CN-370000-LE811-4I-69524.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection, Office of Emergency Response. The document authorizes work under incident 2022-4I-69524, dated October 6, 2022, involving contractor LBIH and their representative John Sandora. The work site is located at Pine Woods Abandoned Drum, 6502 Majestic Lane, Town 'N' Country, Hillsborough County, Florida. The responsible state agency contact is the Michelle Davidson Division, with oversight provided by DEP representative Michelle Davidson and OER budget representative Amanda Lanphere.

The authorized work involves immediate response to address two abandoned drums containing approximately five gallons of petroleum (possibly diesel) inside a storage tank. The response includes deployment of a recovery technician and response truck with PPE (work clothes) and sampling equipment. The work is classified as a fixed-price contract with a not-to-exceed estimate amount of $1,300. Analytical and disposal arrangements will be handled via contractor. Funding is allocated from Project LE811, Organization Code 37040100000, EO FC, Object Code 131545, Fund 099001, Category/Year 102577. The work authorization was approved by Samuel Graves on October 10, 2022, with contractor authorization signed by Jon Sandora and OER budget authorization signed by Amanda Lanphere on November 7, 2022.