CN-370000-LE680-4i-62540.pdf
PDF 135 KB Posted
- Contract number
- LE680
- Issued by
- Florida
About this file
This is a Work Authorization Form (OER_13) issued by the Florida Department of Environmental Protection (FDEP), Office of Emergency Response (OER), authorizing emergency response work under contract with SWS/NRC (Specialty Trailer Leasing) for incident #2019-41-62540. The authorization was executed on July 24-25, 2019, with approval signatures from FDEP representatives Jamie Arleo and Eric Cooper, contractor representative Eric Cooper, and OER budget representative Brooke Kincaid. The incident site is located at 2610 E US 92, Plant City, Hillsborough County, Florida, with on-scene coordinator Jamie Arleo providing oversight.
The work involves emergency response to biomedical waste and pharmaceutical waste of unknown composition stored in three cargo containers and seven semi-trailers. The contractor is authorized to deploy one supervisor and six recovery technicians to open the trailers and cargo containers, segregate the waste, repack materials into ten 55-gallon drums, and arrange for transport and disposal of all waste. The work is assigned as a fixed-price contract with a not-to-exceed amount of $100,000, funded through project code LE680, organization code 37040100000, object code 139900, and fund category 099001 101492. The contractor is responsible for all analytical and disposal arrangements, with the initial response scheduled for July 29, 2019 at 8:30 AM.
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Text version
OER_13 (Effective 7-01-2017)
Florida Department of Environmental Protection
Office of Emergency Response
WORK AUTHORIZATION FORM
Required Signatures: Adobe Signature or Original Ink Supplemental WAF
Contractor: ____________________________________ DEP Incident # ______________________ Contract #: ___________ Rep: ____________________ Incident Date _______________________ Site Name: ____________________________________ OSC: ______________________________ Location: ______________________________________ Phone: Office______________________ City: __________________County: _________________ Cell ________________________
Description of Work: Respond Immediately Call OSC to set date/time__________________________________
Spill Response Overpack Drums Transport drums to TSA Abandoned Drum:
Remove Soil Sampling Transport Drums to TSDF Analysis of samples collected by OER
Other:
Suspected Materials, and amounts: _____________________________________________________________________________________
Level of Effort: (Check all that apply) Use Subcontractor per OSC
Personnel Vehicles Equipment
Supervisor: ____ Response Truck Overpack Drums: Visqueen
Recovery Tech: ____ Straight Truck 55-gal. Drums: Roll-off Containers: ___________
Field Chemist: ____ Vacuum Truck Sampling Gear EPA Level 1 Vapor Detector
Equip. Oper.: ____ Pickup or Van Sampling Gear EPA Level 2 PPE Level: __________________
Other: ____________ Backhoe or Similar Other: ________________ MOT
Contract Rate: ____________
Comments: ___________________________________________________________________________________________________________
Analytical & Disposal Arrangements: (analytical will usually be listed on Chain-of-Custody or other form)
Via Contractor Via Subcontractor Other: __________________________
Profile Wastes as:
Work Assignment Type: fixed price Not to Exceed estimate amount: $___________________________
Funding Information: (information provided by OER budget rep., budget rep to sign after WAF executed, but prior to transmittal to F&A)
Project No.
Organization Code
EO
Object Code
Fund
Category/Yr
Amount
Approved:
DEP Representative: __________________________ Signature: _______________________________ Date: __________________
Contractor Rep: __________________________ Signature: ___________________________________ Date: __________________
OER Budget Rep: __________________________ Signature: __________________________________ Date: __________________
Deliverable will be reviewed and evaluated by the DEP Contract Manager to ensure appropriate documentation reviewed and/or provided and that the documentation submitted is complete, accurate, and submitted timely
SWS/NRC 2019-4I-62540
LE680 Eric Cooper 02/19/19
Specialty Trailer Leasing - Truck Parking Jamie Arleo
2610 E US 92 813-470-5923
Plant City Hillsborough 813-267-3561
07/29/19 @ 8:30 AM
Biomedical waste and pharmaceutical waste (unknown) - three cargo containers and 7 semi-trailers
4 Level C & D semi-trucks Biomedical containers
Initial response will require a supervisor and (2) recovery techs. Bolt cutters will be needed to remove locks. A scale will be used to weigh biomedical waste. All trailers and cargo containers will need to be secured with locks before leaving site. SWS will handle repacking, disposal and transportation of all waste.
100,000
LE680 37040100000 FC 139900 099001 101492 $100,000
Jamie Arleo 7/24/19
Eric Cooper 7/24/19
Brooke Kincaid 7/25/19
Nick Roff
Open trailers/cargo containers, segregate waste, repack, transport/disposal.
Brooke Kincaid Digitally signed by Brooke Kincaid Date: 2019.07.25 13:24:51 -04'00'
Eric Cooper Digitally signed by Eric Cooper Date: 2019.07.24 14:44:02 -04'00'
Jamie Arleo Digitally signed by Jamie Arleo Date: 2019.07.24 14:57:48 -04'00'
Nick Roff Digitally signed by Nick Roff Date: 2019.07.25 13:43:49 -04'00'
File details come from the government source that posted it. Updated .