CN-370000-LE810-4I70219C.pdf
PDF 133 KB Posted
- Contract number
- LE810
- Issued by
- Florida
About this file
Work Authorization Summary
This is a Work Authorization Form (OER_13) issued by the Florida Department of Environmental Protection (FDEP), Office of Emergency Response (OER), authorizing Hull's Environmental Services to perform emergency response work related to DEP Incident #2023-4I-70219C. The incident occurred on August 9, 2023, at a biomedical waste storage facility in Haines City, Polk County, Florida. The authorized work is under contract LE810, with Mike Bevacqua serving as the contractor representative and Jasson Drinkard as the On-Scene Coordinator (OSC).
The work involves the removal and transfer of biohazardous waste from a 53-foot semi-trailer containing an assortment of biomedical waste materials. The contractor will transfer waste into 96-gallon carts provided by Daniels Medical Waste Management and break down boxes as needed. The work assignment is structured as a fixed price contract with a not-to-exceed amount of $68,000, with cost-plus items applicable. The level of effort includes 1 supervisor, 9 recovery technicians, and 2 equipment operators, utilizing response trucks, pickup vans, visqueen, 10 fifty-five-gallon drums, portable fans, and portable air conditioning units. Analytical and disposal arrangements are coordinated through both the contractor and Daniels Medical Waste Management. Funding is allocated from Project LE810 (Organization Code 37040100000, Object Code 131545) under Fund Category 101492 for the full $68,000 amount. The form was executed on July 24, 2023, with final approval on August 17-18, 2023.
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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
Hull's Environmental Services 2023-4I-70219C
LE810 Mike Bevacqua 8/9/2023
Haines City Biomedical Trailer Jasson Drinkard
1621 Highway 17 813-470-5920
Davenport Polk 813-244-2934
53' semi tractor-trailer filled with an assortment of biomedical waste. Transfer waste in 96-gal. carts provided by Daniels. Break down boxes.
2 C
Fans, portable a/c
Please prepare for extreme heat advisories. Make sure adequate hydration, shade, and cooling is used for personnel entering the semi-trailer. Further equipment needs will be discussed and planned before the search warrant is executed. This is a criminal case. Please coordinate with DEP Law Enforcement while performing transfer operations.
Daniels Medical Waste Mgt.
68,000
Cost+ items are applicable. The disposal of the biomedical waste is being coordinated between Hull's Environmental, Daniels Medical Waste Mgt., and DEP
LE 810 37040100000 FC 131545 099001 101492 $68,000 00
Jasson Drinkard 07/24/2023
Mike Bevacqua 7/24/2023
Amanda Lanphere 8/17/2023
Justin Davis
Bio Medical Waste
Remove bio hazardous waste from 53' semi-trailer, transfer to 96 gallon totes and transport for disposal.
Amanda Lanphere Digitally signed by Amanda Lanphere Date: 2023.08.17 12:39:54 -04'00'
Michael Bevacqua Digitally signed by Michael Bevacqua Date: 2023.07.24 14:14:23 -04'00'
Jasson Drinkard Digitally signed by Jasson Drinkard Date: 2023.07.24 11:55:49 -04'00'
Justin "JD" Davis Digitally signed by Justin "JD" Davis Date: 2023.08.18 08:48:39 -04'00'
File details come from the government source that posted it. Updated .