CN-370000-LE811-4I-68031.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection, Office of Emergency Response, for an emergency response contract with Cliff Berry Inc. (CBI). The authorization was executed on April 19, 2023, under DEP Incident #2023-41-68031 in Hillsborough County, Tampa, with Jon Belcher serving as the on-site coordinator. The contractor representative is Jon Sandora, and the work site is located at N 43rd St and W Idlewild Ave.

The work authorization authorizes an immediate response for the handling of approximately 100 gallons of used oil and gas mixture, specifically addressing two abandoned drums. The scope includes deploying a supervisor and recovery technician, a response truck, and associated recovery equipment. The service is provided on a fixed-price basis with an estimated cost of $3,500. Analytical and disposal arrangements are to be managed via the contractor. Funding is allocated from Project LEB11 under Organization Code 3704010000, with the expense charged to EO FC, Object Code 161545, Fund 099001, Category/Year 102577, and Amount $3,500. All required approvals were obtained from the DEP representative, contractor representative, and OER budget representative as of June 26, 2023.