CN-370000-LE681-2I-47655.pdf

This is a Work Authorization form issued by the Florida Department of Environmental Protection (DEP), Office of Emergency Response (OER) on October 8, 2012. The document authorizes work to be performed by contractor FCC at a site located at 790 Turret Hill Boulevard, West Palm Beach, Florida (Palm Beach County). The authorization is linked to DEP Incident #2012-21-47655, dated September 11, 2012, with the assigned OSC (On-Scene Coordinator) being Jeremy Vincent.

The work involves response activities related to used motor oil and hydraulic oil found at a residential location. The authorization specifies a cost estimate work assignment type with an estimated amount of $2,086.00. The contractor is authorized to use subcontractors per OSC approval and will deploy personnel including a recovery technician, straight trucks, and PPE Level 1 equipment. The work scope includes removal of approximately 85 gallons of overpack drums from a TSA (Temporary Storage Area). Funding is allocated from Project No. 42601, Organization Code 370101, EO 1800, Object Code 1340, Fund 0920, and Category/Year 025577, with the total contract amount of $2,086.00. The form was approved by DEP Representative Mark S. Gowan on October 8, 2012, and by the OER Budget Representative on October 9, 2012.