CN-370000-LE706-4I-62569.pdf

This Work Authorization Form is issued by the Florida Department of Environmental Protection's Office of Emergency Response for emergency response services. The document authorizes work under Contract LE706 with Cliff Berry, Inc., represented by Jon Sanders. The authorization references DEP Incident #2019-4-62569, dated March 2, 2019, with oversight coordinator Jeff Tobergie and on-site coordinator Jeff Tobergie. The incident location is Jefferson Road, 1.6 miles south of US Highway 301 in Tampa, Hillsborough County.

The work authorization authorizes immediate response activities including overpack drums, transport of drums to TSA (Treatment Storage and Disposal Facility), and management of one abandoned drum. The suspected materials consist of approximately 1x55-gallon metal drum containing full, dull grey waste lacquer thinner that is flammable and requires overpacking. The contractor shall deploy one supervisor, one recovery technician, one overpack drum, and personnel with Level D PPE. The estimated not-to-exceed amount is $2,000.00, charged to Project LE706 under Organization Code 3109.91.0000.0 with Object Code 139900. Funding is categorized under Fund 2059 for Fiscal Year 2019. Waste codes identified include D001, D006, D007, D008, D035, F003, and F005, with waste profiled as RQ, UN1263 waste paint-related material.