CN-370000-LE807-3C-71567.pdf

This is a Work Authorization Form issued by the Florida Department of Environmental Protection, Office of Emergency Response, for emergency response services related to a diesel fuel spill incident. The form authorizes work under Contract LE807 with ACT and involves multiple stakeholders including Sam Welch (OSC), Jason Huffman (Contractor Rep), and the OER Budget Representative. The incident occurred on 9/30/2024 in Sarasota, Florida, and is identified as DEP Incident #24667.

The authorized work includes spill response and soil removal activities, with a focus on transporting drums to TSDF (Treatment, Storage, and Disposal Facility) and pumping fuel remaining in tanks into 55-gallon drums for disposal. The estimated maximum amount of diesel fuel involved is 100 gallons. The work authorization specifies a not-to-exceed amount of $2,730.20 and includes personnel (1 supervisor and 1 equipment operator), equipment (3 fifty-five-gallon drums, a pickup/van, and a hand pump), and a contract rate of 1858. Disposal is arranged via contractor with profiled wastes listed as diesel fuel. Funding is sourced from Project No. LK0071, Organization Code 3104, Fund 0901, and Category/Year DISASTER (11/21/2024), with an approved amount of $3,300.00.