CN-370000-LE811-4I-70071.pdf

This Work Authorization Form is issued by the Florida Department of Environmental Protection, Office of Emergency Response, for emergency response services performed by Cliff Berry Inc. (CBI) under Contract Number LEB11. The work authorization was generated on June 1, 2023, in response to DEP Incident #2023-41-70071 located in Tampa, Hillsborough County, at 5204 St. Paul Street. The incident is overseen by Jon Belcher, with Jon Sandora serving as the contractor representative.

The work authorization authorizes an abandoned drum response requiring immediate action, specifically addressing one drum containing unknown solids suspected of being car wash waste. The authorized scope of work includes a supervisor, recovery technician, one response truck, and one 55-gallon drum for containment. The work is assigned as fixed price with a not-to-exceed estimate amount of $1,200. Funding is sourced from Project Number LEB11, Organization Code 2764010000, with the amount allocated under Fund 099001 and Category/Year 102577 on the date of 8/10/2023. All required approvals and signatures were completed by June 5, 2023, with final authorization dated July 10, 2023.