CN-370000-LE706-4I-57336.pdf

This is a Work Authorization Form issued by the Florida Department of Environmental Protection (DEP), Office of Emergency Response, for emergency response services. The work order involves Cliff Berry, Incorporated as the contractor, with John Sandora designated as the representative. The incident, numbered 2017-41-87338, was initiated on 02/15/17 and is located in Lakeland, Polk County, Florida (approximately 1 mile north of US-98). The responsible DEP contact is Jamie Arieo, with office phone (813) 470-8864 and cell phone (813) 267-3561.

The work authorization covers the removal and transfer of approximately 25 gallons of latex paint (blue) from a tote into a drum, with an estimated 50 gallons of paint spilled onto soil to be shoveled into drums. The tote will be removed as an empty container and is noted as non-DOT shippable. The response involves one supervisor, one recovery technician, one response truck, five 55-gallon drums, a pump, and litigsite equipment, with PPE Level D required. The work is assigned as fixed price with an estimated cost of $2,000.00, with no reimbursement potential indicated. Funding is allocated from Project LF 706, Organization Code 3970410/0000, with an object code of 139700 and fund 0770/1 (125577), with an approved grant amount of $12,090. The work authorization was approved on 2/3/17 with signatures from the DEP representative, contractor representative, and OER budget representative.