CN-370000-LE706-4I-62035.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection's Office of Emergency Response for incident response work. The document authorizes CBI as the contractor to perform emergency response services related to a hazardous material spill incident (2018-41-62035) occurring on December 10, 2018, at a Jacquer Thinner drum storage location adjacent to a church in Tampa, Hillsborough County. The authorization is signed by DEP Representative Jeff Tobergte, Contractor Representative Jon Sandora, and OER Budget Representative Alexa Escobar, with an authorization date of December 11, 2018.

The work scope includes immediate response to overpack and transport two 55-gallon metal drums containing waste lacquer thinner/paint to both the Tampa Service Area (TSA) and Tampa Service Delivery Fleet (TSDF) facilities, with suspected waste codes D001, D006, D007, D008, D035, F003, and F005. The work authorization specifies the use of one supervisor and one recovery technician, one response truck, two overpack drums, and personal protective equipment (PPE Level C). Materials will be profiled as UN1263 waste paint-related material under PG II classification. The estimated contract amount is $2,500.00, funded through project number LE106 under organization code 3104010000, with funding charged to cost object 1399.08 and account 0990001. This is identified as a fixed-price work assignment with the analytical and disposal arrangements to be handled via the contractor.