CN-370000-LE811-4I70284C.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection, Office of Emergency Response. The document authorizes work to be performed by Cliff Berry Inc. (CBI) under contract with representative Steve Haggerty. The work site is located at Fort Button & US41 Drums in Tampa, Hillsborough County, Florida. The incident is associated with DEP Incident #2023-4-702840, dated 8/25/23, with Jon Belcher serving as the On-Scene Coordinator.

The authorized work involves an immediate response to an abandoned drum (8 drums identified) and includes provisions for spill response, soil removal, overpack drums, sampling, and drum transportation as needed. The work assignment is fixed-price with a not-to-exceed estimate amount of $1,510. Personnel assigned include one Recovery Technician, and equipment authorized includes a response truck. The analytical and disposal arrangements will be handled via contractor. Funding is allocated from Project No. LE911, Organization Code 3-704101-00000, with object code 12154 and fund 0-99001, categorized as 102577. The WAF was approved by Samuel Graves (DEP Representative), with signatures from Jon Belcher (DEP Representative), Natalie Collins (Contractor Representative), and Amanda Umpley (OER Budget Representative), dated 8/26/23 and 9/19/2023 respectively.