CN-370000-LE810-5I-65172.pdf

This is a Work Authorization Form issued by the Florida Department of Environmental Protection, Office of Emergency Response, dated February 18, 2020. The document authorizes work with contractor Hull's Environmental under Contract Number LE810, with representative Hary Marsh. The work site is located at the Blackjack Petro Facility at 4840 Blackjack Plant Road in Jay, Santa Rosa County, Florida. The incident, numbered 2020-SI-65172, occurred on February 17, 2020, and is being managed by OSC Joey Whidds.

The authorization covers spill response and secondary containment decontamination and flow line flushing operations involving crude oil. The work requires immediate OSC notification to set date and time, with work scope commencing on February 18 and startup on February 18. The contractor shall deploy one supervisor, four recovery technicians, and two equipment operators, along with response vehicles (truck, straight truck, vacuum truck, and backhoe), and equipment including a Visqueen, two 20-yard roll-off containers, two steam washers, and PPE Level D. Work is assigned at a fixed price with an estimated not-to-exceed amount of $100,000. Analytical and disposal arrangements will be handled via the contractor. Funding is allocated from Project Number LE810, Organization Code 3704010000, with an amount of $100,000.00 charged to Fund 39900 and Object Code 061001.