CN-370000-LE681-4I-63983.pdf

This is a Work Authorization Form issued by the Florida Department of Environmental Protection's Office of Emergency Response for incident response services. The document authorizes work by ACT, Inc., with site contact Jason Huffman, for emergency response activities at a gasoline spill near 1575 Highway 17 South in Chevy (Hardee County, Florida). The authorization was issued on August 24, 2019, under DEP Incident #2019-81-63983, with Domenic LetoBarone serving as the OSC and primary point of contact.

The work scope includes spill response and soil removal for a petroleum gasoline-contaminated spill of approximately 30 gallons from a passenger pickup truck. Services authorized include transportation of impacted soils for disposal, backfill, grading, and sod excavation using a skid steer excavator and roll-off containers. The authorized personnel include one supervisor, one recovery technician, one equipment operator, and one roll-off truck operator, with equipment including a pickup/van and skid steer excavator. The work is authorized as a fixed-price contract with a not-to-exceed estimate of $14,000, funded through Project LE061 under Organization Code 3704010 00000 with Object Code 139900 and Fund 099901. MOT (Mobilization of Transport) and OVA-PID (Outdoor Volatile Assessment-Preliminary Investigation Data) readings were required, with appropriate lane closure MOT scheduled as necessary.