Work Authorization Form Summary

This is a Work Authorization Form (Supplemental WAF) issued by the Florida Department of Environmental Protection (FDEP), Office of Emergency Response. The document authorizes emergency response work under Contract #LEB11 with Cliff Berry Inc. (CBI), assigned to incident #3024-LC-71668 dated October 19, 2024. The work site is located at Redington Shores Drum in Pinellas County, Florida. The responsible parties include Jan Belcher from the FDEP Office (813-470-5908) and Aiden Telfer as the contractor representative.

The authorized work involves immediate response to address one abandoned drum containing an estimated 55-gallon drum of hydraulic fluid (50%-75% kerosene and fill). The work includes recovery technician deployment and use of a response truck, with analytical and disposal arrangements to be handled via contractor. The work assignment is fixed-price with a not-to-exceed estimate of $1,400. Funding is allocated from Project Number 2T-RN-DQ2-000 under Organization Code 2315-2145, Object Code 1009.001, with the amount of $1,400.00 approved on 10/23/24. The DEP Representative, Contractor Rep (Aiden Telfer), and OER Budget Rep (Vickie Korning) all provided approval signatures dated November 12, 2024.