OER_13 (Effective 7-01-2017)

Florida Department of Environmental Protection

Office of Emergency Response

WORK AUTHORIZATION FORM

Required Signatures: Adobe Signature or Original Ink Supplemental WAF

Contractor: ____________________________________ DEP Incident # ______________________ Contract #: ___________ Rep: ____________________ Incident Date _______________________ Site Name: ____________________________________ OSC: ______________________________ Location: ______________________________________ Phone: Office______________________ City: __________________County: _________________ Cell ________________________

Description of Work: Respond Immediately Call OSC to set date/time__________________________________

Spill Response Overpack Drums Transport drums to TSA Abandoned Drum:

Remove Soil Sampling Transport Drums to TSDF Analysis of samples collected by OER

Other:

Suspected Materials, and amounts: _____________________________________________________________________________________

Level of Effort: (Check all that apply) Use Subcontractor per OSC

Personnel Vehicles Equipment

Supervisor: ____ Response Truck Overpack Drums: Visqueen

Recovery Tech: ____ Straight Truck 55-gal. Drums: Roll-off Containers: ___________

Field Chemist: ____ Vacuum Truck Sampling Gear EPA Level 1 Vapor Detector

Equip. Oper.: ____ Pickup or Van Sampling Gear EPA Level 2 PPE Level: __________________

Other: ____________ Backhoe or Similar Other: ________________ MOT

Contract Rate: ____________

Comments: ___________________________________________________________________________________________________________

Analytical & Disposal Arrangements: (analytical will usually be listed on Chain-of-Custody or other form)

Via Contractor Via Subcontractor Other: __________________________

Profile Wastes as:

Work Assignment Type: fixed price Not to Exceed estimate amount: $___________________________

Funding Information: (information provided by OER budget rep., budget rep to sign after WAF executed, but prior to transmittal to F&A)

Project No. Organization Code EO Object Code Fund Category/Yr Amount

Approved:

DEP Representative: __________________________ Signature: _______________________________ Date: __________________

Contractor Rep: __________________________ Signature: ___________________________________ Date: __________________

OER Budget Rep: __________________________ Signature: __________________________________ Date: __________________

Deliverable will be reviewed and evaluated by the DEP Contract Manager to ensure appropriate documentation reviewed and/or provided and that the documentation submitted is complete, accurate, and submitted timely