CN-370000-HW686-DC010E.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

DC010E May 29, 2026

Annual Groundwater Mon with Report and SVE Decommission and Scrapping

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

Joshua Newell 863-712-4342

ERIC_5357

511 Haines City Mall Haines City, Polk County

Haines City Quality Cleaners

$ 17,103.15

$ 17,103.15

Scope of Work

Professional Service Industries, Inc. (Intertek-PSI)

Douglas Coleman PMP, CHMM, REM

Contract Manager

Douglas Coleman Digitally signed by Douglas Coleman Date: 2025.10.17 09:47:15 -04'00'

Mubeen Darji

Mubeen Darji, P.E. Digitally signed by Mubeen Darji, P.E.

Date: 2025.10.15 11:48:22 -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 : Haines City Quality Cleaners ERIC_5357 SubTask 2 Annual Groundwater Monitoring and Report

DATE: 10/2/2025

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Engineer, J Newell Evaluate data 2 Make Recommendations for report 6 Sign and seal document 1

Total Hours 9

Senior Engineer, G Robinson Technical Assistance 1 Notification to tenants 1

Total Hours 2 Project Scientist, J Daugherty

Groundwater Sampling Prepare for field event 1 Travel (2 day, 3 hours round-trip) 6 Collect groundwater elevations at all 11 wells (MW001-MW011) 1 Collect groundwater samples: 9 2 shallow wells (MW002 & MW004) 3 intermediate wells (MW001, MW005, & MW008) 1 deep wells (MW009)

Reporting

Total Hours 39

Administrative Assistant, B Maynardie 2

GIS / CAD Specialist, D Grove

Documentation of groundwater sampling & measurements Label and Stage IDW Drum Pick-up, drop off samples

Data reduction/evaluation Preparation of groundwater monitoring report Report - Prepare final tables and figure inalize report

Create map, figures 2

TOTAL LABOR 54

VEHICLE TYPE RATE UNIT USEAGE

Equipment Van / Truck $120.00 day 2 $240.00

TOTAL VEHICLE $240.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE UNITS COST

$0.00

Erwin Remediation IDW T&D, per drum 1 $125.00 $125.00 $0.00

TOTAL $125.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC IDW

$0.00 Groundwater Sampling $0.00 Halocarbons by EPA Method 8260 $73.00 6 $438.00

IDW Characterization Halocarbons by EPA Method 8260 $73.00 1 $73.00 Non-Halocarbons by EPA Method 8260 $70.00 $0.00 PAH's by EPA Method 8270 $110.00 $0.00 4 RCRA Metals (As, Cd, Cr, Pb) by EPA Method 6010 $52.00 1 $52.00 Mercury by EPA Method 7470/7471 $26.00 $0.00

TOTAL LAB $563.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00 Shallow Groundwater Sampling Kit $290.00 day 2 $580.00 55-gallon drum $100.00 each 1 $100.00 Expendables $40.00 day 2 $80.00

$0.00

TOTAL EQUIPMENT $760.00

FINAL --7/24/96

Page 3 Haines City Quality Cleaners ERIC_5357 - GW VOH 0552-447212r1

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Haines City Quality Cleaners ERIC_5357 SubTask 3 Demolition, Transport, and Disposal of System

DATE: 10/2/2025

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, G Robinson Technical Oversight 1 Notification to tenants 1

Total Hours 2 Project Engineer, J Newell Letter Report Generation for SVE System Decommissioning 5

Total Hours 5

Project Scientist, J Daugherty Travel (1 round trip) 4 Subcontractor Oversight and Documentation 8

Total Hours 12

TOTAL LABOR 19

VEHICLE TYPE RATE UNIT USEAGE

Equipment Van / Truck $120.00 day 1 $120.00

TOTAL VEHICLE $120.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE UNITS COST

$0.00

Action Environmental System Demo, Transport, and Disposal 1 $4,950.00 $4,950.00 $0.00

TOTAL $4,950.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC IDW

$0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00 Construction/O&M supplies $75.00 day 1 $75.00 Expendables $40.00 day 1 $40.00

$0.00

TOTAL EQUIPMENT $115.00

FINAL --7/24/96

Page 4 Haines City Quality Cleaners ERIC_5357 - GW VOH 0552-447212r1

PSI Proposal: 0552-447212r1 October 2, 2025 www.intertek.com/building

Professional Service Industries, Inc.

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

Phone: (813) 886-1075 Fax: (813) 249-4916

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

Attention: Ms. Mary Uribe, Environmental Consultant

(850) 245-8705 main, (850) 245-8990 direct Email: Mary.Uribe@FloridaDEP.gov

Re: Proposal for Annual Groundwater Monitoring and SVE System Removal and Demolition Haines City Quality Cleaners 511 Haines City Mall Haines City, Polk County, Florida

ERIC_5357

Dear Ms. Uribe:

Professional Service Industries, Inc. (PSI), an Intertek Company, is pleased to provide this proposal for conducting a groundwater monitoring event and removal and demolition of the existing SVE system at the Haines City Quality Cleaners, located at 511 Haines City Mall in Haines City, Polk County, Florida.

Included with this proposal is a brief summary of the project background, proposed scope of work, cost estimate and a proposed schedule for completion. A Site Access form signed by the property owner in April 2016 is on file with the Department stating that the Department and its contractors (which includes PSI) is allowed to enter the property and conduct a variety of activities including assessment, treatment of contamination, and monitoring tasks. The current site owner on the Polk County property appraiser website on March 7, 2025 is listed as “Haines City Mall LLC” whom acquired the property in September 2015. A Site Access Agreement was obtained from the owner in April of 2016 and remains current for the Haines City Quality Cleaners site.

PROJECT BACKGROUND

The Haines City Quality Cleaners operated at the current tenant space inside the Haines City Mall starting in 1984. The name of the cleaners at that time was Smith Cleaners who has since moved to a separate location in the mall and reportedly within the footprint of the current Publix supermarket.

The name of the drycleaners was changed to Haines City Quality Cleaners in August 1985, which operated until July 1997 when the drycleaning business moved across the street. The tenant space that is designated as Haines City Quality Cleaners in the Drycleaning Solvent Cleanup Program is Suite 1F of the

FDEP – Haines City Quality Cleaners

October 2, 2025 www.intertek.com/building

Haines City Mall which is currently occupied by an Enterprise Car Rental facility which has been in operation at this location since September 1998.

The FDEP tasked AECOM in 2016 to perform site assessment activities to identify the potential sources of drycleaning solvents that may impact the soil and groundwater quality, delineate the horizontal and vertical extents of impacts, characterize site lithology, and determine site specific aquifer characteristics to assist with transport modeling and possible remedial design. The assessment was performed between February 2017 and July 2018. The soil assessment indicated that no dry-cleaning chlorinated contaminants of concern were detected above SCTLs in any soil samples collected.

Groundwater assessment indicated chlorinated compounds above Groundwater Cleanup Target Levels (GCTLs) in several depth intervals as measured with direct push technology and a mobile lab. Eleven monitor wells were installed to delineate the groundwater impact from the former drycleaner which were installed to depths of 15, 35, and 45 feet bls and one deep monitor well (MW009) was installed to 75 feet bls.

A Modified Active Gas Sampling Study (MAGS) was also conducted as a part of the site assessment which revealed relatively low levels of PCE in the soil. Based on the MAGS tests, the site was suitable for soil vapor extraction technology to address the on-site contaminants. An Interim Source Removal Plan (ISRP) was prepared and submitted by AECOM in May 2019 to address the VOHs in the vadose zone.

The SVE system was constructed from June to July 2021 and started up on September 10, 2021. Due to contractor change, PSI took over the Operations and Maintenance (O&M) of the SVE system in January 2022. System modifications were initiated in May 2022 to re-install the SVE lines underground behind the facility due to construction of a car wash space for rental cars initiated by the tenant, Enterprise Car Rental.

A soil vapor system shutdown report was approved by the FDEP in August 2023. The SVE system has been inactive since August 2023 but remains on-site currently.

PROPOSED SCOPE OF WORK

The proposal contained herein consists of conducting annual groundwater monitoring consisting of groundwater sampling at select monitoring wells for VOH analysis via EPA Method 8260, along with along with the removal and demolition of the remaining SVE system. The results will be used to confirm current groundwater quality conditions. The sampling procedures will be conducted in accordance with 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.

October 2, 2025 www.intertek.com/building

2. Annual Groundwater Monitoring

Specific components of the annual groundwater monitoring subtask are as follows:

a. Mobilization to the site.

b. Collect groundwater elevation measurements from eleven (11) monitoring wells.

c. Collect groundwater samples from

i. two shallow wells: MW002, MW004

ii. three intermediate wells: MW001, MW005, MW008

iii. one deep well: MW009

d. Submit groundwater samples from six (6) sampled wells to a National Environmental Laboratory Accreditation Conference (NELAC) approved laboratory for analysis of VOHs via EPA Method 8260. It is our understanding that the Waste Site Cleanup Section no longer requires QA blanks or duplicates.

e. Containerize investigative derived waste (IDW) in an existing, on-site, 55-gallon drum, and stage on-site, pending waste characterization results.

f. Sample IDW for waste characterization analysis.

g. A subcontractor will transport and dispose of IDW in an approved facility. A signed manifest will be provided by the waste management company after pick-up and disposal.

h. A groundwater monitoring report will be developed which will include groundwater elevation maps, groundwater quality data in tables, and conclusions and recommendations. As we understand, an ADaPT/GIS data package will no longer be required.

3. Removal and Transport of Remedial System and Disposal

Removal and disposal of the SVE system will be accomplished by completing the following tasks as described:

a) Remove & dispose of system compound wood fencing (posts to be cut flush).

b) Disconnect, transport and disposal of SVE system, provide disposal manifest upon final disposal.

c) Disconnect electrical from trailer, pull electrical leads from trailer to disconnect. Pull leads from meter/disconnect to pad mounted transformer.

October 2, 2025 www.intertek.com/building

d) Cut underground conduit and conveyance pipes level with grade and cap with asphalt or like material

e) Cut system tie-downs and cut anchor points level with grade.

f) Cut disconnect/meter conduits/stands etc. and dispose (no pole).

g) Grout-fill associated SVE wells (four wells, each being 4” diameter, 8 feet deep)

Quotes for potential subcontractor demolition, well abandonment, system removal, and transport/disposal are attached.

The deliverable and invoice schedule are presented below and are based on receival of a Task Assignment prior to October 30, 2025. The last groundwater sampling event occurred in October 2024.

September 26, 2025

John Daugherty Environmental Project Scientist Building & Construction Intertek-PSI Direct +1 615 848 8516 Email john.daugherty@intertek.com www.intertek.com/building

Re: Haines City Mall System Removal 511 US HWY 17-92, Haines City, Dear Mr. Daugherty:

Pursuant to your request, Action Environmental, (Action) is pleased to provide you the following proposal to remove the treatment system trailer/system located in Haines City, Florida.

Scope of Work Mobilization to the above referenced site.

Remove & dispose of system compound wood fencing (posts to be cut flush).

Disconnect, transport and disposal of SVE system, provide disposal manifest upon final disposal.

Disconnect electrical from trailer, pull electrical leads from trailer to disconnect. Pull leads from meter/disconnect to pad mounted transformer.

Cut underground conduit and conveyance pipes level with grade and cap with asphalt or like material Cut system tie-downs and cut anchor points level with grade.

Cut disconnect/meter conduits/stands etc. and dispose (no pole).

Grout-fill associated SVE wells (four wells, each being 4” diameter, 8 feet deep)

Cost: $4950 Lump Sum

Assumptions & Conditions No permit Power disconnected by others prior to mobilization, assumes power company will disconnect at the transformer when the meter is pulled Assumes wires can be pulled out by hand, if unable then wires shall be left in place.

Excludes removal concrete (pads) for SVE abandonment. If SVE’s have manholes, the covers shall be removed and filled with concrete.

We appreciate the opportunity to be of service to you. Feel free to contact me on my mobile phone 813-545-5236 should you have any questions or comments regarding this proposal.

Sincerely, Action Environmental

Josh Pryor, EI Construction Division Manager

1013 BRIARWOOD DRIVE

WAUCHULA, FL 33873

8637816971 wdenviro@gmail.com

INTERTEK

PSI/Intertek 5801 Benjamin Center Drive Suite 112 Tampa FL 33634

1592 10/30/2024

ACTIVITY QTY RATE AMOUNT

Project Location:

511 Haines City Mall Haines City FL

Scope of Work:

-1 day of mobilization to the above referenced site

-Demolition, transport and disposal of the system compound fencing (posts must be made level with grade)

-Disconnect, transport and disposal of SVE system (must provide disposal weight ticket upon final disposal)

-Cut electrical conduits and pull electrical leads

-Cut underground conduit and conveyance pipes level with grade and cap with asphalt or like material

-Cut system tie-downs and cut anchor points level with grade.

-Demolish, transport and dispose of system electrical drop-pole

-Grout-fill associated SVE wells (four wells, each being 4” diameter, 8 feet deep)

1 6,800.00 6,800.00

TOTAL

Accepted By Accepted Date