CN-370000-LE811-4I-73092.pdf
PDF 121 KB Posted
- Contract number
- LE811
- Issued by
- Florida
About this file
This is a Work Authorization Form (OER_13) issued by the Florida Department of Environmental Protection's Office of Emergency Response. The document authorizes emergency response work to be performed by Cliff Berry Inc (CBI) under Contract LE811. The incident is located at 6940 West Comanche Avenue in Tampa, Hillsborough County, Florida, with incident number 2025-4I-73092 dated August 22, 2025. The work is authorized by DEP Representative Jasson Drinkard, with contract representative Aiden Tellier and OER Budget Representative Beth McNeil.
The work authorization covers the handling of an abandoned drum containing acidic material (pH ~4) that is full and capped, consisting of washed-out material from concrete hardener. The work scope is classified as a fixed price assignment for $1,600.00 and includes one supervisor and one recovery technician, one response truck, and analytical and disposal arrangements via the contractor. The assigned personnel are directed to respond immediately and coordinate the date and time with the On-Scene Coordinator. Funding is allocated from Project LE811, Organization Code 37040100000, Object Code 131545, Fund 099001, and Category/Year 102577. All required signatures were executed between August 25, 2025 and August 28, 2025.
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Text version
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
Cliff Berry Inc (CBI) 2025-4I-73092
LE811 8/22/25
6940 West Comanche Ave. Jasson Drinkard
6940 West Comanche Ave. 813-470-5908
Tampa Hillsborough 813-244-2934 pH ~4, drum is full and capped. Washed out material from concrete hardener.
D pH ~4, drum is full and capped. Washed out material from concrete hardener.
1600.00
LE811 37040100000 FL 131545 099001 102577 $1,600
08/25/25
AIDEN TELLIER
Beth McNeil 08/28/2025
Samuel Graves
Beth McNeil Digitally signed by Beth McNeil Date: 2025.08.28 11:53:35 -04'00'
Aiden Tellier Digitally signed by Aiden Tellier Date: 2025.08.25 15:33:44 -04'00'
Jasson Drinkard Digitally signed by Jasson Drinkard Date: 2025.08.25 10:50:57 -04'00'
Samuel Graves Digitally signed by Samuel Graves Date: 2025.08.28 10:51:17 -04'00'
File details come from the government source that posted it. Updated .