Work Authorization Form Summary

This is a Work Authorization Form issued by the Florida Department of Environmental Protection, Office of Emergency Response, for emergency response services. The document authorizes work under Contract #LE705 with PERMA-FIX OF FLORIDA, Inc., a contractor specializing in environmental remediation and emergency response. The work is related to DEP Incident #2018-31-61033, occurring on July 2, 2018, at 2981 N.E. Pine Island Road in North Fort Myers, Lee County, Florida. The site is identified as the Lake Josephine Abandoned Drums location.

The work authorization covers disposal services for 2-55 gallon steel drums containing solid corrosive materials already in 85-gallon overpacks, with 2 abandoned drums requiring disposal. The work assignment is classified as fixed price with an estimated amount of $1,857.50 and is not to exceed this amount. Personnel resources include one supervisor and one recovery technician, with vehicle support consisting of a straight truck and pickup van, and personal protective equipment at Level D. Funding is allocated from Project No. LE1105 with Organization Code 3104010000, EO FC, Object Code 1399500, Fund 09A001, and Category/Year 10 L492, with an amount of $50. The work was approved on November 20, 2018, with signatures from DEP Representative Lina Cerquera, Contractor Rep. Glenn Byer, and OER Budget Rep. Alex Esevoor.