CN-370000-LE810-1I68294C.pdf

This document is a Work Authorization Form from the Florida Department of Environmental Protection's Office of Emergency Response. The form involves Hill's Environmental Management as the contractor, with Scott Fullerton as the representative, responding to a DEP incident (2021-15-6897C) on 10-2-21 at a site located in Middleburg, Clay County, Florida.

The work authorization is for removing a very small amount of waste oil, specifically five 55-gallon drums, with tasks including transporting drums to TSA and TSDF. The total funding amount is $5,000.00, allocated under Project No. LE 310, Organization Code 370-40/00000, with an EO of FL and Object Code 239100. The work is categorized as an emergency response, with the contractor to potentially dispose of materials through the county. The form includes signatures from the DEP representative, contractor representative, and OER budget representative, dated between 10-3-21 and 10-04/21.