CN-370000-LE680-2I55996.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection's Office of Emergency Response. The document authorizes work under Contract LE680 with Environmental, Inc., a contractor providing emergency response services. The authorization is dated September 1, 2010, and involves personnel response to a chemical spill incident located in West Palm Beach, Palm Beach County, Florida.

The work assignment involves cleanup and response to a chemical spill containing chlorine and muriatic acid, classified as a cost estimate work type rather than fixed price. The authorization includes personnel (1 supervisor and 1 recovery technician), vehicles (pickup/van and response trailer), equipment (55-gallon drums, PPE level work clothes, and MOT), and analytical disposal arrangements via contractor. The estimated cost is $1,500.00, funded through Project Number LE680 under Organization Code 37040100000, Object Code 139900, Fund 099001, and Category/Year 101492. Prior approval was received from Austin Hofmeister, with signatures from the DEP Representative, Contractor Representative (David Preston), and OER Budget Representative (Amanda Hartsfield), all dated September 1, 2010 and August 8, 2010 respectively.