CN-370000-LE681-4I-65072.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection, Office of Emergency Response, for incident response services. The document authorizes work under Contract #LE681 with contractor ACT for a Perez Dump Truck operation located at I-275 NB near MM 3.5 in Palmetto, Manatee County, Florida. The incident number is 2020-41-65072, dated January 20, 2020, with Jason Huffman serving as the contractor representative and Lindsay Brantley as the DEP representative. The work authorization is associated with DEP Incident #2020-41-65072.

The work scope involves immediate response to remove contaminated soil and conduct excavation operations at a delineated area measuring 73x30x2 feet, with disposal of materials estimated up to 50 gallons of diesel, contingent upon soil analysis. The authorization specifies use of a subcontractor per OSC (On-Scene Coordinator), deployment of one supervisor, one recovery technician, one equipment operator, pickup/van, backhoe or similar equipment, two roll-off containers, PPE Level D, and MOT (Maintenance of Traffic). Analytical and disposal arrangements are managed via the contractor for non-hazardous petroleum-contaminated wastes. The work is assigned as a fixed-price contract with an estimated amount not to exceed $20,000.00, funded through Project No. LE1081, Organization Code 21040100000, with an Object Code of 139900 and Fund 0990001. The authorization was approved on January 30, 2020.