CN-370000-LE680-1I-57135.pdf

This Work Authorization Form (WAF) is issued by the Florida Department of Environmental Protection, Office of Emergency Response, to authorize emergency response work related to incident 2017-II-87135C dated 1/6/17. The authorization is directed to Southern Waste Services, Inc., with project lead Kendrick Carter, and is located at Shady Pine Business Park on Shady Pine Boulevard in Jacksonville, Duval County, Florida. The form designates Donald Mosley as the DEP representative overseeing the work.

The work authorization covers spill response and transportation for disposal of motor oil and water, with an estimated cost of $1,000.00. The work assignment is based on cost estimate, and authorized personnel include one recovery technician and a driver. Equipment authorized for use includes a vacuum truck, pickup or van, two 55-gallon drums, and absorbent boom and pads. The contractor is to profile wastes as motor oil and water, and the work will be conducted under Level D personal protective equipment requirements. Funding is sourced from project code LE 6190 with organization code 070101H400, EO FC, object code 13140, fund 01401, and category 001942. The estimated reimbursement amount is $1,000.00 with prior approval received from the FBA.