CN-370000-LE810-4I-67873.pdf

This is a Work Authorization Form issued by the Florida Department of Environmental Protection, Office of Emergency Response, for incident response services. The form authorizes work to be performed by Hills Environmental under Contract #LE810, with Mike Bevacqua serving as the contractor representative. The authorization is associated with DEP Incident #2021-4167873, dated July 12, 2021, and is supervised by OSC Jordan Luscier.

The work authorization covers spill response and soil removal services related to a vehicle crash incident involving approximately 200 gallons of gasoline that impacted soil and a canal/drainage ditch with surface water at the Causeway Boulevard Ditch location in Tampa, Hillsborough County. The scope includes immediate response activities with one supervisor, three recovery technicians, one equipment operator, and specialized equipment including a response truck, vacuum truck, pickup or van, backhoe, four 55-gallon drums, two roll-off containers, and work clothes/PPE. Analytical and disposal arrangements are to be handled via the contractor. The work assignment is established as a fixed-price authorization with a not-to-exceed estimate of $15,000. Funding is allocated from Project LE810 (Organization Code 37040100000, EO FC, Object Code 139900, Fund 099001, Category/Year 1014R92) for the full amount of $15,000. The authorization was executed on July 14, 2021, with signatures from the DEP Representative, Contractor Representative, and OER Budget Representative.