CN-370000-LE681-7I53293.pdf

This is a Work Authorization form issued by the Florida Department of Environmental Protection, Office of Emergency Response (OER). The document authorizes emergency response work by contractor ACT under the supervision of site foreman Larry Lee/BEN at a location in Orlando, Orange County, Florida (5079 W Colonial Drive). The incident number is 2015-TC-53293, dated July 19, 2015, with emergency contact Holly Fortune listed.

The work authorization covers immediate spill response activities involving approximately 900 gallons of waste oil/water affecting impacted soil and drainage areas. The scope includes responding to a vacuum truck product from three catch basins/storm drains with suspected impacted soil and drains. The work is authorized as a fixed-price engagement with an estimated amount of $8,000.00, funded through project code LE6B13104010 0000 00 with fund category 101432. Personnel assigned include a site foreman and recovery crew; equipment deployed includes a 3,000-gallon vacuum truck, pickup/van, and associated PPE. Analytical and disposal arrangements will be handled via subcontractor, with profiled wastewater to be delivered Monday, July 20, 2015, and drum checks on the same day. The document was approved on July 18, 2015, and signed by the OER Budget Representative on July 20, 2015.