CN-370000-LE811-4I-69991.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection, Office of Emergency Response, for Cliff Berry Inc (CBI) under Contract #LE811. The work authorization was issued on May 23, 2023, for DEP Incident #2023-41-69991 in Hillsborough County, Tampa, Florida. The authorizing officer is Jon Belcher, with Jon Sandora serving as the contractor representative. This document authorizes emergency response work at the North Nebraska Avenue site in Tampa.

The work authorization authorizes an immediate response to address an abandoned drum, with personnel including a supervisor and recovery technician, utilizing a response truck and 55-gallon drums as equipment. The work is assigned as a fixed-price task with a not-to-exceed estimate amount of $1,675. The contract is funded through Organization Code 3704010200, with funding allocated to EO PL, Object Code 131545, Fund 7120001, and Category/Year 01149Z, with an amount of $675. The work was approved on May 12, 2023, by Samuel Graves (DEP Representative), and signed by contractor representative Nicole Collins and OER Budget Representative Amanda Limpken on May 12, 2023, and May 12, 2023, respectively.