CN-370000-LE706-4I-63183.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection's Office of Emergency Response. The document authorizes emergency response work for Cliff Berry, Inc., operating under Contract LE706, for an incident occurring on May 30, 2019, in Hillsborough County near Tampa. The incident is managed by Domenic LetoBarone, and the authorized contractor representative is Jon Sandora.

The work involves the immediate response to three 55-gallon drums containing an unknown mixture of water with a diluted acidic cleaner at pH 5.51 ppm on the OVA-PID. The scope of work includes transporting drums to the Temporary Storage and Disposal Facility (TSDF), conducting sampling and analysis, identifying one abandoned drum, and providing recovery technician support with Level D personal protective equipment. The contractor is authorized to utilize a straight truck, overpack drums, and sampling equipment (EPA Level 2). The work assignment is fixed price with a not-to-exceed estimate amount of $5,000.00. Funding is allocated from Project LE706, Organization Code 3704010000, with the following coding: EO FC, Object Code 139900, Fund 099001, and Category/Year 101492. The analytical work includes metals and solvent scanning on one drum only, with the deliverable subject to review and evaluation by the DEP Contract Manager for completeness and timeliness.