CN-370000-LE681-62581-1.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection, Office of Emergency Response, for emergency response services. The document authorizes work under Contract #LE681 with ACT, Inc., represented by Jason Huffman. The incident, numbered 2019-41-62588, occurred on March 2, 2019, at a James Trucking diesel fuel spill location in Zorro Springs, Hardee County, Florida. The site contact is Domanie LatoBairone, reachable at Office 813-470-5920 or Cell 813-299-3606.

The authorization covers spill response and soil removal activities, including excavation of diesel-contaminated soils, backfilling, grading, and installation of one temporary monitoring well with analysis. The work scope includes sampling, transport of drums to TSDF, and disposal of approximately 100 to 140 gallons of diesel fuel discharged from a semi roll-over into a roadside ditch. The contract is structured as a fixed-price engagement not to exceed $25,000, with work assignment classification under Project LE 61, Organization Code 37010100020000, EO FC, Object Code 139900, and Fund 091001, Category/Year 1019419. The authorization is approved for Nick Roff via email dated April 3, 2019, with signatures from the DEP Representative, Contractor Representative, and OER Budget Representative dated between April 11 and April 23, 2019.