CN-370000-LE810-8I-68585.pdf
PDF 689 KB Posted
- Contract number
- LE810
- Issued by
- Florida
About this file
This is a Work Authorization Form (OER_13) issued by the Florida Department of Environmental Protection (FDEP), Office of Emergency Response (OER), for emergency response services provided by Hulls under contract LE810. The authorization was issued on January 25, 2022, for DEP Incident #2022-8I-68585 involving a sunken boat in the Ochlockonee River near Sopchoppy, Wakula County. The incident occurred on January 25, 2022, with an initial response authorization date of January 28, 2022. The On-Scene Coordinator (OSC) was Melissa Woehle.
The work authorization authorizes Hulls to respond to the sunken boat discharging petroleum to contain and remove the petroleum product. The suspected material is petroleum oil with approximately 90 gallons expected. The scope of work includes boom placement, maintenance and removal, disposal assessment, raising the boat, removing petroleum, and setting the boat back down, with potential subcontracting of a dive team. The Level of Effort includes one supervisor, three recovery technicians, PM/divers, two boats, visqueen, one roll-off container, and 55-gallon drums. The work assignment is structured as a fixed price contract with a not-to-exceed amount of $38,000.00. Funding is allocated from Project LE810, Organization Code 37040100000, Object Code 139900, Fund 099001, and Category/Year 101492. The authorization was approved by DEP Representative Melissa Woehle on February 9, 2022, Contractor Representative Jesse Hixson on February 9, 2022, and OER Budget Representative Amanda Lanphere on February 14, 2022.
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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
Hulls 2022-8I-68585
LE810 Jesse Hixson 01/25/22
Ochlockonee River sunken boat Melissa Woehle
Ochlockonee River (Lat: 29.99386, Long: -84.50922) 850.245.2873
Sopchoppy Wakula 850.723.0948
Initial response to contain discharge 01/28/22 petroleum oil, 90 gallon potential expected
3 1 work clothes/level B
PM/Divers Boats (2)
Boom placement, maintenance, removal and disposal. Assess, raise boat, remove petroleum and set boat back down. Dive Team may be subcontracted.
38,000.00
LE810 37040100000 FC 139900 099001 101492 38000 00
Melissa Woehle 02/09/2022
Jesse Hixson
Amanda Lanphere 02/14/2022
Leroy Smith petroleum respond to sunken boat discharging oil to contain and remove petroleum
Amanda Lanphere Digitally signed by Amanda Lanphere Date: 2022.02.14 14:55:14 -05'00'
Melissa Woehle Digitally signed by Melissa Woehle Date: 2022.02.09 16:02:46 -05'00'
Leroy Smith Digitally signed by Leroy Smith Date: 2022.02.15 10:55:44 -05'00'
Jesse Hixson Typewritten text Jesse Hixson
Jesse Hixson Typewritten text 02/09/22
File details come from the government source that posted it. Updated .