CN-370000-LE706-2C-64063.pdf

This is a Work Authorization Form issued by the Florida Department of Environmental Protection, Office of Emergency Response. The form authorizes emergency response work through contractor C&F Berry Inc. under DEP Incident #2819-2C-64063, dated September 5, 2018. The incident location is 4361 NE Ocean Boulevard in Jensen Beach, Martin County, Florida. The authorized personnel include a recovery technician and field chemist, with equipment including a response truck and overpack drums.

The work authorized includes respond-immediately spill response and overhead drums transport to TSDP (Transportation Services Disposal Program). The suspected materials are approximately 20-30 gallons of sea water and gasoline. The work assignment is fixed price, with an estimated amount not to exceed $1,800. Funding is sourced from Project No. LE704, Organization Code 5704010000, and the funds are categorized under EO EC and Object Code 1299100199100. The total authorized amount is $1,200.50, approved on September 10, 2017. The form includes authorization signatures from DEP representatives and the OER Budget Representative.