CN-370000-LE681-4I-62581.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection, Office of Emergency Response, for a spill response incident. The document authorizes ACT, Inc., represented by Jason Huffman, to perform emergency response services at a diesel fuel spill site located at SR 66 near Parnell Road in Zolfo Springs, Hardee County, Florida. The incident was reported on March 2, 2019, under DEP Incident #2019-4I-62581. The authorized work is being managed by Domenic LetoBarone with the Office of Emergency Response, and funding approval has been provided by Alicia Escobar, the OER Budget Representative.

The scope of work involves spill response activities including immediate response to recover approximately 100 gallons of diesel fuel that discharged into a roadside ditch. Authorized activities include vacuuming the ditch with a vacuum truck, applying absorbent material, and covering the ditch with visqueen. The work authorization identifies specific equipment to be deployed, including a vacuum truck, pickup or van, 55-gallon drums (quantity 2), absorbent pads/boom, visqueen, PPE Level Work Clothes, and other necessary response equipment. The work is classified as a fixed-price assignment with a not-to-exceed estimate amount of $4,000.00. Funding is sourced from Project LE69I, Organization Code 3104010000, and allocated to Object Code 139406 under Fund 699001 for the category/year 101993. Analytical and disposal arrangements are to be managed via the contractor.