CN-370000-LE810-8I-68569.pdf

This is a Work Authorization Form issued by the Florida Department of Environmental Protection, Office of Emergency Response, for an emergency response contract with Hulfs. The document authorizes work related to DEP Incident #2022-88-68869 occurring on January 12, 2022, in Greensboro, Gadsden County. The authorization is issued to Contractor Jesse Hieson for Site Name I-10 EB MM 172, with Heather A. Perkins serving as the designated Office of Environmental Response representative. The form documents the engagement of a contracted entity to perform immediate response and remediation services related to a discovered environmental contamination incident.

The contracted work authorizes spill response and soil removal services for approximately 100 gallons of diesel-contaminated soil, with a fixed-price assignment not to exceed $16,000. The level of effort includes one supervisor and two recovery technicians, along with vehicles (response truck, pickup or van, and backhoe), and equipment including roll-off containers, work clothes, and MOT. Analytical and disposal arrangements identify the waste as petroleum-contaminated material to be profiled and handled via the contractor. The work authorization references funding through Project Number LC910, Organization Code 37061/000200, with authorization charging to Fund 6991.00 and Category 01/492. The authorization is dated January 14, 2022, with signatures from DEP Representative Heather A. Perkins, Contractor Representative Jesse Hieson, and OER Budget Representative.