CN-370000-LE706-4I-61887.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection (FDEP), Office of Emergency Response. The document authorizes work to be performed by CBI, Inc. under contract number FY-708 in response to DEP Incident #2018-461887, dated November 11, 2018. The work location is County Road O.W. on Oak Knoll Road in Parrish, Manatee County, Florida. The incident contact is Domenic LeBarone, with office phone (813) 470-8920 and cell phone (813) 295-3608.

The authorization covers the transportation of two 55-gallon drums containing residual resin material (isocyanates) to the CBI facility in Tampa on November 13, 2018. The work is classified as fixed price with an estimated amount of $3,500. The scope of work involves an abandoned drum response, with personnel assigned including one supervisor and one recovery technician. The analytical and disposal arrangements specify profiling wastes as isocyanate-resin, non-ignitable material via contractor. Funding is provided through Project Number LE1106, Organization Code 3-1091-0000-2, and charged to Fund C9A001 with Category/Year 109577. The work authorization was approved on December 16, 2018, by DEP Representative Domenic LeBarone and executed by Contractor Representative Joseph Lyman and OER Budget Representative Alex Escobar.