CN-370000-LE810-8I-72272.pdf
PDF 163 KB Posted
- Contract number
- LE810
- Issued by
- Florida
About this file
Document Summary
This is a Work Authorization Form (OER_13) issued by the Florida Department of Environmental Protection's Office of Emergency Response on February 28, 2025. The form authorizes work to be performed by Hulls Environmental, a contractor operating under Contract #LE810, for Incident #2025-8I-72272 at a contaminated site located at Attapulgus Highway and Woodward Road near Quincy in Gadsden County, Florida. The work is being overseen by Melissa Woehle, the On-Scene Coordinator.
The contract authorizes soil removal and remediation services for contamination involving approximately 50 gallons of diesel with a liner. The work scope includes handling line locates and Department of Transportation permitting, excavating contaminated soil using volatile organic compound readings to confirm no contamination above screening levels remains, providing proper disposal, backfill, and sodding as needed. The authorization specifies a fixed-price not-to-exceed contract amount of $24,000, with pricing on a cost-plus basis and personnel levels up to EPA Level D. The contractor will provide supervisor and recovery technician personnel, operate pickup/van and backhoe equipment, and utilize roll-off containers with liner and personal protective equipment. Funding is sourced from Project LE 810, Organization Code 3704 0100 000, with authorization signatures obtained from the DEP Representative, Contractor Representative, and OER Budget Representative as of April 8, 2025.
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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 Environmental 2025-8I-72272
LE810 Jesse Hixson 2/21/25
Attapulgus Hwy & Woodward Rd Melissa Woehle
30.635312, -84.576897 850.245.2873
Quincy Gadsden 850.363.3695
X
50 gallons diesel with liner up to level D and cost plus
Hulls will handle line locates and DOT permitting. Excavate contaminated soil using VOC readings to confirm no contamination above screening levels remaining.
Provide for proper disposal, backfill, and sod if needed.
24,000
LE 810 3704 0100 000 FC 131545 099001 101492 24,000 00
Melissa Woehle 02/28/2025
Christina Hiers 2/28/25
Vickie Koenig 4/8/2025
Vickie Koenig Digitally signed by Vickie Koenig Date: 2025.04.08 08:16:37 -04'00'
Christina Hiers Digitally signed by Christina Hiers DN: cn=Christina Hiers gn=Christina Hiers c=US United States l=US United States o=Hull's Environmental Services ou=PC Office e=chiers@hullsenvironmental.com Reason: I am the author of this document Location:
Date: 2025-03-11 11:50-05:00
Melissa Woehle Digitally signed by Melissa Woehle Date: 2025.02.28 15:23:28 -05'00'
Samuel Graves Digitally signed by Samuel Graves Date: 2025.04.08 08:38:23 -04'00'
File details come from the government source that posted it. Updated .