CN-370000-LE706-2C55795.pdf

This is a Work Authorization Form issued by the Florida Department of Environmental Protection, Office of Emergency Response. The document authorizes work to be performed by CBI (Contractor ID: LE705) under contract with a company representative identified as J. Katzer. The work is located at 3641 NE Ocean Boulevard in Jensen Beach, Miami-Dade County, Florida. The incident number is 2016-SC-45796, dated July 24, 2018, with Jeremy Vlissent serving as the On-Scene Coordinator.

The work involves a 1-10 drum containment contract addressing miscellaneous petroleum materials, specifically 55 gallons of potential gasoline for recycling. The work assignment is fixed-price with a set amount of $1,098.00 and includes CPA/90 reimbursement. The authorization indicates one abandoned drum to be addressed and involves a supervisor, recovery technician, response truck, pickup or van, and a utility vehicle. The equipment includes PPE Level D protection. Funding is allocated from Project LE705, Organization Code 2704-01-00000, with Fund Code 047001 and Category/Year 102-577, with a grant amount of $1,058.00 listed. The work authorization was signed and approved on multiple dates in June and August 2016.