CN-370000-LE680-2I56245.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection, Office of Emergency Response, for emergency response services. The document authorizes work under DEP Incident #2016-21-56245, dated August 31, 2016, at I-95 southbound MM 60 in Lake Worth, Palm Beach County. The contractor is SWS under Contract #LE780, with Mike Team serving as the representative. The work is authorized for the Office of Emergency Response, with Kenton Brown listed as the Operations Supervisor and primary contact.

The work authorization covers immediate spill response for a 20-gallon diesel fuel spill from a semi-truck accident, including spill cleanup, transport of drums to TSDF (Treatment, Storage, and Disposal Facility), and disposal arrangements via contractor. The assigned personnel include one supervisor, and equipment allocated includes one straight truck, four 55-gallon drums, work clothes for personal protective equipment, and supporting supplies. The work assignment is designated as a cost estimate with an estimated amount of $1,000.00 and is eligible for reimbursement. Funding is allocated under Project No. LE680, Organization Code 3T0HD00000, EO FC, Object Code 12910, Fund 0901, and Category/Year 10149. The authorization has been approved with signatures from the DEP Representative, Contractor Representative, and OER Budget Representative, dated September 31, 2016, and September 12, 2016, respectively.