Work Authorization Summary

This is a Supplemental Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection, Office of Emergency Response, for incident response work. The document involves the contractor ACT (Contract #UE807, EC SWO 2022-0265), with Lauren Johnson as the contractor representative and Camren Richter as the Department of Environmental Protection (DEP) representative. The incident is identified as DEP Incident #2022-2469624C, dated 11/10/22, located at 1370 Hammonville Road, Pompano Beach, Broward County, Florida.

The work authorization covers final site remediation activities across two sites for Pack & T & D Waste, including spill response and soil removal, with specific focus on sampling and transport of drums to designated facilities (TSA and TSDF). The estimated cost not to exceed is $5,312.00, with funding sourced from Project No. LE207, Organization Code 2704001, Object Code 121545, Fund 6910B1, and Category/Year 1614Z. Personnel assigned include one supervisor, two recovery technicians, one field chemist, and one project manager. Equipment includes visqueen, roll-off containers, 55-gallon drums, and an FP3 Level 0 device. All analytical and disposal arrangements are handled via contractor. The work was approved on 2/14/23 by DEP Representative Camren Richter and Contractor Representative Lauren Johnson, with budget approval dated 2/02/2023.