CN-370000-LE705-4I57915.pdf

This is a Work Authorization Form issued by the Florida Department of Environmental Protection, Office of Emergency Response, for emergency response services provided by contractor Perma-Fix under Contract LE-705. The work authorization was issued on May 11, 2017, in response to DEP Incident 2017-4i-57915 at a location in Temple Terrace, Hillsborough County. The responsible parties include Glenn Byer as the contractor representative and Jeff Tobergie as the DEP representative overseeing the project.

The authorized work encompasses lab-packing and disposal of hazardous materials and wastes, including gasoline cans, spray cans containing automotive products, antifreeze, isopropanol, formaldehyde, and Garlon 3A herbicide. The work assignment is on a cost estimate basis with an estimated amount of $5,000.00, and reimbursement is available through standard mechanisms. Field personnel include a field chemist and driver, with equipment including a straight truck, 55-gallon drums, and personal protective equipment classified as work clothes. Analytical and disposal arrangements are to be conducted via the contractor, and the work is funded through Project LE105, Organization Code 3104061 00000, with funding details indicating FL as the E0 code and amount of $5,000.00.