CN-370000-LE706-4I56350.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection, Office of Emergency Response, for emergency response services related to a hazardous materials incident. The document involves the contractor Cliff Berry, Inc. (Contract #LE766, Rep. Steve Haggerty), located at 316 E Waters Avenue in Tampa, Hillsborough County. The incident reference is DEP Incident #2016-41-56350, dated 08/14/16, with OSC Domenic LoloBarone serving as the On-Scene Coordinator.

The work authorization covers the identification, transport, and disposal of suspected hazardous materials, specifically a 55-gallon poly drum of waste oil and a 55-gallon metal drum containing non-pourable paint/sludge requiring overpack containment. The scope includes overpack drums (02 units), sampling and analysis, and personnel deployment (01 supervisor and 01 field chemist). The work is categorized as fixed price with a cost estimate of $4,000.00, and analytical and disposal arrangements will be handled via the contractor. The authorization indicates no reimbursement potential and includes funding information with Project No. LE 7060, Organization Code 3704D1, and Fund 1025771. The document was approved and executed on 09/15/16, with signatures from the DEP Representative, Contractor Representative, and OER Budget Representative.