CN-370000-LE810-8I-71138.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection, Office of Emergency Response. The document authorizes work to be performed by contractor Hurls under Contract #LE810, with the site located at Monroe Exit 8-I-10 in Tallahassee, Leon County. The incident involves a diesel spill of 20 gallons on the ground and is identified as DEP Incident #2024-8I-7113B, dated 5/10/24. The authorized parties include personnel from the contractor and oversight from the OSC (On-Scene Coordinator), with representatives identified as Melissa Woehle and Heather Perkins.

The work authorization authorizes immediate spill response and soil removal activities, including deployment of equipment such as a straight truck, pickup or van, roll-off containers, and other materials. The work assignment is fixed-price with a not-to-exceed estimate amount of $12,500.00. Profiling of wastes is designated as diesel-contaminated soil, with analytical and disposal arrangements to be managed via contractor. The funding information identifies Project No. LE810 with Organization Code 3704.0100.0000, BO code FL, Object Code 215545, Fund BAO01, and Category/Year 10/4/23, with an approved amount of $13,500.00. Signatures from the DEP Representative (Sam Greaves), Contractor Representative (Jesse Hixson), and OER Budget Representative (Nickolburnia) were executed between July 29, 2024, and August 1, 2024.