CN-370000-LE811-4C-71163.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 Cliff Berry Inc. (CBI) under Contract LE 811 at a location on 2626 64th Ave North in St. Pete, Pinellas County, Florida. The incident, identified as 2024-4C-71163, occurred on May 23, 2024, with Jason Drinkard serving as the responsible OSC (On-Scene Coordinator). The form was approved by DEP Representative Jason Drinkard, with contractor representative Jon Sandord and OER Budget Representative Vickie Koenig executing the authorization on May 23, 2024, and May 24, 2024, respectively.

The work authorization covers immediate response to handle an abandoned drum containing used oil filters. The scope includes deploying a supervisor and recovery technician with a response truck and overpack drums as necessary equipment. The work is assigned on a fixed-price basis with an estimated amount not to exceed $1,400.00. Analytical and disposal arrangements will be conducted via the contractor. Funding for this work is allocated from Project LE 811 using Organization Code 3704 0100 000, with the charge directed to FC Object Code 131545, Fund 099001, and Category/Year 102577. The deliverable will be reviewed and evaluated by the DEP Contract Manager to ensure appropriate documentation and timely submission.