CN-370000-LE811-4I-69196.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection's Office of Emergency Response. The document authorizes work to be performed by Cliff Berry Inc., with site operations based in Tampa, Hillsborough County, Florida. The incident reference number is 2022-4I-89196, dated July 8, 2022. The responsible parties include DEP Representative Michelle Davidson, Contractor Representative Jon Sandra, and OSC Michelle Davidson.

The work involves emergency response to remove a potentially hazardous 55-gallon drum containing oil and greenish water from a neighborhood location. The service is classified as abandoned drum removal requiring immediate response. The contractor will utilize one 55-gallon drum for containment, with analytical and disposal arrangements managed via the contractor. The fixed-price work authorization is not to exceed $1,015. Funding is allocated from Project LE809, Organization Code 37040100000, with the expense charged to Object Code 139900, Fund 09001, Category/Year 102577, and Amount 1015 00. All signatures were executed on July 11, 2022, by Samuel Graves (Approved), Michelle Davidson (DEP Representative), Jon Sandra (Contractor Representative), and Amanda Lanphere (OER Budget Representative).