CN-370000-LE680-4I-64767.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection (FDEP), Office of Emergency Response, for emergency spill response services. The contractor is NRC, Inc. (SWS), and the work authorization is associated with Contract #LE080 under DEP Incident #2010-41-64767. The incident occurred on November 8, 2010, at 2625 River Bend Drive in Ruskin, Hillsborough County, Florida. The primary contact is OSC (On-Scene Coordinator) at the Office phone number 813-470-8954.

The work involves spill response and soil removal services related to approximately 60 to 100 gallons of diesel fuel that spilled into a roadside wet ditch on County Right-of-Way, with potential installation of a temporary groundwater well. The scope includes sampling activities and disposal of diesel-impacted soils and water via the contractor. The authorization details personnel requirements (supervisor, recovery technician, field chemist, and equipment operator), equipment specifications (vacuum truck, pickup or van, backhoe), and necessary safety gear (PPE Level 2 protective equipment and work clothes). The estimated contract amount is $20,000, with funding sourced from Project No. LE080, Organization Code 37034010000, EO FL, Object Code 139900, and Fund 099/00. The work authorization was approved on December 19, 2010, and signed by DEP Representative Domenic LetoBaione and the Contractor Representative, with OER Budget Representative Ylishan Couss also authorizing the work on December 11, 2010.