CN-370000-LE807-4I-65247.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection, Office of Emergency Response, dated April 22, 2020. The authorizing parties are the State of Florida (represented by DEP) and ACT, Inc., under Contract LE807. The work authorization was issued in response to DEP Incident #2020-4165247 related to a Polk County Search Warrant at Mulberry, located at 4195 Hilgrade Road, with Domenic LetoBarone serving as the on-site coordinator.

The work authorization authorizes ACT, Inc. to perform emergency response services including pumping out vehicle fuel tanks (gasoline and diesel), over-packing drums, and disposing of approximately 100+ fuel tanks with various amounts of liquid inside and potentially 5 or more drums. The scope requires a response truck, vacuum truck, vapor detector, and PPE Level D equipment, with a supervisor, recovery technician, and equipment operator assigned to the task. The estimated cost not to exceed is $16,000.00, funded from Organization Code 37040100000, Object Code 139900, Fund 099001, with Category/Year 101492. The work assignment is structured as a fixed-price engagement with analytical and disposal arrangements handled via contractor, with profile wastes identified as gasoline, diesel, and used motor oil.