CN-370000-LE811-1I-73624.pdf
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- Contract number
- LE811
- Issued by
- Florida
About this file
This is a Work Authorization Form (OER_13) issued by the Florida Department of Environmental Protection, Office of Emergency Response. The document authorizes emergency response work under Contract #LE811 with Cliff Berry, Inc. The work is related to DEP Incident #2026-11-73624, occurring on March 27, 2026, at Interstate 75 South Mile Marker 406 in High Springs, Alachua County. The On-Scene Coordinator (OSC) is Donielle McKinley, with contact information provided for the Jacksonville office.
The work scope involves responding immediately to transport drums to a Treatment Storage and Disposal Facility (TSDF) for a 55-gallon metal drum containing approximately 95% diesel fuel with an improperly secured lid. The work is authorized as a fixed-price assignment with a not-to-exceed estimate of $2,500. Funding is provided through Project No. LE811 with Organization Code 3704 0100 000, Object Code 131545, Fund 099001, and Category/Year 102577. The authorization was signed by DEP Representative Donielle McKinley on March 27, 2026, Contractor Representative Yvonne Cerna on March 30, 2026, and OER Budget Representative Vickie Koenig on March 31, 2026.
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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
Cliff Berry, Inc 2026-1I-73624
LE811 Donielle McKinley 3-27-2026
I-75 SB MM 406 Donielle McKinley
I-75 SB MM 406 Jacksonville
High Springs Alachua 904-510-2643
1 55-gallon metal drum 95% full of diesel fuel. The lid is not on properly and was chem taped. Need a new lid or pump into another drum.
2,500
LE 811 3704 0100 000 FL 131545 099001 102577 2,500 00
Donielle McKinley 3/27/26
YVONNE CERNA 03/30/2026
Vickie Koenig 3/31/2026
Samuel Graves
Vickie Koenig Digitally signed by Vickie Koenig Date: 2026.03.31 14:04:58 -04'00'
Yvonne Cerna Digitally signed by Yvonne Cerna Date: 2026.03.30 09:54:27 -04'00'
Donielle McKinley Digitally signed by Donielle McKinley Date: 2026.03.27 14:17:40 -04'00'
Samuel Graves Digitally signed by Samuel Graves Date: 2026.03.31 10:55:25 -04'00'
File details come from the government source that posted it. Updated .