CN-370000-HW686-DC015C.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

DC015C September 26, 2025

VOH groundwater monitoring and subsequent reporting.

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

Joshua Newell 863-712-4342

ERIC_4771

14837 North Florida Avenue Tampa, Hillsborough County

Quality Cleaners

$ 9,651.55

$ 9,651.55

Scope of Work

Professional Service Industries, Inc. (Intertek-PSI)

Mubeen Darji

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

Date: 2025.05.01 11:28:34 -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 : Quality Cleaners ERIC_4771 SubTask 2 Annual Groundwater Monitoring and Report

DATE: 3/14/2025

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, G Robinson Notify tenant/owner 1

Technical assistance 3

Total Hours 4

Project Scientist, J Daugherty Groundwater Sampling

Prepare for field event 1

Travel (2 hours round-trip) x2 4

Collect groundwater elevations at all 8 wells 1

Collect groundwater samples at all 8 wells 12

Documentation of groundwater sampling & measurements 1

Label and Stage IDW Drum 1

Pick-up, drop off samples 2

Reporting

Data reduction/evaluation 5

Preparation of groundwater monitoring report 8

Report - Prepare final tables and figure 5

Total Hours 40

Project Engineer, J Newell Evaluate data 2

Make Recommendations for report 6

Sign and seal document 1

Total Hours 9

GIS / CAD Specialist, D Grove Create maps, figures 2

Total Hours 2

Administrative Assistant, B Meynardie Compile documents, process invoice 2

Total Hours 2

TOTAL LABOR 57

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

Petrotech Southeast IDW T&D, per drum 1 $115.00 $115.00

$0.00

TOTAL $115.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC IDW

$0.00

Groundwater Sampling $0.00

Halocarbons by EPA Method 8260 $73.00 8 $584.00

IDW Characterization

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 $954.00

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 Quality ERIC_4771 - GW VOH 0552-446808

PSI Proposal Number: 0552-446808 FDEP Quality Cleaners ERIC_4771

Groundwater Sampling March 14, 2025 www.intertek.com/building

Health and Safety Plan developed for this project with the exception that no blanks or duplicates will be collected.

Specifically, the proposed scope of work consists of the following subtasks:

1. Project Management

This scope is provided for in the template worksheets.

2. Groundwater Sampling

a. Mobilization to the site.

b. Collect groundwater elevation measurements from eight (8) monitoring wells.

c. Collect groundwater samples from: MW001A, MW002A, MW003A, MW004A, MW005A, MW006A, NF-27S, AND NF-28S.

d. Submit groundwater samples from eight (8) sampled wells to a National

Environmental Laboratory Accreditation Conference (NELAC) approved laboratory for analysis of VOHs via EPA Method 8260.

e. Containerize investigative derived waste (IDW) in a 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 a DEP approved facility. A signed manifest will be provided by the waste management company subsequent to 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.

The deliverable and invoice schedule are presented below and are based on receival of a Task Assignment prior to April 15, 2025. The last groundwater sampling event occurred in August 2023.

COST ESTIMATE AND SCHEDULE

The estimated cost to perform the Groundwater Sampling is shown on the attached Cost Estimate. All PSI services will be conducted in accordance with the terms and conditions contained within DEP Contract No. HW 686, Waste Cleanup Program Services, dated December 21, 2021.

An invoice and deliverable schedule are presented as follows:

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