0.00

TOTAL VEHICLE $360.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00

$0.00

$0.00

$0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE UNIT COST

$0.00

Petrotech Southeast, Inc. IDW transport & disposal 1 $115.00 $115.00

$0.00

$0.00

TOTAL $115.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC IDW

$0.00

EPA Method 8260 $73.00 7 $511.00

PFAS Analyses to be provided by FDEP

$511.00 $0.00

IDW Sampling Halocarbons by EPA Method 8260 $73.00 1 $73.00

Non-Halocarbons by EPA Method 8260 $70.00 1 $70.00

PAH's by EPA Method 8270 $110.00 1 $110.00

Metals (As, Ba, Cd, Cr, Pb, Sg, Ag) by EPA Method 6010 $91.00 1 $91.00

Mercury by EPA Method 7470/7471 $26.00 1 $26.00

TOTAL LAB $881.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00

Shallow Groundwater Sampling Kit $290.00 day 2 $580.00

Soil Sampling Kit (through concrete) $235.00 day 1 $235.00

Drum for IDW $100.00 each 1 $815.00 $100.00

$915.00

Expendables $40.00 day 3 $120.00

TOTAL EQUIPMENT $1,035.00

FINAL --7/24/96

Page 3 Custom Commerce ERIC_5234 0552-435326 Rev 1

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Custom Commerce ERIC_5234 SubTask 3 Soil & Groundwater PFAS Monitoring & Reporting

DATE: 4/15/2025

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Field Activities PFAS Sampling

Project Engineer, J Newell Request PFAS sample kit via FDEP Lab Form 1

Data reduction/evaluation 1

Provide evaluation within RASS Report 6

Report - Prepare final tables and figures 4

Total Hours: 12

Project Scientist, S Luth Additional decontamination for PFAS 1

Documentation of PFAS groundwater sampling 1

Documentation of PFAS soil sampling 1

Inventory cooler, prepare cooler for shipping to FDEP 1

Total Hours: 4

GIS/CADD Specialist, D Grove Create and prepare figures 2

Total Hours: 2

TOTAL LABOR 18

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$834.20 week 0 $0.00

Deep Groundwater Sampling Kit $415.00 day 0 $0.00

$0.00

Expendables $40.00 day 0 $0.00

55-gallon drum $100.00 each 0 $0.00

TOTAL EQUIPMENT $0.00

VEHICLE TYPE RATE UNIT USEAGE

Equipment Van / Truck (GW Sampling) $120.00 day 0 $0.00

$420.00 week 0 $0.00

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00

$0.00

$0.00

TOTAL PER DIEM $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC #IDW

EPA Method 8260 $73.00 0 0 0 $0.00

PFAS Analyses to be provided by FDEP $104.00 0 $0.00

$0.00

TOTAL LAB $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE UNIT COST

Petrotech IDW drum pickup 0 $125.00 $0.00

TOTAL $0.00

Custom Commerce ERIC_5234 0552-435326 Rev 1 Page 4 Custom Commerce ERIC_5234 0552-435326 Rev 1

PSI Proposal: 0552-435326 Rev. 2 FDEP Custom Commerce

April 15, 2025 www.intertek.com/building

Site Assessment activities conducted by PSI in 2018 and 2019 identified chlorinated solvent impacts in the soil and groundwater at this site. Based on the results of a Modified Active Gas Survey (MAGS), we recommended implementation of an Soil Vapor Extraction system to reduce vadose zone contamination under the building. The Interim Source Removal Plan (ISRP), which presented the design of the SVE system, was approved by the FDEP on April 10, 2020. Operation of the SVE system continued through January 10, 2025.

An SVE system was transferred from the FDEP BWC Equipment Storage Facility (FDEP Property No. 122461). The construction was initiated and was operated by PSI between April 2021 and January 10, 2025. A shutdown episode was conducted and, based on the most recent results, it was recommended that the system remain off for soil confirmation sampling.

This scope of work also includes groundwater monitoring for Volatile Organic Halocarbons (VOH) and per- and polyfluoroalkyl (PFAS) a minimum of 3 months after active remediation (January 10, 2025). A private analytical laboratory will provide analyses for the VOH compounds, and the FDEP Central laboratory will perform the PFAS analyses. Both laboratories will be National Environmental Laboratory Accreditation Conference (NELAC)-certified.

PROPOSED SCOPE OF WORK

The proposal contained herein consists of conducting soil and groundwater confirmatory sampling with VOH and PFAS analysis, along with a report deliverable. The sampling procedures will be conducted according to the FDEP Standard Operating Procedures 001/01 and Drycleaning Solvent Cleanup Program protocols. Specifically, the proposed scope of work consists of the following subtasks:

1. Project Management

This scope is provided for in the template worksheets.

2. Soil and Groundwater VOH Confirmatory Sampling and Reporting

Specific components of the soil and groundwater confirmatory sampling and analysis subtask are as follows:

a. Mobilization to the site.

b. Core drill through the existing surface.

c. Advance a soil boring to 3 ft below surface level to collected soil samples as needed.

d. Collect a soil confirmatory sample from SB002 at 1 ft and 3 ft below land surface (bls).

e. Backfill the soil boring with removed soils and core, compact, and patch with neat cement.

f. Collect groundwater elevation measurements at the wells proposed for sampling.

PSI Proposal: 0552-435326 Rev. 2 FDEP Custom Commerce

April 15, 2025 www.intertek.com/building

g. Collect groundwater samples from monitor wells: MW001S, MW002S, MW003S, MW004S, MW005S, MW006S, and MW002I.

h. Submit groundwater samples to a NELAC approved laboratory for analysis of VOHs via EPA Method 8260.

i. Incorporate groundwater analytical data, physical parameters and groundwater elevation data into the RASS report.

The investigative derived waste (IDW) that will be generated during the groundwater confirmatory sampling event includes purge water from the monitoring wells which will be containerized in a 55-gallon drum(s) for transport and disposal at a licensed facility by an approved subcontractor. Soil and cores removed during confirmatory sampling will be returned to the soil boring.

Sampling Standard Operating Procedures Relative to the Collection/Analysis of Quality blanks and duplicates. The Department will no longer require field blanks, duplicates, or travel blanks for Waste Site Cleanup Section sites, unless specifically requested by the FDEP Project Manager.

The Level of Effort for soil and groundwater VOH confirmatory sampling and reporting is detailed in Subtask 2.

3. Soil and Groundwater PFAS Monitoring and Reporting

PSI will collect soil and groundwater samples for PFAS analysis during the same episode as the annual VOH monitoring. The wells listed below will be samples for PFAS:

a. Collect a soil confirmatory sample from SB002 at 1 ft and 3 ft below land surface (bls).

Due to prior chlorinated solvent exceedances and PFAS PGCTL exceedances, the soil sample should be analyzed for PFAS constituents.

b. Collect groundwater samples from wells: MW001S, MW002S, MW004S, MW002I.

c. Submit soil and groundwater samples to the FDEP Central Laboratory for analysis of

PFAS compounds.

d. Incorporate soil and groundwater analytical data, physical parameters and groundwater elevation data into the Post Active Remediation Monitoring report.

e. Any IDW will be addressed as described above.

The deliverable and invoice schedule are presented below and are based on receival of a Task Assignment prior to May 1, 2025. The last groundwater sampling event occurred in October 2024.

04/24/2024 01:44 PM PAGE 1 OF 7

Scope of Work pricing is based on an approved non hazardous facility in to Enviroserve Mulberry

4600 BROOKPARK ROAD, CLEVELAND,

OHIO, 44134

(216) 642-1311

(216) 642-1474

QUOTE #: 0042802

DATE: 04/24/2024 PROJECT PROPOSAL

CLIENT

JOSH NEWELL

INTERTEK/PSI - PLANT CITY

607 SOUTH ALEXANDER ST, SUITE 202, PLANT CITY, FLORIDA,

33563

P: (863) 712-4342

E-MAIL:JOSHUA.NEWELL@INTERTEK.COM

PROJECT DESCRIPTION

FDEP DRY CLEANING DRUMS

FDEP

THE FOLLOWING DESCRIBES OUR UNDERSTANDING OF THE SCOPE OF SERVICES TO BE PERFORMED BY ENVIROSERVE, FOR THE

CLIENT, AT THE ABOVE REFERENCED LOCATION KNOWN AS THE JOB SITE.

FEE STRUCTURE

TRANSPORTATION

ITEM EST.QTY. UNIT PRICE UNIT TOTAL

TRANSPORTATION - LTL DRUM (6 - 55 GAL) - 251-400 MILES 1.00 $50.00 DRUM $50.00

LOW STOP FEE (LESS THAN 6 DRUMS) 1.00 $50.00 55 GAL DRUM $50.00

ENERGY SURCHARGE (APPLIES TO TOTAL INVOICE) - $15.00 % -

TRANSPORTATION SUBTOTAL: $100.00

DISPOSAL

ITEM EST.QTY. UNIT PRICE UNIT TOTAL

55 GAL DRUM / SOLID 1.00 $80.00 EACH $80.00

DISPOSAL SUBTOTAL: $80.00

JOB ESTIMATE: $180.00

ENVIRONMENTAL FEE: $9.00

TOTAL JOB ESTIMATE: $189.00