CN-370000-LE680-2I-59656.pdf

This is a Work Authorization Form issued by the Florida Department of Environmental Protection's Office of Emergency Response for contract LE780 with SWS Environmental Services. The authorization was issued on December 29, 2017, in response to DEP Incident #2017-2-59858 at the Lantana Road and Lyons Road location in Lake Worth, Palm Beach County. The authorized representative is Daryl Sibbie, with primary contact information provided for both the DEP office and cellular communication.

The work authorization authorizes SWS Environmental Services to perform spill response and drum pickup services from a Fire Department cleanup operation involving suspected materials including gasoline, transmission fluid, and motor oil. The scope of work includes split response services with transport of drums to the Temporary Storage and Disposal Facility (TSDF). The level of effort consists of one recovery technician and a straight truck. Equipment authorized includes work clothes as personal protective equipment. The work assignment is structured as a cost estimate with an estimated amount of $800.00. Analytical and disposal arrangements will be handled via the contractor. The authorization indicates no reimbursement potential and does not qualify for OPA '90 reimbursement or responsible party reimbursement. The form was approved and executed on December 29, 2017, with a subsequent contractor signature dated January 4, 2018.