CN-370000-LE807-3I-72810.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection, Office of Emergency Response, for a spill response project. The document authorizes work under Contract #LE407 with contractor ACT for Integrity Paving. The incident, numbered 2025-3/72810, occurred on May 29, 2025, in Sarasota County near I-75 and MM206 Median. The authorized work is supervised by H. Hoffman (OSC) with contact information provided for the Office and cellular communication.

The scope of work includes spill response, removal of soil, and transport of drums to TSDF (Treatment, Storage, and Disposal Facility), with an estimated cost not to exceed $13,000.00. The project requires a response truck, pickup or van, and backhoe or similar equipment, along with personnel including a supervisor, recovery technician, and equipment operator. Materials involved are identified as coal tar asphalt sealant. Analytical and disposal arrangements are handled via contractor, with profiled wastes classified as petroleum, non-hazardous. Funding is allocated from Project 880D7, Organization Code 3TDA 0100 ODD, with Object Code 123545, Fund 060.001, and Category/Year 101149.9, totaling $13,000.00. The WAF was approved on May 30, 2025, with signatures from DEP Representative Heidi Hoffman, Contractor Representative Jason Hoffman, and OER Budget Representative Nicki Kosnick.