CN-370000-LE807-4I-68454.pdf

This is a Work Authorization Form issued by the Florida Department of Environmental Protection, Office of Emergency Response. The document authorizes AGT Environmental to perform emergency response work related to an incident (DEP Incident #59454) dated November 22, 2021. The authorized representative is Ashley Shive, and the work site is located at a Mulberry Oil Dumping facility. The incident was assigned to Jonathon Fabrizio as the Operations Site Coordinator, with contact information provided for the Florida Office of Emergency Response.

The work authorization covers spill response and soil removal activities related to approximately 15 gallons of motor oil contamination. The contractor is authorized to use one supervisor and one recovery technician, one response truck, and four 55-gallon drums for waste collection and transportation to the Tallahassee State Disposal Facility. Work clothing is specified as the required personal protective equipment level. The contaminated material is classified as motor oil-contaminated soil. The authorization is fixed-price with an estimated amount not to exceed $1,009, funded through project code LE-B07 with funding source 099001 (category 10149.2). The work authorization was executed on November 24, 2021, with subsequent approvals and reviews documented through January 2022.