CN-370000-LE811-4I73191C.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection, Office of Emergency Response, for emergency response services. The document authorizes work under Contract LE811 with CBI Energy Inc. (CBI) at a site located in Lake Wales, Polk County, Florida. The incident is dated 09-30-25 with DEP Incident Number 2025-4L73181C. The primary contact is Jassin Dinkard with the Office of Emergency Response.

The work authorization covers emergency response activities related to used oils, specifically involving the handling of 14 abandoned drums. The scope includes immediate response services with an estimated not-to-exceed amount of $2,122.00. The contractor will utilize a supervisor, recovery technician, response truck, pickup/van, and overpack drums (5-3 units) as part of the level of effort. Analytical and disposal arrangements will be handled via the contractor. Funding is allocated from Project No. LE811, Organization Code 3704-0100-600-0, with Object Code 31314545, Fund 10/500, Category/Year 10/05/11, and a budgeted amount of $9,000 UD. The WAF was approved on October 1, 2025, with signatures from DEP Representative Jassin Dinkard, Contractor Representative, and OER Budget Representative Joni Keroia.