CN-370000-LE680-2I-59685.pdf

This is a Work Authorization Form issued by the Florida Department of Environmental Protection, Office of Emergency Response. The document authorizes work to be performed by SWS Environmental Services in response to DEP Incident #2017-2159685, dated December 29, 2017. The work site is located at Lantana Road & Lyons Road in Lake Worth, Palm Beach County, Florida. The contractor representative is Alfon Hummel, and the work is authorized under a fixed-price contract with an estimate not to exceed $800.00.

The work authorization specifies spill response activities, specifically to pick up drums from Fire Department cleanup. The suspected materials involved are gasoline, transmission fluid, and motor oil. The authorized personnel and equipment include one recovery technician, a straight truck, work clothes as PPE Level equipment, and the option to use subcontractors as determined by the OSC (On-Scene Coordinator). Analytical and disposal arrangements will be handled via the contractor. The funding information indicates the project is charged to Organization Code 2701-010000, EO FL, Object Code 139900, Fund 091001, with Category Year 102577, for an amount of $800.00. The work authorization was approved on December 29, 2017, and signed by DEP Representative Daryl Sibble and Contractor Representative Alfon Hummel.