CN-370000-LE811-4I-68982.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection, Office of Emergency Response, dated November 2, 2022. The document authorizes work under contract with Cliff Berry Inc. (Contract #311) with site operations at Vista Way Grum Clearwater in Clearwater, Pinellas County, Florida. The incident, identified as DEP Incident #2022-4168882, occurred on November 2, 2022, and is managed by OSC Sean Lynch. The responding contractor is Jon Sandora, with departmental oversight provided by Samuel Graves (DEP Representative) and Amanda Lanphere (OER Budget Representative).

The work authorization directs immediate response to handle an abandoned 55-gallon drum containing approximately 40 gallons of used/water-down gasoline. The scope includes response truck services and a recovery technician, with work to be completed for removal and disposal. The estimated cost is $1,015.00, funded through Project LE809 (Organization Code 37040100000, EO FC, Object Code 131545, Fund 099001, Category 102577). The work assignment is designated as fixed price, not to exceed the estimated amount. All signatures were executed on November 2, 2022, with final authorization dated November 3, 2022.