CN-370000-LE811-4I-68161.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection (DEP), Office of Emergency Response, for Cliff Berry, Inc. to perform emergency response services. The incident, numbered 2023-41-68161, occurred on February 16, 2023, in Hillsborough County, Tampa, at the Martha Road and Caron Road location. The authorization was executed by DEP Representative Jon Belcher and approved by Samuel Graves, with contractor representative Jon Sandora and OER Budget Representative Amanda Lanphear also signing the document on February 20 and February 9, 2023, respectively.

The work authorization authorizes Cliff Berry, Inc. to respond immediately to a spill incident involving one 55-gallon drum of acidic waste gel. The scope of work includes spill response, overpack drums, transport of drums to TSDF, and handling of an abandoned drum. The contractor will deploy one supervisor and two recovery technicians with a response truck and personal protective equipment at PPE Level C/Potential Level B. Analytical and disposal arrangements will be managed via contractor through solid, non-hazardous, miscellaneous waste profiling. The work is assigned on a fixed-price basis with an estimate not to exceed $1,575. Funding is allocated from Project LE811, Organization Code 37410100000, with funding source Z12001, Object Code 121545, Category/Year 101492, and an amount of $1,575.