CN-370000-LE680-3I60746C.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 Southern Waste Services, Inc. under Contract #LE660, with Mary Searcy serving as the representative. The authorization covers emergency response activities at the Kilpatrick Used Oil Dump Site located in Cleriston, Hendry County, Florida, in response to DEP Incident #2018-31-60746C dated 5/22/2018.

The work authorization authorizes the removal of soil impacted by used oil, with an estimated quantity of 30 gallons of used oil. The work assignment is designated as a fixed-price contract with a not-to-exceed amount of $3,800. Personnel authorized include one supervisor and one equipment operator, with vehicles and equipment specified including a pickup or van, backhoe or similar equipment, and PPE Level D protection. The work is to be performed immediately with analytical and disposal arrangements to be handled via the contractor. Funding is provided through Project No. LE660, Organization Code 3101001.00000, with the amount of $3,800 allocated from Fund 0491001, Category/Year 101993. The authorization was approved by John Johnson on July 9, 2018, with signatures from the DEP Representative and Contractor Representative documented.