CN-370000-LE811-4I-73425.pdf
PDF 160 KB Posted
- Contract number
- LE811
- Issued by
- Florida
About this file
This Work Authorization Form (OER_13) is issued by the Florida Department of Environmental Protection, Office of Emergency Response. The document authorizes work performed by Cliff Berry Inc. (CBI) under Contract #2026-4I-73425 (SWO 26-271) in response to DEP Incident #2026-4I-73425. The work site is located at 7th Avenue N and 42nd N Street in St. Petersburg, Pinellas County, Florida. Key personnel include Aiden Tellier as the contractor representative, Jasson Drinkard as the On-Scene Coordinator, and Vickie Koenig as the OER Budget Representative.
The work authorization addresses the removal and management of one abandoned drum containing used oil. The scope of work is classified as fixed price with a not-to-exceed estimate of $1,600.00. Personnel assigned include one supervisor and one recovery technician, with one overpack drum and one response truck designated for the operation. Analytical and disposal arrangements are to be handled via the contractor. Funding is allocated from Project LE 811, Organization Code 3704 0100 000, with the amount of $1,600.00 charged to Fund 099001, Object Code 131545, and Category/Year 102577. The work authorization was executed on January 12, 2026, with digital signatures from all required representatives.
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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) 2026-4I-73425 (SWO 26-271)
LE811 Aiden Tellier 1/12/26
White poly drum St Pete 7th ave N Jasson Drinkard
7th Ave N & 42nd N St Pete 813-470-5908
St Pete Pinellas 813-244-2934
Used oil
D
1600.00
LE 811 3704 0100 000 FL 131545 099001 102577 $1,600 00
Jasson Drinkard 01/12/26 aiden tellier 1/12/26
Vickie Koenig 1/12/2026
Samuel Graves
✔ 1
✔ 1
Vickie Koenig Digitally signed by Vickie Koenig Date: 2026.01.12 13:32:28 -05'00'
Aiden Tellier Digitally signed by Aiden Tellier Date: 2026.01.12 13:23:37 -05'00'
Jasson Drinkard Digitally signed by Jasson Drinkard Date: 2026.01.12 11:56:10 -05'00'
Samuel Graves Digitally signed by Samuel Graves Date: 2026.01.13 09:52:31 -05'00'
File details come from the government source that posted it. Updated .