CN-370000-LE811-3I-72857.pdf

This is a Work Authorization Form issued by the Florida Department of Environmental Protection, Office of Emergency Response, dated 11/11/2025. The authorization involves a contractor identified as "C-B" with a representative named Bill Rasmussen, responding to a petroleum contact water incident (DEP Incident #2025-3-12857) occurring on 6/11/2025 in Lee County. The incident coordinator is Dave Oven, with contact information through the OSC office.

The work authorization authorizes immediate response activities including transport of drums to TSDF, abandonment of one drum, and handling of a petroleum contact water and gas/water mixture from a 55-gallon steel drum located in Leigh Acres containing gasoline and water. Personnel resources include a supervisor and recovery technician, with equipment designated as a pickup/van and backhoe or similar vehicle. The analytical and disposal arrangements specify profiling wastes as petroleum contact water. The work assignment is fixed price with a not-to-exceed estimate amount of $1,500.00. Funding is documented under Project No. LE811, Organization Code 3104.0100.000, I.O. FL, Object Code 121545, Fund BR001, Category Year 109577, with an approved amount of $1,700.00. The authorization was approved by Samuel Graves on 1/11/2025, with additional signatures and dates of 6-12-25 and 10-16-2025.