CN-370000-LE807-4I-65072.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection's Office of Emergency Response. The document authorizes work for contractor ACT under Contract #1-2607, with Jason Huffman as the designated representative. The work site is located at the Perez Dump Truck facility near MM 3.5 in Palmetto, Manatee County, Florida. The incident is identified as DRP Incident #2020-4465072, with Lindsay Brantley serving as the On-Scene Coordinator.

The work authorization covers emergency response services to address suspected non-hazardous petroleum-contaminated wastes, specifically up to 50 gallons of diesel, with soil analysis potentially required. The scope includes immediate response actions involving one supervisor and one equipment operator, utilizing vehicles including a pickup or van and backhoe or similar equipment, as well as roll-off containers and personal protective equipment (Level D). The fixed-price work assignment has a not-to-exceed estimate of $24,000.00, funded through Project No. LE 0001 using Organization Code 37041000023-99, EO Code ZC, and Object Code 139900, charged to Fund Category/Year 100047 for $24,000.00. The work authorization was approved by Melissa Woehle on March 20, 2020, with subsequent signature authorizations from the DEP Representative, Contractor Representative, and OER Budget Representative dated through March 23, 2020.