CN-370000-LE681-4I-64610.pdf

This is a Work Authorization Form issued by the Florida Department of Environmental Protection, Office of Emergency Response, dated January 17, 2020. The authorization engages ACT, Inc. as the contractor to respond to a diesel and engine oil spill incident (DEP Incident #2019-4164610) occurring on November 15, 2019, at a location on Alt US 27 near Egg Farm Road in Lake Wales, Polk County, Florida. The site representative is Jason Huffman, and the incident involves an overturned semi sand hauler that discharged approximately 40 gallons of diesel and 10 gallons of engine oil with no insurance coverage.

The scope of work includes immediate spill response activities encompassing soil removal, excavation of contaminated soils, transport for disposal, backfilling, and sod area restoration. The work authorization specifies a fixed-price contract not to exceed $10,000 and identifies required personnel (1 supervisor and 2 recovery technicians), equipment (pickup or van, backhoe or similar vehicle, and roll-off containers), and analytical and disposal arrangements to be handled via contractor. Profile wastes are identified as used oil and diesel-contaminated soils. Funding is sourced from Project LE U 81 under Organization Code 3704010000, EO JC, Object Code 139900, Fund 219-001, in the amount of $10,132.10. The authorization was approved by Dominic LetoBarone of DEP and signed by contractor representative Jason Huffman and OER Budget Representative Kristin Goursse on January 17, 2020.