CN-370000-LE810-1I-71541.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 Halls contractor under Contract #LE 810, with the incident occurring on 9/17/2024 and assigned DEP Incident #20241-JI-71541. The site is located in Sarasota County, Crescent City, Florida. The form is signed by DEP Representative Bryan T. Mack, Contractor Representative Scott Bellerida, and OER Budget Representative Vickie Koening, with execution dates in October 2024.

The work authorization covers emergency response services including split response and soil removal, specifically addressing diesel motor oil and diesel-impacted soil contamination. The contractor is authorized to deploy a response truck, vacuum truck, pickup van, backhoe, and sampling equipment including 55-gallon drums, roll-off containers, vapor detector, personal protective equipment (PPE), and miscellaneous other equipment. Personnel mobilized include a supervisor, recovery technician, and equipment operator. The work involves free product recovery, absorbent application, and excavation with an estimated fixed price not to exceed $25,000.00. The funding is allocated through Project No. LE 810, Organization Code 31D4 DD0D 1DD3, with the amount of $25,000.00 charged to Fund 1990001, Category 1949Q.