CN-370000-LE809-2I73509C.pdf
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- Contract number
- LE809
- Issued by
- Florida
About this file
This is a Work Authorization Form (OER_13) issued by the Florida Department of Environmental Protection's Office of Emergency Response. The document authorizes emergency response work under Contract #LE809 with Cliff Berry Inc., with representative Steve Swett. The incident, numbered 2026-2I-73509C, occurred on January 29, 2026, at 3870 W Blue Heron Boulevard in Riviera Beach, Palm Beach County, Florida. Joseph De Luna serves as the On-Scene Coordinator, with contact numbers 561-681-6767 (office) and 954-658-8020 (cell). The form was executed with digital signatures from all required parties between January 29 and February 9, 2026.
The work authorization covers spill response activities related to unknown oil/tar dumping, specifically including overpack drums and transport of drums to a Treatment, Storage, and Disposal Facility (TSDF). The level of effort includes two recovery technicians, one response truck, and three 55-gallon drums. The work is assigned as fixed price at a not-to-exceed estimate amount of $3,000. Funding is provided through Project Number LE809, Organization Code 3704 0100 000, with Object Code 131545, Fund Category 099001, and funding year 101492. The total authorized amount is $3,000, with approval signatures from DEP Representative Joseph De Luna, Contractor Representative Steve Swett, and OER Budget Representative Beth McNeil.
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Text version
OER_13 (Effective 7-01-2017)
Florida Department of Environmental Protection
Office of Emergency Response
WORK AUTHORIZATION FORM
Required Signatures: Adobe Signature or Original Ink Supplemental WAF
Contractor: ____________________________________ DEP Incident # ______________________ Contract #: ___________ Rep: ____________________ Incident Date _______________________ Site Name: ____________________________________ OSC: ______________________________ Location: ______________________________________ Phone: Office______________________ City: __________________County: _________________ Cell ________________________
Description of Work: Respond Immediately Call OSC to set date/time__________________________________
Spill Response Overpack Drums Transport drums to TSA Abandoned Drum:
Remove Soil Sampling Transport Drums to TSDF Analysis of samples collected by OER
Other:
Suspected Materials, and amounts: _____________________________________________________________________________________
Level of Effort: (Check all that apply) Use Subcontractor per OSC
Personnel Vehicles Equipment
Supervisor: ____ Response Truck Overpack Drums: Visqueen
Recovery Tech: ____ Straight Truck 55-gal. Drums: Roll-off Containers: ___________
Field Chemist: ____ Vacuum Truck Sampling Gear EPA Level 1 Vapor Detector
Equip. Oper.: ____ Pickup or Van Sampling Gear EPA Level 2 PPE Level: __________________
Other: ____________ Backhoe or Similar Other: ________________ MOT
Contract Rate: ____________
Comments: ___________________________________________________________________________________________________________
Analytical & Disposal Arrangements: (analytical will usually be listed on Chain-of-Custody or other form)
Via Contractor Via Subcontractor Other: __________________________
Profile Wastes as:
Work Assignment Type: fixed price Not to Exceed estimate amount: $___________________________
Funding Information: (information provided by OER budget rep., budget rep to sign after WAF executed, but prior to transmittal to F&A)
Project No. Organization Code EO Object Code Fund Category/Yr Amount
Approved:
DEP Representative: __________________________ Signature: _______________________________ Date: __________________
Contractor Rep: __________________________ Signature: ___________________________________ Date: __________________
OER Budget Rep: __________________________ Signature: __________________________________ Date: __________________
Deliverable will be reviewed and evaluated by the DEP Contract Manager to ensure appropriate documentation reviewed and/or provided and that the documentation submitted is complete, accurate, and submitted timely
Cliff Berry Inc 2026-2I-73509C
LE809 Steve Swett 1/29/2026
Unknown Oil/Tar Dumping Joseph De Luna
3870 W Blue Heron Blvd 561-681-6767
Riviera Beach Palm Beach 954-658-8020
LE809 3704 0100 000 FC 131545 099001 101492 $3,000
Joseph De Luna 1/29/2026
Steve Swett 1/29/2026
Beth McNeil 02/09/2026
Samuel Graves
✔ ✔ 3
Beth McNeil Digitally signed by Beth McNeil Date: 2026.02.09 12:00:45 -05'00'
Steve Swett Digitally signed by Steve Swett 'Date: 2026.01.29 17:16:22 -05'00
Joseph De Luna Emergency Responder
Digitally signed by Joseph De Luna Emergency Responder Date: 2026.01.29 16:20:19 -05'00'
Samuel Graves Digitally signed by Samuel Graves Date: 2026.02.09 11:17:37 -05'00'
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