CN-370000-LE706-1I-68398.pdf

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 #LE 706 with Cliff Berry Inc., represented by Yvonne Cema. The authorization was issued on November 2, 2021, in response to DEP Incident #2021-11-68388 at 7504 Park City Drive in Jacksonville, Duval County. The responsible contact at the Office of Emergency Response is Kajani Cole.

The work authorization covers immediate response services related to a suspected petroleum product spill, including overpack drums, transport of drums to TSDF (Treatment, Storage, and Disposal Facility), and identification of two abandoned drums. The contractor will provide one supervisor and one overpack drum, utilizing a pickup or van for transportation. The estimated cost for the work assignment does not exceed $2,300. Authorization for work was requested on November 2, 2021, at 19:30 and assigned to the contractor through the Office of Emergency Response. Funding is provided through Project Number 327-0400008-00 with an allocation of $2,300.02. All required signatures from DEP representatives, the contractor, and the OER budget representative were obtained on November 2-3, 2021, and November 22, 2021.