CN-370000-LE810-1I-65180.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection, Office of Emergency Response. The document authorizes work to be performed by Dubi Environmental under contract number LE1610, with on-site supervision by Larry Hall at a location in St. Augustine, St. Johns County, Florida. The incident is identified as DEP Incident #2020-11-85180, dated February 17, 2020, with Gracie Kennedy serving as the on-site coordinator and primary contact.

The work authorization specifies emergency response activities including immediate response to overpack drums and transport of drums to the Treatment and Storage Facility (TSDF). The scope includes deployment of one supervisor, three recovery technicians, and one equipment operator, supported by response vehicles (truck and backhoe) and 50 overpack drums. Personnel will utilize PPE Level D protection. The work is assigned as a fixed-price task not to exceed $35,000, with funding allocated from Project No. LE8010 using Organization Code 31040100000, Object Code 139400, and Fund 099001, charged to category 10149A for a total amount of $85,000.00. The work authorization was executed on February 18, 2020, with approvals from DEP Representative Gracie Kennedy, Contractor Representative Larry Hall, and OER Budget Representative Kristin Ousse.