CN-370000-LE680-4C-62204.pdf

This is a Work Authorization Form (Supplemental WAF) issued by the Florida Department of Environmental Protection's Office of Emergency Response. The document authorizes work to be performed by SWS Environmental under contract number 2680 for services at the West Shell Point diesel dumping site located at 3525 West Shell Point Road in Ruskin, Hillsborough County, Florida. The authorization is associated with DEP Incident #2018-4C-6220HC dated December 20, 2018, with Domestic LetoBarone designated as the On-Scene Coordinator.

The work involves installing a temporary monitoring well and collecting a groundwater sample for analysis, with an estimated 110 gallons of diesel fuel/oil/water mixture suspected at the site. The work is classified as a fixed-price task not to exceed $3,000.00 and will be conducted via subcontractor (Montrose Environmental) for analytical and disposal arrangements. The authorization includes personnel, vehicles, and equipment as needed for field operations and is funded through Project Number LCS6, Organization Code 3704010000, EO FC, Object Code 129900, and Fund 0990001, with the total authorization amount of $3,000.00. The work authorization was approved on March 8, 2019, with signatures from the DEP Representative, Contractor Representative, and OER Budget Representative.