Exhibit 5 I' 0 II T 1; \' 1; II G L ,\ II E S I·' II ,\ :\' •. II I S 1; ,\ I' I' I. I •: ,\ 1' I 0 ;"\' An application will not be deemed completed and processed until all required documents and fees are received. A separate application must be filed for each type of franchise Applicant wishes to apply for. STEVEDORE STEAMSHIP AGENT CHECK ONE CARGO HANDLER TUGBOAT & TOWING X VESSEL OILY WASTE REMOVAL VESSEL BUNKERING VESSEL SANITARY WASTE WATER REMOVAL Note: Applicant is defined as the legal entity applying for the franchise. All information contained in this application shall apply only to the Applicant, not to any parent, affiliate, or subsidiary entities. Applicant's Name Triumvirate Environmental (Florida) Inc. (Name as it appears on the certificate of incorporation, charter, by-laws, or other official document) Ap pI icant' s Business Address ,_37.c:O"'l'-"'S-'-WL24.L7'_hLA'-'v'-"e'-'S'-'t"'lit'-'e'-"l'-'0'""9c___ _ _---"D"'a-'-v1'-e"--"--F"' '. L'-'3'-=3'-"3-'-124 Number I Street Phone# (954) 583-3795 _______ E-mail address City/State/Zip [email protected] Fax#: (954) 583-8017 Name of the person authorized to bind the Applicant (This person's signature must appear on Page 10.) Name James Green Title Vice President, Florida App li cant's Business Address ,.37.c:O"'l'-"'SW_,_,_24.L7'_hLA,_,v"'e'-'S,_,t;clit'-'e'-'l'-"0'""9c___ _ _---"D'-"alvl".e"--'-F"'L'-'3"'3"'3-'-124 Number I Street Phone# (954) 583-3795 _ _ _ _ _ _ _ E-mail address City/StatelZip [email protected] Fax#: (954) 583-8017 Provide the Name and Contact Infonnation of Applicant's Representative to whom questions about this application are to be directed: (if different from the person authorized to bind the Applicant) Representative's Name John Wyluda Representative's Title Compliance and Lab Services Coordinator 1 Represen tali ve' s Business Address,_37.c:O"ci'-'<S-'-WL24.L7_hLA,_,v"'e'-'S'-'u"-it'-'ec.Jl._,0!.29c___ _ _---"D'-"alvl".c"--'-F'=L'-'3'-"3'-"3-'-124 Number I Street City/State/Zip Phone# (954) 583-3795 Representative's E-mail address [email protected] Fax#: (954) 583-8017 I PLEASE COMPLETE THIS APPLICATION AND LABEL ALL REQUIRED BACKUP DOCUMENTATION TO CLEARLY IDENTIFY THE SECTION OF THE APPLICATION TO WHICH THE DOCUMENTATION APPLIES (I.E .. , SECTION A, B, C, etc.). Section A I. List the name(s) of Applicant's officers including CEO, COO, CFO, director(s), member(s), partner(s), shareholder(s), principal(s), employee(s), agents, and local representative(s) active in the management of the Applicant. Officers: Title Vice President, Florida First Name James _ _ _ _ _ _ _ _ _ Middle Name _ __ Last Name Green_---::-=c,----::c::-:--,-::;r,-:---:::--:Business Street Address3701 SW 47 1h Ave Suite 109 City, State, Zip Code._,D,.,a"-'v'-"ie":',-'.F~L,__,3'--"3'-"3'-'-12 4 _ _ _ _----=:--~---:---,-----: Phone Number (954)583-3795 --c-------::::-:-: Fax Number ( ) Email Address jgreen_@ triumvirate.com _ _ __ Title Executive Vice President First Name T~ho,_,t'""n~as~--------- Middle Name _ __ Last Name "'A"'ic"'a,_rd"'i, _ _ _ _ _ _ _ __ Business Street Address 200 lnnerbelt Road City, State, Zip Code Somerville, MA 02143 Phone Number (617) 921-4411 _ _--=---,---~- Fax Number ( ) Email Address T Aicardi@ triumvirate. com _ _ __ Title Chief Operating Officer Middle Name _ __ First Name Douglas Last Name Youngen ------,-,-------,Business Street Address 200 Innerbelt Road City, State, Zip Code ,.S-"o"-m"'e"-rv'-'i-'-'ll""e,'-'M""'-A'-0"'2"'1c::4"3'--------Phone Number (617) 628-8098 _ _ _ _ _=-_ Fax Number ( ) Dyoungen@ triumvirate.com_. Email Address ~------- Title Chief Financial Officer First Name William Last Name Lyons,--_ _ _ _ _ _ _ __ Middle Name _ __ 200 Innerbelt Road ---::c---=----=-::-:---:::-:::-:-:-::--------City, State, Zip Code ,S""om"'-"er,_,v"'il"'le"'",""'M"'A-'--"0"'-2-'-'14"'3c _ _ _ _ _--c-_ _ Phone Number (617) 628-8098 _ _ _ _ _=-:::- Fax Number ( ) WLyons@ triumvirate.com _. Email Address Title President and Chief Executive Officer First Name John Middle Name- - Last Name McQuillan _ _ _ _ _ _ __ 200 lnnerbelt Road City, State, Zip Code ':'S""o":m'.'ee"::rv,_,i""ll"'e,'-'M""'-A"-0"'2"-c1.__4'""3'---=-----=:----:----:---: Phone Number (617) 429-8945 Fax Number ( ) Email Address _ _ [email protected] ----,---~~~~----=-------- 2 Title General Manager Middle Name _ __ First Name John Last Name Lennon 3670 SW 47'h Ave - - - - - - - - - City, State, Zip Code 370 I SW 4 7'' Ave Suite 109 Phone Number (954)583-3795 Fax Number ( _) Email Address_ [email protected] _ Attach additional sheets if necessary. 1. RESUMES: Provide a resume for each officer, director, member, partner, shareholder, principal, employee, agent, and local representative(s) active in the management of the Applicant, as listed above. See Attached 2-B; 2-C; 2-D 2-A Section B 1. Place checkrnark to describe the Applicant: ()Sole Proprietorship (x) Corporation ()Partnership ()Joint Venture ()Limited Liability Company 2. Provide copies of the documents filed at the time the Applicant was formed including Articles of Incorporation (if a corporation); Articles of Organization (if an LLC); or Certificate of Limited Partnership or Limited Liability Limited Partnership (if a partnership). If the Applicant was not fonned in the State of Florida, provide a copy of the documents demonstrating that the Applicant is authorized to conduct business in the State of Florida. See 3-A through 3-D Section C l. Has there been any change in the ownership of the Applicant within the last five (5) years? (e.g., any transfer of interest to another party) Yes_X_ No_ If "Yes," please provide details in the space provided. Attach additional sheets if necessary. Perma-Fix ofFort Lauderdale Inc., (Perm a-Fix) was purchased by Triumvirate Environmental (Florida) Inc., on August 12, 2011. See Articles ofIncorporation. 2. Has there been any name change of the Applicant or has the Applicant operated under a different name within the last five (5) years? Yes_X_ No_ If "Yes," please provide details in the space provided, including: Prior name(s) and Date of name change(s) filed with the State of Florida's Division of Corporations or other applicable state agency. Attach additional sheets if necessary. Perma-Fix ofFort Lauderdale Inc., (Perma-Fix) changed the name to Triumvirate Environmental (Florida) Inc. and the name change was filed with the Florida Division of Corporations on August 10, 2011. The amended articles were .filed on August 12, 2011 3. Has there been any change in the officers, directors, executives, partners, shareholders, or members of the Applicant within the past five (5) years? Yes_X_ No_ If "Yes," please provide details in the space provided, including: Prior officers, directors, executives, partners, shareholders, members Name(s) Louis Centofanti, President, and Ben Naccarato, Vice President _ New officers, directors, executives, partners, shareholders, members Name(s) Triumvirate Environmental employees- John McQuillan, President and CEO; William Lyons, CFO; Douglas Youngin, COO; James Green, Vice President, Florida Also supply documentation evidencing the changes including resolution or minutes appointing new officers, list of new p1incipals with titles and contact information, and effective date of changes. Attach additional sheets if necessary. The change occurred during the name change on August 10, 2011 during the incorporation. See Articles ofIncorporation WHICH WERE FILED ON August 12, 2011 Section D Provide copies of all fictitious name registrations filed by the Applicant with the State of Florida's Division of Corporations or other State agencies. If none, indicate "None" None_. 3 Section E I. Has the Applicant acquired another business entity within the last five (5) years? Yes_X_ No_lf "Yes," please provide the full legal name of any business entity which the Applicant acquired during the last five (5) years which engaged in a similar business activity as the business activity which is the subject of this Port Everglades Franchise Application. If none, indicate "None"_ _ __ Triumvirate Environmental (Florida) Inc. acquired Penna-Fix ofFort Lauderdale. This is the first time that Triumvirate Environmental existed in Florida. See Articles ofincO!poration. 2. Indicate in the space provided the date of the acquisition and whether the acquisition was by a stock purchase or asset purchase and whether the Applicant herein is relying on the background and history of the acquired firm's officers, managers, employees and/or the acquired firm's business reputation in the industry to describe the Applicant's experience or previous business history. Attach additional sheets if necessary. Perma-Fix ofFort Lauderdale Inc., (Penna-Fix) changed the name to Triumvirate Environmental (Florida) Inc. and the name change was filed with the Florida Division of Corporations on August 10, 2011. The amended articles were filed on August I 2, 20 I I. The acquisition was by a stock purchase agreement dated June I 3, 20I I. The Applicant, Triumvirate Environmental (Florida), is relying on the acquired firm's managers, employees and the acquired firm's reputation in the indust1y to describe the Applicant's experience. The Applicant, Triumvirate Environmental (Florida), is also relying on the credit, reputation, and executive management ofTriwnvirate Environmental. The officers are: John McQuillan, President and CEO; William Lyons, CFO; Douglas Youngin, COO; James Green, Vice President, Florida. 3. Has the Applicant been acquired by another business entity within the last five (5) years? Yes_ No_X_ If"Yes," provide the full legal name of any business entity which acquired the Applicant during the last five (5) years which engaged in a similar business activity as the business activity which is the subject of this Port Everglades Franchise Application. If none, indicate "None" None . 4. Indicate in the space provided the date of the acquisition and whether the acquisition was by a stock purchase or asset purchase and whether the Applicant herein is relying on the background and history of the parent firm's officers, managers, employees and/or the parent firm's business reputation in the industry to describe the Applicant's experience or previous business history. Attach additional sheets if necessary. None Section F Provide the Applicant's previous business history, including length of time in the same or similar business activities as planned at Port Everglades. See Attached 4A Section G I. Provide a list of the Applicant's current managerial employees, including supervisors, superintendents, and forepersons. See Attached- 4B 2. List the previous work history/experience of the Applicant's current managerial employees, including their active involvement in seaports and length of time in the same or similar business activities as planned at Port Everglades. See Attached: 4B- 4C 4 Section H List all seaports, including Port Everglades (if application is for renewal), where the Applicant is currently perfonning the services/operation which is the subject of this Franchise application. Use this form for each seaport listed. Photocopy additional pages as needed (one page for each seaport listed). If none, state "None" _ _ _ _ _ _ __ Seaport Port Everglades ________ Number of Years Operating at this Seaport 18 List below all of the Applicant's Clients for which it provides services at the seaport listed above. C 1entName (C ompany) Royal Caribbean Number of Years Applicant has Provided · · cr1ent Services to t1us 13 Celebrity Cruise Lines 7 5 Section H List all seaports, including Port Everglades (if application is for renewal), where the Applicant is currently performing the services/operation which is the subject of this Franchise application. Use this form for each seaport listed. Photocopy additional pages as needed (one page for each seaport listed). If none, state "None" ------- Seaport Port of Tampa _________Number of Years Operating at this Seaport 10 L.IS! b e Iow a llfhAI" o t e tppl!cant ' s cr1ents fior w 1c 1l prov1 es serv1ces at the seapmi I"1sted Client Name (Company) Royal Caribbean Cruise Lines Celebrity Cruise Lines Number of Years Applicant has Provided Services to this Client 10 10 S-A Section H List all seaports, including Port Everglades (if application is for renewal), where the Applicant is currently perfonning the services/operation which is the subject of this Franchise application. Use this form for each seaport listed. Photocopy additional pages as needed (one page for each seaport listed). If none, state "None" _ _ _ _ _ __ Seaport Port of Miami Number of Years Operating at this Seaport 18 L.IS t b eIow a ll 0 f tl1e A\ppncan r t' s cr1ents ±1or wh.1cI1 1•.t prov1"des services at th e seapo rtl"td IS e Client Name (Company) Royal Caribbean Cruise Lines Celebrity Cruise Lines Presitge Number of Years Applicant has Provided Services to this Client 18 15 2 5-B Section H List all seaports, including Port Everglades (if application is for renewal), where the Applicant is currently performing the services/operation which is the subject of this Franchise application. Use this form for each seaport listed. Photocopy additional pages as needed (one page for each seaport listed). If none, state "None" _ _ _ _ _ __ Seaport Port of Canaveral ________ Number of Years Operating at this Seaport 18 . h 1't• provi'd es services at th e seapo rtl'ISled L'IS t b eIow all 0 fth e AtPPIICan I' t' s Cl'Ients fior wIuc Client Name {Company) Royal Caribbean Cruise Lines Princess Cruise Lines Number of Years Applicant has Provided Services to this Client 18 9 5-C Section I I. Provide a description of all past (within the last five (5) years) and pending litigation and legal claims where the Applicant is a named party, whether in the State of Florida or in another jurisdiction, involving allegations that Applicant has violated or otherwise failed to comply with environmental laws, rules, or regulations or committed a public entity crime as defined by Chapter 287, Florida Statutes, or theft-related crime such as fraud, bribery, smuggling, embezzlement or misappropriation of funds or acts of moral turpitude, meaning conduct or acts that tend to degrade persons in society or ridicule public morals. The description must include all of the following: a) The case title and docket number b) The name and location of the court before which it is pending or was heard c) The identification of all parties to the litigation d) General nature of all claims being made If none, indicate "None" NONE. 2. Indicate whether in the last five (5) years the Applicant or an officer, director, executive, partner, or a shareholder, employee or agent who is or was (during the time period in which the illegal conduct or activity took place) active in the management of the Applicant was charged, indicted, found guilty or convicted of illegal conduct or activity (with or without an adjudication of guilt) as a result of a jury verdict, nonjury trial, entry of a plea of guilty or nolo contendere where the illegal conduct or activity (I) is considered to be a public entity crime as defined by Chapter 287, Florida Statutes, as amended from time to time, or (2) is customarily considered to be a white-collar crime or theft-related crime such as fraud, smuggling, bribery, embezzlement, or misappropriation of funds, etc. or (3) results in a felony conviction where the crime is directly related to the business activities for which the franchise is sought. Yes No X If you responded "Yes," please provide all of the following information for each indictment, charge, or conviction: a) A description of the case style and docket number b) The nature of the charge or indictment c) Date of the charge or indictment d) Location of the court before which the proceeding is pending or was heard e) The disposition (e.g., convicted, acquitted, dismissed, etc.) f) Any sentence imposed g) Any evidence which the County (in its discretion) may determine that the Applicant and/or person found guilty or convicted of illegal conduct or activity has conducted itself, himself or herself in a manner as to watTant the granting or renewal of the franchise. Section J The Applicant must provide a cutTen! certificate(s) of insurance. Franchise insurance requirements are determined by Broward County's Risk Management Division and are contained in the Port Everglades Tariff No. 12 as amended, revised or reissued from time to time. The Port Everglades Tariff is contained in the Broward County Administrative Code, Chapter 42, and is available for inspection on line at: http//:www:broward.org/port/tariff. See 6A-6E 6 Section K I. The Applicant must provide its most recent audited or reviewed financial statements prepared in accordance with generally accepted accounting principles, or other documents and information which demonstrate the Applicant's creditworthiness, financial responsibility, and resources, which the Port will consider in evaluating the Applicant's financial responsibility. See Attached pages K-1 through K-36 2. Has the Applicant or entity acquired by Applicant (discussed in Section E herein) sought relief under any provision of the Federal Bankmptcy Code or under any state insolvency law filed by or against it within the last five (5) year petiod? Yes No X If "Yes," please provide the following information for each bankmptcy or insolvency proceeding: a) Date petition was filed or relief sought b) Title of case and docket number c) N arne and address of court or agency d) Nature of judgment or relief e) Date entered 3. Has any receiver, fiscal agent, tmstee, reorganization trustee, or similar officer been appointed in the last five (5) year period by a court for the business or property of the Applicant? Yes No X If "Yes," please provide the following infonnation for each appointment: a) Name of person appointed b) Date appointed c) Name and address of court d) Reason for appointment 4. Has any receiver, fiscal agent, tmstee, reorganization tmstee, or similar officer been appointed in the last five (5) year period by a court for any entity, business, or property acquired by the Applicant? Yes No X If "Yes," please provide the following infonnation for each appointment: a) N arne of person appointed b) Date appointed c) N arne and address of court d) Reason for appointment Section L List four (4) credit references for the Applicant, one of which must be a bank. Use this fonnat: Name of Reference Webster Bank Nature of Business Financial Services Contact Name Debra J. Depalla Title Legal Business Street Address 100 Franklin Street _ _ _ _ _ _ _ _ _ _ _ _ __ City, State, Zip Code Boston, MA 02110 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Phone Number (617) 717-6841 (Provide on a separate sheet.) 7 Section M I. Security: Pursuant to Pot1 Everglades Tariff 12, Item 960, all Franchisees are required to fumish an Indemnity and Payment Bond or Irrevocable Letter of Credit drawn on a U.S. bank in a format and an amount not less than $20,000 as required by Broward County Port Everglades Department. 2. Has the Applicant been denied a bond or letter of credit within the past five ( 5) years? Yes No X If "Yes," please provide a summary explanation in the space provided of why the Applicant was denied. Use additional sheets if necessary. Section N I. Provide a list and description of all equipment cun·ently owned and/or leased by the Applicant and intended to be used by the Applicant for the type of service(s) intended to be perfonned at Port Everglades including the age, type of equipment and model number. See 8A 2. Identify the type of fuel used for each piece of equipment. See 8A 3. Indicate which equipment, if any, is to be domiciled at Port Everglades. See 8A 4. Will all equipment operators be employees of the Applicant, on the payroll of the Applicant, with wages, taxes, benefits, and insurance paid by the Applicant? Yes X No If "No," please explain in the space provided who will operate the equipment and pay wages, taxes, benefits, and insurance, if the franchise is granted. Use additional sheets if necessary. Section 0 Provide a copy of the Applicant's current Broward County Business Tax Receipt (formerly Occupational License). See Attached 8K Section P I. Provide a copy of Applicant's safety program. 2. Provide a copy of Applicant's substance abuse policy. 3. Provide a copy of Applicant's employee job training program/policy. 4. Provide information regarding frequency of training. 5. Include equipment operator cet1ificates, if any. See Attached 8C-J 8 Section Q I. Has the Applicant received within the past five (5) years or does the Applicant have pending any or local citations, notices of violations, warning notices, or fines from any federal, state, enviromnental regnlatory agencies? Yes X No 2. Has the Applicant received within the past five (5) years or does the Applicant have pending any citations, notices of violations, warning notices, or civil penalties from the U.S. Coast Guard? Yes- No-X 3. Has the Applicant received within the past five (5) years or does the Applicant have pending any citations, notices of violations, warning notices, or fines from the Occupational Safety and Health Administration? Yes No X If you responded "Yes" to any of this section's questions I, 2, or 3 above, please provide a detailed summary for each question containing the following infonnation: a) Name and address of the agency issuing the citation or notice b) Date of the notice c) Nature of the violation d) Copies of the infraction notice(s) from the agency e) Disposition of case f) Amount of fines, if any g) Conective action taken Attach copies of all citations, notices of violations, warning notices, civil penalties and fines issued by local, state, and federal regnlatory agencies, all related conespondence, and proof of payment of fines. See 9-B 4. Provide a statement (and/or documentation) which describes the Applicant's commitment to enviromnental protection, enviromnental maintenance, and environmental enhancement in the Port. Triumvirate is committed to the protection of the environment. Oily wastes collected ji-mn these vessels are recycled into ji1el products that are completely reusable in aftermarkets. All Triumvirate vehicles preforming oily waste transfers in The Port are equipped with spill equipment and absorbents to maintain cleanliness during transfer operations. Section R Provide written evidence of Applicant's ability to promote and develop growth in the business activities, projects or facilities of Port Everglades through its provision of the services (i.e., stevedore, cargo handler or steamship agent) it seeks to perform at Port Everglades. For first-time applicants (stevedore, cargo handler and steamship agent), the written evidence must demonstrate Applicant's ability to attract and retain new business such that, Broward County may detennine in its discretion that the franchise is in the best interests of the operation and promotion of the port and harbor facilities. The tenn "new business" is defined in Chapter 32, Part II of the Broward County Administrative Code as may be amended from time to time. 9 Section Q If you responded "Yes" to any of this section's questions I, 2, or 3 above, please provide a detailed summary for each question containing the following infonnation: a) Name and address of the agency issuing the citation or notice Florida Department of Environmental Protection b) Date of the notice 11/912011 c) Nature of the violation Manifest Discrepancies; Failure to properly label Universal Waste Lamps, Hazardous Waste Transporter Requirements d) Copies of the infraction notice(s) from the agency See Q3-Q15 e) Disposition of case Fine ji-om Florida DEP f) Amount offines, if any $5,000 g) Corrective action taken Ql-Q3, closed 317/2012 see page 9B-1 Attach copies of all citations, notices of violations, waming notices, civil penalties and fines issued by local, state, and federal regulatory agencies, all related correspondence, and proof of payment of fines. Ql-QJ5; 9B-1 Section R Triumvirate Environmental (Florida) Inc., firmly believes in our ability to develop and promote growth in Port Everglades. As the growth of The Port continues with the arrival of nwre ships andji-eighters, so does the need for oily waste and oily water removalji'Oin these vessels. Triumvirate is prepared for the fillure with our fleet of trucks and 358,000 gallon tank farm located in Davie, Florida. We believe that it is in the best interest of the countyfor Triumvirate to provide services to these vessels through this type of a franchise. in addition, Triumvirate is committed to the protection of the environment. Oily wastes collected from these vessels are recycled into file! products that are completely reusable in aftermarkets. All Triumvirate vehicles preforming oily waste transfers in The Port are equipped with spill equipment and absorbents to maintain cleanliness during transfer operations. 9-A By signing and submitting this application, Applicant certifies that it has read and understands the governing rules and regulations for a franchise as provided in Chapter 32, Part II, of the Broward County Administrative Code as amended. For additional infmmation, visit: http://www.municode.com/resources/gateway.asp?pid= 13528&sid=9. By signing and submitting this application, Applicant certifies that all infonnation provided in this application is true and correct and further, understands that providing false or misleading infonnation on this application may result in the franchise application being denied , or in instances of renewal, a franchise revoked. Applicant hereby waives any and all claims for any damages resulting to the Applicant from any disclosure or publication in any manner of any material or infmmation acquired by Broward County during the franchise application process or during any mquiries, investigations, or public hearings. The individual executing this application personally warrants that slhe has the full binding authotity to execute this application on behalf of the Applicant. Applicant further understands that if there are any changes to the infonnation provided herein (subsequent to this application submission) and/or to its officers, directors, senior management personnel and/or in its business operation as stated in this application, Applicant agrees to provide such updated information to the Port Everglades Department of Broward County including the furnishing of the names, addresses (and other infmmation as required above) with respect to persons becoming associated with Applicant after its franchise application is submitted and any other required documentation requested by Port Everglades Department staff as relating to the changes in the business operation. This infonnation must be submitted within ten (I 0) calendar days from the date of any change made by the Applicant. Applicant certifies that all workers perfonning functions for Applicant who are subject to the Longshore and Harbor Workers' Act are covered by Longshore and Harbor Workers' Act, Jones Act Insurance, as required by federal law. By signing and submitting this application, Applicant authorizes the Pmi Everglades Department of Broward County to make any inquiry or investigation it deems appropriate to verify or augment the infonnation contained in this application, and authorizes others to release to the Port Everglades Department of Broward County any and all infonnation sought in such inquiry. Applicant further understands that under the laws of the State of Florida, this application is subject to the Florida Public Records Act (Chapter 119, Florida Statutes) as rna):: e amended . Signature of Applican ' Representative _ _ -rr-~"---""'--..-'-+----t+------Date Signed 7/22/2013 Signature name and title- typed or printed: James Green, Vice President, Florida Witness Signature(*Required*) Witness name-typed or printed Witness Signature (*Required*) Witness name-typed or printed ~ ~A PaJaMa L. .e .D oax. ()k ~ .&..!'(\ R0'5 \D Q~- Y\ If a franchise is granted, all official notices/correspondence should be sent to : Name John "Shawn" Lennon Title General Manager Address 3670 SW 47 111 Ave Davie, FL 33314 Phone (954) 583-3795 10 If you have checked an Applicant box for VESSEL BUNKERING, OR VESSEL OILY WASTE REMOVAL, OR VESSEL SANITARY WASTE WATER REMOVAL, then the following additional infonnation is required: DESSEL BUNKERING Section T- A Letter of Adequacy from the U.S. Coast Guard and a copy of the applicant's operations manual approved by the U.S. Coast Guard. Section V-A copy of the applicant's Oil Spill Contingency Plan for Marine Transportation Related Facilities approved by the U.S. Coast Guard. Section W- A Tem1inal Facility Discharge Prevention and Response Certificate with a copy of an approved Oil Spill Contingency Plan from the Florida Dept. of Environmental Protection. Section Z- An approved Discharge Cleanup Organization Certificate from the Florida Dept. of Environmental Protection which has been issued to the applicant or to its cleanup contractor with a copy of the cleanup contract showing the expiration date. X ~ESSELOILYWASTEREMOVAL Section S - Certificate of Adequacy in compliance with the Directives of MARPOL 73175 and 33 CFR 158, if applicable. Section T- A Letter of Adequacy from the U.S. Coast Guard and a copy of the Applicant's operations manual approved by the U.S. Coast Guard. Section U- A Waste Transporter License from the Broward County Environmental Protection Department identifying the nature of the discarded hazardous (or non-hazardous) material to be transported. Section V- A copy of the Applicant's Oil Spill Contingency Plan for Marine Transportation Related Facilities approved by the U.S. Coast Guard. Section W- A Terminal Facility Discharge Prevention and Response Certificate with a copy of an approved Oil Spill Contingency Plan from the Florida Dept. of Environmental Protection. Section X- A Used Oil Collector, Transporter, and Recycler Certificate from the Florida Dept. of Environmental Protection. Section Y- An Identification Certificate from the U.S. Environmental Protection Agency. Section Z- An approved Discharge Cleanup Organization Certificate from the Florida Dept. of Enviromnental Protection which has been issued to the Applicant or to its cleanup contractor with a copy of the cleanup contract showing the expiration date. ~SSEL SANITARY WASTE WATER REMOVAL Section U- A Waste Transporter License from the Broward County Environmental Protection Department identifying the nature of the discarded hazardous (or non-hazardous) material to be transported. Section Zl- A copy of the Applicant's operations manual. Section Z2- A Septage Receiving Facility Waste Hauler Discharge Permit from the Broward County Water and Wastewater Services Operations Division. 11 Section A.1 James F. Green Vice President South East Region 617-413-3639 [email protected] As vice president, Jim manages Triumvirate's South-East region and is responsible for the development and implementation of innovative environmental service solutions. This includes the processing and recycling of over 3,000,000 gallons per year of oil and water and the operations of a Part-B-remitted facility in Orlando, Florida. Additionally, Jim manages over 20 field personnel and ensures operational efficiency, productivity, and success. This includes mentoring, developing, and coaching other managers and team members, as well as overseeing branch compliance with local, state, and federal environmental, OSHA, DOT, labor, and other regulations. Jim ensures that Triumvirate's culture, core beliefs, and policies are being followed, and he represents the organization at client, government1 community, and other related events. He has been with Triumvirate since 2008. Jim draws from over 30 years of experience within the environmental services industry and has been involved in various remediation projects, hazardous and non-hazardous waste management, laboratory packs and sustainability initiatives. Jim holds a B.A. in Biochemistry from Clark University, as well as a M.S. in Medical Chemistry, from Northeastern University, and a PhD candidacy at Northeastern University. Thomas J. Aicardi Executive Vice President 617-921-4411 [email protected] Tom is the executive vice president of Triumvirate and oversees the company's business strategy. He works to ensure that we have a focused strategy, clear mission, and that we invest in our people and hire the best. Tom began his career at Triumvirate in 1988, as one of six employees. He was responsible for the higher education niche and introducing our on-site support program, first used at Harvard University. Tom's strengths include knowing that, in servicing our clients, one size does not fit all. His core belief is to hire the best employees, train them, and have them WOW! our clients. He has mentored more than 100 employees at Triumvirate. Tom forges many of our client relationships and develops long-term partnerships that fulfill our clients' needs. He ensures that Triumvirate maintains its position as the leading environmental services provider. Tom is a registered environmental manager and holds a business management degree from Curry College in Massachusetts. He has attended the Center for Management Research Programs on Leadership for Senior Executives, MIT, the Sloan School of Management, and the Greater Boston Executive Program in Business Management. 2-B Doug W. Youngen Chief Operating Officer (617) 628-8098 [email protected] Doug manages Triumvirate Environmental' s day-to-day operations. He oversees various departments, including Operations, Information Technology, Marketing, Compliance, Human Resources, and Finance. He develops firm policies, employee benefits, facility relationships, and supervises all office management. Doug has extensive training in both professional development and emotional intelligence. He has taught numerous internal and external courses and seminars on these subjects. Doug has a passion for soft skills in the workplace, and as a result, has spent much of his time ensuring that his employees demonstrate not only IQ, but EQ as well. Doug has a bachelor's degree in biochemistry and economics from Bowdoin College, and is a graduate of the MIT Sloan School Executive Management Program. He is a member of Triumvirate's executive team, spearheads the training and management programs, and serves on the Board of Directors for the Environmental Business Council of New England. Bill Lyons Controller (617) 447-1006 [email protected] Bill is the controller at Triumvirate Environmental and manages the company's financial and accounting activities. In addition to the accounting and finance functions Bill has had significant experience and exposure with mergers and acquisition integration as well as systems enhancements and conversions. Bill has worked for a range of companies from venture capital start-ups to Fortune 100 firms (NEC, Shaw Group, Intel, and Exxon Mobil). He holds significant experience in various industries including: technology, manufacturing, construction, petrochemical, biotech and software. Bill received his Bachelor of Science from Providence College in Rl, and his Master of Accountancy from Suffolk University in Boston. He holds a CPA license. 2-C John F McQuillan, Jr. President and Chief Executive Officer 617-628-8098 [email protected] John McQuillan serves as the president and CEO of Triumvirate, advisor to life sciences, teaching hospitals, Fortune 500 companies, and universities. Under his leadership, Triumvirate has developed and implemented more than 50,000 complex environmental solutions, benefitting over $200 billion in customer assets. Mr. McQuillan serves or has served as director, trustee, or patron for more than fifty mission-driven organizations, concentrated in the areas of: excellence in transportation, health care and education; sustainable workforce development; and protection of the environment. He holds a bachelor degree from Bowdoin College, and master degree from Harvard University. John Lennon, Jr. General Manager 954-583-3795 [email protected] John Lennon serves at the General Manager of Triumvirate Environmental (Florida) and is responsible for profit/losses, compliance, operations, sales and personnel. In his current role John ensures that the largest clients are being serviced at the highest level, and that the all of the employees are exhibiting the WoW level of service. John has been in the waste oil and waste disposal industry since 1975. For ten years John owned and operated an oil truck disposal and delivery service in New England. From 1985 to date John has worked at the facility that is currently Triumvirate Environmental (Florida). During his tenure before his role as General Manager John had been in charge of Product Sales and Service, Sales Manager, and Operations Manager. 2-D Detail by Entity Name Page 1 of3 Section B Detail by Entity Name Florida Profit Corporation TRIUMVIRATE ENVIRONMENTAL (FLORIDA), INC. Filina Information Document Number FEI/EIN Number Date Filed State Status Effective Date Last Event Event Date Filed Event Effective Date H38590 592480377 01/18/1985 FL ACTIVE 01/15/1985 REINSTATEMENT 10/17/2012 NONE Principal Address 3701 SW 47TH AVE. SUITE 109 DAVIE, FL 33314 Changed: 05/01/1996 Mailina Address 3701 SW 47TH AVE . SUITE 109 DAVIE, FL 33314 Changed: 05/01/1996 Reaistered Aaent Name & Address CORPORATION SERVICE COMPANY 1201 HAYS STREET lfALLAHASSEE, FL 32301 Name Changed : 10/06/1997 ~ddress Changed: 05/27/2002 Officer/Director Detail Name & Address Title CEO , President MCQUILLAN, JOHN F http://search.sunbiz.org/lnquiry/CorporationSearch/SearchResultDetail/EntityName/domp-... 7116/20 13 Page 2 of3 Detail by Entity Name 200 INNER BELT ROAD SOMERVILLE, MA 02143 !Title COAS jYOUNGEN, DOUGLAS 200 INNER BELT ROAD SOMERVILLE, MA 02143 !Title Asst. Secretary DUQUETTE, EMILY 200 INNER BELT ROAD SOMERVILLE, MA 02143 !Title General Manager, Director GREEN, JAMES 3701 SW 47TH 47TH AVE., STE 109 DAVIE, FL 33314 !Title Manager- Fleet Compliance Mclean, Donna L 200 INNER BELT ROAD SOMERVILLE, MA 02143 ~nnual Reports Report Year 2011 2012 2013 Filed Date 04/18/2011 10/17/2012 05/07/2013 Document lmaaes 05/07/2013 --ANNUAL REPORT View image in PDF format 10/17/2012-- RE INSTATEMENT View image in PDF format 08/12/2011 --Amended and Restated Articles ~=V==i=ew=im=a=ge=i=n=P=DF=f=o=rm=a=t=~ 08/10/2011 -- Name Change View image in PDF format 04/18/2011 --ANNUAL REPORT View image in PDF format 03/30/2010 --ANNUAL REPORT View image in PDF format 04/28/2009 -- ANNUAL REPORT View image in PDF format 04/02/2008 -- ANNUAL REPORT View image in PDF format 04/06/2007 --ANNUAL REPORT View image in PDF format 03/31/2006 --ANNUAL REPORT View image in PDF format 04/18/2005 --ANNUAL REPORT View image in PDF format 03/29/2004 --ANNUAL REPORT View image in PDF format 04/25/2003 --ANNUAL REPORT View image in PDF format 05/27/2002 --ANNUAL REPORT View image in PDF format http://search.sunbiz.org/lnquiry/CorporationSearch/SearchResultDetail/EntityName/domp-... 7/ 16/2013 Page 3 of3 Detail by Entity Name 05/16/2001 -- ANNUAL REPORT I View image in PDF format 05/15/2000 -- ANNUAL REPORT I I I I View image in PDF format 03/02/1999 -- ANNUAL REPORT 04/22/1998 -- ANNUAL REPORT Home Contact Us E-Filing Services 10/06/1997 -- REG. AGENT CHANGE View image in PDF format View image in PDF format 1 View image in PDF format I 01/28/1997 -- ANNUAL REPORT View image in PDF format 05/01/1996 -- ANNUAL REPORT View image in PDF format 05/01/1996 -- ANNUAL REPORT View image in PDF format 06/29/1995 -- ANNUAL REPORT View image in PDF format -- - ~ I I I Forms Help © and privacy Policies State of Florida, Department of State http://search.sunbiz.org/lnquiry/CorporationSearch/SeatchResultDetail/EntityName/domp- ... 7/16/2013 Section 8.2 AMENDED AND RESTATED ARTICLES OF INCORPORATION OF TRIUMVIRATE ENVIRONMENTAL (FLORIDA), INC. The undersigned, on behalf of Triumvirate Environmental (Florida), Inc. (the "Corporation"), a Florida corporation, has executed these Amended and Restated Articles of Incorporation, as approved by the Shareholders of the Corporation in an action by written consent effective August ~. 2011, pursuant to Sections 607.0821 and 607.0704, Florida Statutes. The number of votes cast by the shareholders by written consent was sufficient for approval. These Amended and Restated Articles amend and restate in their entirety the Corporation's Articles of Incorporation, as filed with the Florida Department of State on January 18, 1985, as amended. ARTICLE I- NAME/ADDRESS The name of the Corporation is Triumvirate Environmental (Florida), Inc. The street address of the principal office and mailing address of the Corporation is 3701 SW 47TH Avenue, Suite 109, Davie FL 33314. ARTICLE II- DURATION The Corporation shall exist perpetually. ARTICLE III - PURPOSE ,·'·-. .. ·. '· ) ···, ?:.~> - -·- .. ..:::Jc:·r·· r::;.~- - The Corporation is organized for the purpose of transacting any or alllawfu11'business for which corporations may be incorporated under Chapter 607, Florida Statutes. ARTICLE IV - CAPITAL STOCK The maximum number of shares of capital stock that the Corporation is authorized to issue and have outstanding at any one time is One Thousand (1000) shares of Common Stock having a par value of$0.01 per share. 1275584v3/1390l-32 8/4/20 II 3-A ARTICLE V -REGISTERED OFFICE AND AGENT The street address of the registered office of the Corporation is: 120 1 Hays Street Tallahassee FL 32301 US The name of the registered agent of the Corporation at that address is: Corporation Service Company ARTICLE VI- BOARD OF DIRECTORS A. The Corporation shall initially have one (I) director. The number of directors may be either increased or decreased from time to time in accordance with the Bylaws, but shall never be less than one (1 ). B. The name and address of the cutTen! director of the Corporation are as follows: Street Address John F. McQuillan, Jr. 61 Inner Belt Road Somerville, MA 02143 ARTICLE VII- OFFICERS The names, offices and addresses of the current officers of the Corporation are as follows: Name Office Address John F. McQuillan, Jr. President, Treasurer, and Secretary 61 Inner Belt Road Somerville, MA 0214 3 Douglas Youngen Chief Operating Officer and Assistant Secretary 61 Inner Belt Road Somerville, MA 02143 James Green Vice President Emily Duquette Assistant Secretary 3701 SW 47TH Avenue Suite 109 Davie FL 33314 61 Inner Belt Road Somerville, MA 02143 l275584v3/J3901-32 8/4/201 I 2 3-B ARTICLE VII-BYLAWS The power to adopt, alter, amend or repeal Bylaws shalt be vested in the Board of Directors and the shareholders. ARTICLE VIII - AMENDMENT The Corporation reserves the right to amend or repeal any provisions contained in these Articles of Incorporation, or any amendment hereto, and any right conferred upon the shareholders is subject to this reservation. [Remainder ofpage intentionally left blank; signature page follows] 1275584v3/13901-32 81412011 3 3-c IN WITNESS WHEREOF, the undersigned has executed these Amended and Restated Articles of Incorporation of Triumvirate Environmental (Florida), Inc. effective as of this 12 th day of August, 20 I I. 12 75584\'2/13 90 1·32 3-D Section F Section F Provide the Applicant's previous business history, including length of time in the same or similar business activities as planned at Port Everglades. Triumvirate Environmental (Florida) Inc. (TEl) predecessor was Perma-Fix of Ft. Lauderdale Inc., (PFFL) whose predecessor was Integrated Resource Recovery Inc. Integrated Resource Recovery, Inc was started in 1984 as a wholesale distributor of motor oil and automotive equipment. In 1985, the company began to collect and dispose of waste oil as a service to its customers. In response to rapid growth in demand for waste oil collection services and the profit potential associated with fuel oil sales, the wholesale distribution of motor oil was discontinued and waste oil collection was expanded. With the installation of a waste water treatment unit in 1987, TEl expanded its waste removal treatment capabilities to include non-hazardous and oil wastewaters. Coinciding with the installation of wastewater treatment unit, TEl expanded its waste removal services to include hazardous waste, oil filters, and non-hazardous sludge's. Following the promulgation of the Toxic Characteristic rule in 1990, the company was grand fathered as a RCRA Part A facility for the treatment of D018-D043 hazardous waste. In 1990, TEl expanded into industrial waste removal services by the purchase of two mobile vacuum units. In May 1993 Integrated Resource Recovery, Inc. was purchased by Quadrex Environmental Services, Inc. (Quadrex) headquartered in Gainesville, Florida. Under the ownership of Quadrex, lntergraded Resource Recovery terminated its RCRA Part A status and initiated design and permitting activities necessary to support a $2,000,000 dollar facility expansion and upgrade. This expansion and upgrade focused on improved processing and treatment technologies to support Integrated Resource Recovery's primary business activity, the transportation and reclamation of used oil and oily wastewaters. In July 1994, Quadrex and all subsidiaries (e.g. Integrated Resource Recovery Inc.) were purchased by Perma-Fix Environmental Services Inc. In December 1994 Integrated Resource Recovery changed its legal name to Perma-Fix of Ft. Lauderdale, Inc. In December 1994 PFFL received its Letter-of-Adequacy from the U.S. Coast Guard. In August 2011 Perm a-Fix of Fort Lauderdale was purchased by Triumvirate Environmental (Florida) Inc., and the name change also occurred in that month. Since receiving the Letter-of-Adequacy from the U.S. Coast Guard TEl has successfully removed and reclaimed millions of gallons of oily waste from vessels throughout southeast Florida without discharge or release to the environment. Additionally, TEl currently provides hazardous waste removal and disposal services for various cruise lines based out of Port Everglades. 4-A Section G Section G 1. Provide a list of the Applicant's current managerial employees, including supervisors, superintendents, and forepersons. Name Position Years Experience John (Shawn) Lennon, Jr. General Manager 39 Steven Swett Operations Manager 13 Orlando Solis Technical Service Manager 20 Orville Mackenzie Foreman 20 2. List the previous work history/experience of the Applicant's current managerial employees, including their active involvement in seaports and length of time in the same or similar business activities as planned at Port Everglades. 11 11 John 5hawn Lennon, Jr. John Lennon serves at the General Manager of Triumvirate Environmental (Florida) and is responsible for profit/losses, compliance, operations, sales and personnel. In his current role John ensures that the largest clients are being serviced at the highest level, and that the all of the employees are exhibiting the WoW level of service. John has done work at Port Everglades for over 20 years. John has been in the waste oil and waste disposal industry since 1975. For ten years John owned and operated an oil truck disposal and delivery service in New England. From 1985 to date John has worked at the facility that is currently Triumvirate Environmental (Florida). During his tenure before his role as General Manager John had been in charge of Product Sales and Service, Sales Manager, and Operations Manager. Steven Swett Steve Swett serves as the Operations Manager at Triumvirate Environmental (Florida) and is responsible for the day to day management of the field employees in addition to the management of Triumvirate's used oil processing facility. Steve has worked for Triumvirate and at Port everglades for 13 years and that work includes scheduling and cording work for The Port, whether it is bulk loads of oil, or drummed hazardous waste. Orlando Solis Orlando Solis serves as the Technical Service Manager at Triumvirate Environmental and has 20 years of experience. In his tenure Orlando managed the paperwork creation and flow from the office in addition to overseeing jobs at The Port. In his current role Orlando oversees that jobs are completed in accordance to the regulations and Triumvirates strict standards, and that the clients are served at a WoW level of service. 4-B Orville Mackenzie Orville Mackenzie serves as a Foreman at Triumvirate Environmental and has 20 years of experience. Orville has been serving Port Everglades for over 10 years and preforms and manages the jobs at The Port. Orville can supervise tank cleaning and hazardous waste pickups, as well as preform the day to day operations that Triumvirate will complete at Port Everglades. 4-C Section J CERTIFICATE OF LIABILITY INSURANCE LFOWLE DATe (MM/DONYYY) I 1212712012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR ccnnoot'cc. AND THE CERTIFICATE HOLDER. '"" •··-· • •: . If the . •f •h• ~~,'~~~r )!,!'~,;uuo • ovo•K~ , the : I m~sl be' lo 'ovo~ IS -~ .~·~ ·.~v t~·~~~~ holde~ In lieu of ;~~'h""-~-:;::~·- ·~·-". may require an endorsement. statement on this cartificate does not confer rights to the """' 1 """'' 1 USI • ~ Services LLC EO~Box~~~E 04112 I r.OO. N•>• (877) · I . NAIC# INSURED 26883 23841 I '"•"••• ",New lrlumvirate Environmental (Florida), Inc. 3701 SW 47th Ave Suite 106 Davie, FL 33314 I '".""'" c I '".""'" D I '"'""'" E' !INSURER F 'NIIMR~I>· 1 I NIIMRI=I>• THIS IS_T.O uc~ !''·'- THAT THo POLICioS OF INSURANCE; LISTED BoLOW HAVE; BoEN ISSUoD TO THE INSURoD NAMED ABOVE FOR TH!O ':_~~~-~:._PERIOD INDICATED. NOTWTHSTANDING ANY REQUIREMENT, ToRM OR CONDITION OF ANY CONTRACTOR OTHoR DOCUMENT WITH RESPECT TO_""':!I~!:J_THIS CERTIFICATE MAY Bo ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAOiiM"'S=j-----------------j ~-1': A TYPE• • GENERAL LIABILITY X _ :=J ~~ POLICYNUMBER .LIABIL CLAIMS-MADE ~ X LOMITS ~ I$ 1, 12/31/2012 1213112013 ~ I$ 1, ~ ooo person) OCCUR <ADV INJURY ~s.ooc I_$ I$ I.! 1, ·, $ ~"""'""' ''""LIAbiLITY 8 ~ ANYAUTO All OWNED _ _ AUTOS HIRED AUTOS ~ UMBRELLA UAB I r- f-f-- X ICA(I939693 • AOS 12/31/2012 12131/2013 SCHEDULE;O 0 BODILY 'COM" I $ ~~~=---1-+:~------~ ~~1~\'\INEO AUTOS • __f-~{OCCUR $ B . :~ IELOISEASE->AFMPO~"I• I A 1171>112010 1?1>11?0" 1, Per' 1 I 12/31/2012 12131/20131Each Claim A ~c.-,':::"''~".'::''" ~~:_.:.?.r:t: I u... 1 nnn nnJ LOCATIONS I VEHICLES (Attach ACORD 101, Addltlonal R&marks Schedule, If more space I& required) _'rmoured status ~ .V!ssel sanitary wastewater franchise only applies per written contract and is subject to policy terms and conditions. CERTIFICATE HOLDER , I E.L. DISEASE- POLICY LIMIT I $ CANCELLATION ... Broward County 1850 Eller Drive Fort Lauderdale, FL 33316 - -SHOULD ANY-OF-THC-ABOVE-DESCRIBED-POLtCIES Bfi-CANCEiLL.EO-BEFORE- THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FRANCISCO VASQUEZ 2013.01.1515:23:42 -05'00' AUTHORIZeD REPRESENTATIVE 1 US! Insurance Services LLC L-------~------------------------------------~------~®~1~9~88~-~2~01~0~A~C~O~R~D~C~O~R~P~O~RA~T~IO~N:;.-A~I~I~ri~gh~~~re-s_e_N_ed.-ACORD 25 (2010/051 The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: -'T:....:. RI-= U....:;:E:..:..; N:....:. V--' -0:...:1_ _ _ __ _ _ __ __:L::.:.F-=O:....:.W ..:..:L=E LOC#: -~ ACORD" ADDITIONAL REMARKS SCHEDULE ~ AGENCY Page 1 of NAMED INSURED Triumvirate Environmental (Florida}, Inc. 3701 SW 47th Ave Suite 108 Davie, FL 33314 USIInsurance Services LLC POLICY NUMBER SEE PAGE 1 I:NAIC CODE CARRIER SEE PAGE 1 ADDITIONAL REMARKS SEEP 1 EFFECTIVE DATE: SEE PAGE 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certlflcato of Liability insurance Remarks: Deductibles Environmental Package (General Liability, Contractors Pollution and Professional) Coverage A. • Bodily Injury and Property Damage (Occurrence) Coverage B. - Personal and Advertising Injury Liability (Occurrence) Coverage C. ·Medical Payments Coverage D.· Professional Liability (Claims Made) (Retroactive Date 10/20/92) Deductibles: Property Damage and Bodily Injury Liability Combined Per Occurrence Coverage A and B (Except Pollution Claims) $100,000 Coverage A Pollution Claims: $100,000 Coverage D: $100,000 Workers Compensation: Workers Compensation and Employers Liability under State Law· Insured States $150,000 Retained. Limit for Each Accident or Each Person for Disease Workers Compensation and Employers Liability under Federal Law- Insured States $150,000 Retained Limit for Each Accident or Each Person for Disease Employers Liability· Monopolistic States $150,000 Retained Limit for Each Accident or Each Person for Disease Automobile: Owned and Hired/Leased Comprehensive/ Collision $5,000/$5,000 FRANCISCO VASQUEZ 2013.01. 1515:23:54 -05'00' ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and fogo are registered marks of ACORD 1 Section K APPLICANT'S FINANCIAL DOCUMENTS HAVE BEEN REVIEWED BY PORT EVERGLADES FINANCE DIVISION Section L List four (4) credit references for the Applicant, one of which must be a bank. Use this format: Name of Reference Stablex Canada, Inc., Nature of Business Trade Reference Contact Name Isabelle Lafreniere Title Legal Business Street Address 760, boul. Indudtriel City, State, Zip Code Bainville (Quebec) J7C 3V4 Canada Phone Number 450-970-133 7 List four (4) credit references for the Applicant, one of which must be a bank. Use this format: Name of Reference Ross Environmental Services, Inc. Nature of Business Trade Reference Title Manager Contact Name Gary C. Vidmer Legal Business Street Address 150 Innvoation Drive City, State, Zip Code Elyria, QH 44035 Phone Number 440-366-2009 List four (4) credit references for the Applicant, one of which must be a bank. Use this fonnat: Name of Reference Toxco Nature of Business Trade Reference Title Contact Name Tisha LeCaire xlll Legal Business Street Address PO Box 232 City, State, Zip Code Trail, BC VIR 4L5, Canada Phone Number 250-367-9882 x 111 7-A Section M Webster Bank, NA 185 Asy!um Street 5th Floor ()Webster Bank Hartford, CT 06103 WebsterBank.com · IRREVOCABLE STANDBY LETTER OF CREDIT NO. 10575 August 16, 2011 Beneficiary: Broward County, Board of County Commissioners Port Director, Broward County's Port Everglades Department c/o Director of Business Administration 1850 Eller Drive Fort Lauderdale, Florida 33316 Applicant (prior to this Amendment): Triumvirate Environmental, Inc. 61 Innerbelt Rd. Sommerville, MA 02143 We hereby amend our irrevocable Standby Lener of Credit No. 10575 as follows: • Applicant to now read: Triumvirate Environmental (Florida), Inc., 3701 SW 47'' Avenue, Suite 109, Davie, FL 33314 • Lener of Credit established for the account of Triumvirate Environmental (Florida), Inc. • Signed statement from the Port Director of Broward County to now read that the amount of the drawing represents amounts due and unpaid to BROW ARD COUNTY arising from: (a) (b) failure of Triumvirate Environmental (Florida), Inc. to pay to BROW ARD COUNTY, when due, any and all tariff or other charges that have accrued at Port Everglades (whether relating to the furnishing of services or materials to Triumvirate Environmental (Florida), Inc., its principals, agents, servants or employees at Port Everglades; or, due to injury to property of Port Everglades; or, stemming from the use of Port Everglades facilities by Triumvirate Environmental (Florida), Inc., its principals, agents, servants or employees; or, otherwise); or costs, expenses, losses, damages or injury sustained by BROWARD COUNTY from non·compliance by Triumvirate Environmental (Florida), Inc., its principals, agents, servants or employees with applicable laws, ordinances, rules and regulations of the federal, state and local governmental units or agencies (including but not limited to the terms and provisions of the BROWARD COUNTY Code of Ordinances, Administrative Code, and all procedures and policies of the Port Everglades Department), as amended from time to time; or PAGE TWO IS AN INTEGRAL PART HEREOF 6-A Page Two RE: Amendment ofLIC No. I0575 (c) costs, expenses, losses, damages or injury sustained by BROWARD COUNTY from any act, omission, negligence or misconduct of Triumvirate Environmental (Florida), Inc., its principals, agents, servants or employees in Port Everglades (whether causing injury to persons or otherwise). • All bank charges and commissions incurred are for the account of Triumvirate Environmental (Florida), Inc. All other terms remain the same. Dana E. Jositas Vice President 6-B Webster Bank, N.A. 185 Asylum Street 5th Floor @Webster Bank Hartford, CT 06103 WebsterBank.com · IRREVOCABLE STANDBY LETTER OF CREDIT NO. 10575 Date of issue: July 28, 20 II Beneficiary: Broward County, Board of County Commissioners Port Director, Broward County's Port Everglades Department c/o Director of Business Administration 1850 Eller Drive Fort Lauderdale, Florida 33316 Applicant: Triumvirate Environmental, Inc. 61 Innerbelt Rd. Sommerville, MA 02 I 43 We hereby establish our irrevocable Standby Letter of Credit No. I 0575 in favor of Broward County and for the account of Triumvirate Environmental, Inc., available by Broward County's drafts drawn on Webster Bank, N.A. payable at sight up to an aggregate amount of U.S. Dollars Forty Thousand and 00/100 ($40,000.00) when accompanied by the following documents: I. the original Letter of Credit 2. a signed statement from the Port Director of Broward County that the amount of the drawing represents amounts due and unpaid to BROW ARD COUNTY arising from: (a) (b) failure of Triumvirate Environmental, Inc. to pay to BROW ARD COUNTY, when due, any and all tariff or other charges that have accrued at Port Everglades (whether relating to the furnishing of services or materials to Triumvirate Environmental, Inc., its principals, agents, servants or employees at Port Everglades; or, due to injury to property of Port Everglades; or, stemming from the use of Port Everglades facilities by Triumvirate Environmental, Inc., its principals, agents, servants or employees; or, otherwise); or costs, expenses, losses, damages or injury sustained by BROWARD COUNTY from non-compliance by Triumvirate Environmental, Inc., its principals, agents, servants or employees with applicable laws, ordinances, rules and regulations of the federal, state and local governmental units or agencies (including but not limited to the terms and provisions of the BROW ARD COUNTY Code of Ordinances, Administrative Code, and all procedures and policies of the Port Everglades Department), as amended from time to time; or PAGE TWO IS AN INTEGRAL PART HEREOF 6 D Page Two RE: L/C No. I 0575 (c) costs, expenses, losses, damages or injury sustained by BROWARD COUNTY from any act, omission, negligence or misconduct of Triumvirate Environmental, Inc., its principals, agents, servants or employees in Port Everglades (whether causing injury to persons or otherwise). Draft(s) and documents must be dated and presented to Webster Bank, N.A., CityPiace II, 5'h Floor, 185 Asylum Street, Hartford, CT 06103 Attention: International Department not later than July 27,2012. This Letter of Credit shall be renewed for successive periods of one (I) year each unless we provide the Broward County Board of County Commissioners, through the Port Director of Broward County's Port Everglades Department at the above stated address, with written notice of our intent to terminate the. Letter of Credit, which notice must be provided at least ninety (90) calendar days prior to the expiration date of the original term hereof or any extended one (I) year term. Any draft drawn under this Letter of Credit shall bear the clause "Drawn under Webster Bank, N.A. Irrevocable Standby Letter of Credit No. 10575 dated July 28, 2011." The original Letter of Credit must accompany any drawing and the date and amount of each drawing paid must be endorsed on the reverse side of this Letter of Credit. All bank charges and commissions incurred are for the account of Triumvirate Environmental, Inc. This Letter of Credit is subject to the Uniform Customs and Practice for Documentary Credits (2007 Revision) International Chamber of Commerce Publication No. 600 and to the provisions of Florida law. !fa conflict between the Uniform Customs and Practice for Documentary Credits and Florida law should arise, Florida law shall prevail. If a conflict between the law of another state or country and Florida law should arise, Florida law shall prevail. Dana E. Jositas Vice President 6-E Section N Model Number 1FTVVX32F8XEE38416 1GDT8F43X7F414354 1GDT8F4307F414198 1HTSCAAN2TH311048 2NPLHZ7X76M653152 1FVACXBS49HAH9919 3ALACXBS6DDFE3808 1XKVVDBOX56J152192 1FUYDCYBXXDF37035 1FUJAHBD71LH94023 2XKDDB9X07M181748 1FUJFODE88DZ66540 1XKVVDB9X1SJ643176 1FUJA6CKX7LZ43161 1A9114222K1005063 1403118 F40589 10BGU5217HF008434 1PMS14124B1005515 N41372 1B9271435K0008032 1HLHT926053 HT923184 MX739914 1XPAL59X9KN281566 1M2P267C1VM029353 1C9UU28LXMC440046 1A9SMT125DC002243 1PMA2442111024154 1PMA2442311024155 1P9RS4620L1186001 1TA112814F2207320 1GRAA9622XS034301 1GRAA9624XS034302 1GRAA9620XS007601 1GRAA9627KS061339 1GRAA9622XS007602 1GRAA9623PB019113 Make Ford GMC GMC International Peterbilt Freightliner Freightliner Kenworth Freightliner Freightliner Kenworth Freightliner Kenworth Freightliner Arco Butler Transmobile Brenner Polar Trailmobile Brenner Heil Great Dane Fruehauf Peterbilt Mack Cal en Alliance Polar PTII PMF Theu Great Dane Great Dane Great Dane Great Dane Great Dane Great Dane Age 1999 2007 2007 1996 2006 2009 2013 2006 1999 2001 2007 2008 1995 2007 1989 1972 1970 1987 1981 1976 1988 1979 1972 1976 1989 1997 1991 1984 2001 2001 1991 1985 1999 1999 1999 1989 1999 1993 Type of Equipment F-350- Pickup Straight Truck Straight Truck Box Truck Box Truck Box Truck Box Truck Tractor Tractor Tractor Tractor Tractor Tractor Tractor Tank Trailer Tanker Trailer Tanker Tanker TANKER TRAILER Tanker Tanker Tanker Tanker Tanker Trailer VACTRUCK Vaccuum Truck Trailer Tanker Tankers Tankers Double Rail Trailer Mini-Van Trailer Van Trailer Van Trailer Van Trailer Van Trailer Van Trailer Van Trailer Fuel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Diesel Domiciled at Port Everglades NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO Page: 8A BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-1 00. Ft. Lauderdale, FL 33301-1895- 954-831-4000 VALID OCTOBER 1, 2012 THROUGH SEPTEMBER 30,2013 . t #·377-2649 R ecelp "OFFICE/SALES/BUSINESS/ADM Business Type: (ADMINISTRATIVE OFFICE) DBA: Business Name: TRIUMVIRATE ENVIROMENTAL FLORIDA INC i Owner Name: TRIUMVIRATE ENVIROMENTAL FLORIDA INC Business Opened:12/19/1994 Business Location: 3701 sw 47 AVE 109 State/County /Cert/Reg: FT LAUDERDALE Exemption Code: Business Phone: 954-583-3795 Seats Rooms Employees I Professionals Machines For Vending Business Only Number of Machines: I I Tax Amount Transfer Fee o. oo 45.00 I 1 Vending Type: NSF Fee Penalty o. oo 0.00 I Prior Years 1 o. oo I 1 Collection Cost Total Paid 0.00 45.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VALIDATED This tax is levied for the privilege of doing business within Broward County and is non-regulatory in nature. You must meet a!l County and/or Municipality planning and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: TRIUMVIRATE ENVIROMENTAL FLORIDA L 3701 SW 47 AVE 109 FORT LAUDERDALE, FL 33314 Receipt #03A-ll-00006193 · Paid 08/23/2012 45.00 en (I) 0 e. 0 :::s 0 2012 - 2013 L Dn.I""\\AIA~---••._•.._,.,.--.~ -·~-···--- -- -- - - - Section P TRIUMVIRATE ENVIHONMENTAL Triumvirate Environmental, Inc. Environmental, Health, and Safety Policy Triumvirate Environmental, Inc. is a leading environmental services firm for hazardous and non-hazardous waste management and transport. One of our guiding principles is "We operate to safeguard our employees from physical harm." As such, we remain committed to providing a safe and healthful workplace for all of our employees and to conducting our business in an environmentally responsible manner. This Environmental Health and Safety ("EHS") Policy provides the framework for our EHS Management System. Triumvirate Environmental, Inc. is committed to: • Establishing and maintaining a safe and healthful working environment for our employees. • Complying with all laws and regulations that are applicable to our business, as well as all Triumvirate Environmental EHS Programs and Procedures. • Improving our EHS performance and our EHS Management System (EHSMS) by conducting regular reviews and audits of our programs and operations in order to identify and implement improvement opportunities. • Making efforts to reduce our environmental impact and conserving our natural resources by minimizing waste and emissions, practicing energy conservation and reusing and recycling material where feasible. • Communicating this policy and educating our managers on our "Essentials for Safety Leadership" so that they understand their responsibilities within our EHSMS framework. J j~I )¢DI;)r ' TRIUMVIRATE ENVIRONMENTAL Triumvirate Environmental, Inc. Essentials for Safety Leadership I Believe ... 1. The safety and health of myself and my fellow employees cannot be measured, and should be held above all else. 2. Although human error is unavoidable, I can reduce its likelihood and severity. 3. The safety performance of my employees is a direct indicator of my leadership effectiveness. 4. I am accountable not only for my own safety but for the safety of those around me. I Know ... 1. I must constantly strive to ensure that the scope of work is defined clearly and monitored for change, and that the hazards of all work are continually analyzed. 2. We all have "Stop Work" authority, and are expected to use it when necessary. 3. How to motivate others to change at-risk behavior and reduce the likelihood and severity of events caused by human error. 4. How to respond appropriately in the event of an emergency. I DO the following ... 1. Communicate performance expectations to my employees regularly, consistently and sincerely. 2. Hold managers and employees accountable for compliance with safety requirements. 3. Ensure there are adequate resources to accomplish work safely. 4. Lead by example. I strive to practice safe behaviors at all times so that my employees will do the same. 5. Regularly conduct formal and informal observations and provide feedback, both positive and corrective, when needed. 6. Reinforce safe behavior and reward safety excellence. TRIUMVIRATE ENVIRONMENTAL HEALTH & SAFETY PROGRAM September, 2012 Our Health & Safety Commitment We strive to attain the highest possible level of safety in all activities and operations. One of the guiding principles of Triumvirate Environmental is "We operate to safeguard our employees from physical harm." As such, the safety and well-being of our people is of the utmost importance and is considered our first priority. We are committed to continuously improving our health and safety programs, policies and procedures and practices to ensure that all of our people are safeguarded. Responsibilities & Reporting Requirements Our people work remotely and independently over a wide area, therefore we must rely upon them to ensure that work activities and areas are kept safe and free of hazardous conditions. Our Supervisors are trained to use the DuPont STOP process to identify and address unsafe behaviors and conditions. Once complete, STOP audit data is collected via smartphone for data analysis. Every employee is expected to be conscientious about the safety of their workplace and their assigned tasks, including using proper operating equipment and methods. Further, our people are expected to not identify, but correct potentially risky conditions or hazards. Employees must either correct or report any unsafe conditions or potential hazards to their manager, or the Compliance department, immediately. If an employee suspects a concealed danger is present on Triumvirate's or a client's premises, or in a product, facility, piece of equipment, process, or business practice for which Triumvirate is responsible, he/ she is responsible to report this to their manager, Compliance department and to the COO immediately. The employee's manager and the Compliance department will coordinate and arrange for the correction of the hazard immediately. In case of an accident or injury, our people must report the incident to their manager or supervisor and complete an Employee Incident Report. The data gathered from these forms is periodically analyzed and the results of the analysis used for training purposes or to develop special emphasis programs. The Triumvirate Environmental Compliance organization regularly issues policies, procedures or governing workplace safety and health. When this is done they are shared via email with all of our people, and our people are expected to familiarize themselves with these rules and guidelines, as strict compliance is expected. Policies, procedures, rules and guidelines are all available online via our internal intranet. Alternately, any Compliance team member can be contacted for copies of current rules and guidelines. Failure to comply strictly with rules and guidelines regarding health and safety or negligent work performance that endangers health and safety is not tolerated. Health and Safety Training Employee training is one of Triumvirate's major areas of investment. Our safety training program encompasses regulatory training as required within the areas of OSHA, RCRA, DOT, lATA, and state and local regulations. Depending on the person's role, s/he may also receive '8'-F TRIUMVIRATE ENVIRONMENTAL additional training such as confined space entry and rescue, specialized training to work with radioactive, biohazard or other wastes, and hazard recognition processes such as DuPont STOP. In addition, we conduct update training within operational and departmental meetings. Each employee new to Triumvirate is required to attend our two week long onboarding. Over the course of the two weeks more than five full days are committed to safety, health and regulatory training. In addition to this initial safety training, we also have in place an Employee Short Service Program which pairs new or less experienced persmmel with more experienced persormel. Our supervisors and managers are trained in the DuPont STOP for Supervision program, and upon completion have aggressive goals established for performance of STOP audits. Other people identified as emerging leaders participating in our "Leadership Academy" also work through a three session series focused on "Safe by Accident?" and their critical role in driving continual improvement in safety performance. Employee Training Retention & Comprehension Practices Triumvirate Environmental uses various techniques to ensure training retention and comprehension. First, Triun1virate utilizes written or oral exan1inations. Second, Triumvirate uses a demonstration approach. This technique requires that the trainee actually demonstrate the skill or method that was taught. If the employee is having difficulty, the trainer will work with the employee until s/he can demonstrate the skill. The other technique we utilize is on the job performance. Our compliance team performs unarmounced site inspections where they witness employees performing work. If there is an issue, the employee's action is corrected and noted. Incident Reviews Following an OSHA Recordable injury, or a significant near miss incident, we hold an afteraction review with the people involved and their direct leadership, then share the lessons learned with all other TEl employees. This is done to proactively notify the remainder of our population how to avoid a similar situation. Other Safety Meetings To maintain focus and effective communication on health and safety topics Triumvirate Environmental holds a number of safety meetings. Each branch is required to hold a monthly Executive Safety Meeting with the branch leader and his/her team of direct reports. Each branch is also required to hold monthly Employee Safety Committee meetings, again chaired by the branch leader, in order to discuss recent activities or issues and identify any concerns from our field personnel. On a monthly basis our Chief Operating Officer holds a Safety! Call to Action conference call. Participation on this call is mandatory for all company leaders from the Vice President to the front-line supervisor. Agenda items include current health and safety initiatives, a review of recent incidents, a discussion of any lessons learned and best practices from the organization, and an update on any health and safety issues at our branch locations. TRIUMVIRATE ENVIRONMENTAL Hazard Identification Our compliance personnel perform random site inspections to ensure safe and healthy working conditions and compliance with requirements. The role of compliance inspections is to drive field compliance and they typically spend 50% of their time in the field reviewing work sites. Prior to job commencement a site specific Health and Safety Plan (HASP) is prepared to identify site specific hazards and special requirements. The work supervisor prepares the HASP, and reviews with all crew members and any other Triumvirate employees who enter the site. All employees sign to acknowledge their understanding of the HASP and its requirements. The HASP is maintained on site until the project is complete. Disciplinary Policy for Violation of Safety Rules Failure to comply with rules and guidelines or procedures regarding health and safety, or negligent work performance that endangers health and safety will not be tolerated and will be addressed using our disciplinary policy. Driving on Company Business An employee's position at Triumvirate may require an employee to drive in order to complete certain tasks related to an employee's job. Should this be the case, an employee must possess a current, valid driver's license, an acceptable driving record, and adequate personal automobile insurance. Employees are required to carry their own personal insurance policy for their vehicle to provide coverage for you in the event of a liability or physical damage claim. In the event of an accident or damage to your vehicle while using it on company business, Triumvirate may reimburse you for your deductible, up to a maximum of $500 per loss, for the cost to repair such damage. Employees are expected to report such accidents to the Health & Safety Department, and the HR Department. Employees are expected to carry adequate personal automobile insurance at a minimum of $100,000 - $300,000 of bodily injury coverage, and a minimum of $100,000 of property damage coverage. Each employee is requested to provide a copy of their personal automobile policy to the HR Deparhnent upon request. Any employee who doesn't have the required coverage must notify the HR Manager immediately. The rate that we utilize to reimburse you for the use of your automobile on company business includes compensation to you for carrying the proper insurance. Triumvirate reserves the right to check the driving records of any employee who will drive to conduct business on behalf of the company. Should an employee's driving record not be acceptable by Triumvirate's standards, or by the company's insurance company, the employee may be terminated. Any change in license status, driving record, or insurance coverage must be reported to an employee's manager and to the HR Manager immediately. A valid driver's license must be in an employee's possession while operating a vehicle on company business. It is the responsibility of every employee to drive safely and obey all traffic, vehicle safety and parking laws or regulations. Drivers should demonstrate safe driving habits, TRIUMVIRATE ENVIRON MENTAL comply with all local, state and federal applicable laws and not drive too fast or recklessly. Employees are expected to observe the above policies while on Triumvirate business, even if driving the employee's own personal vehicle. Employees are expected to obey the law in each state, with regards to use of a cell phone while operating a motor vehicle. This policy applies to company owned and personal vehicles that are being used for business purposes. Employee's are required to pull over before making, or answering a call in these instances, or are expected to use a hands-free headset if acceptable under state law. All employees are expected to wear a seat belt while driving on company business, regardless of operating a company vehicle, or a personal vehicle, and regardless of the law in the state the employee is in. Any violation of this policy is grounds for discipline, up to an including tennination. Behavior Based Safety In order to have a sustainable safety culture, TEl has instituted a Behavior Based Safety (BBS) Program, DuPont's STOP (Safety Training Observation Program). This program concentrates on the methodology of observing both safe and unsafe behaviors, increasing supervisor and employee safety awareness, building positive safety attitudes and increasing employee communication skills. The ultimate goal of this program is to help us build a positive safety culture based on interdependence - each employee watching out for each other. Any necessary punitive measures are not utilized within this program and are administered under the TEl Disciplinary Policy. Health & Safety Standard Operating Procedures Table of Contents 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. Roadside Inspection Compliance Program Quarterly Compliance Incentive Plan Personal Protective Equipment Program Chemist Dress Code Field Service Site Dress Code Driver Dress Code Emergency Action & Fire Prevention Plan Fire Extinguisher Protocol Respiratory Protection Program Hazard Communication Program Field Service Health & Safety Plan (HASP) Chemist HASP Incident Injury Investigation & Reporting SOP Accident Reporting Program Blood borne Pathogens SOP Confined Space Entry & Rescue Program Electrical Safety Program Fall Protection Program TRIUMVIRATE ENVIRONMENTAL 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. Fork Truck Safety Program Hearing Conservation Program Hot Work Safety Program Lockout Tagout Program Air Monitoring Mercury & Spill Cleanup SOP Air Monitoring Organic Vapor SOP Drum Handling SOP Drum Over Packing SOP Entering Backs of Trucks SOP SCBA Inspection SOP Selection of Respiratory Protection SOP Back Safety Video Program Drug & Alcohol Policy OSHA 40-Hour Training Program 8-Hour Hazwoper Refresher Training CPR & First Aid Training Program Short Service Employee Policy Vehicle Inspection Policy Section P.2 TRIUMVIF<ATE i'JVlf<ONMENTAL Random Drug & Alcohol Testing Policy Compliance & Human Resource Department Version 49.0 October 23, 2012 Polley All full-time and part-time Triumvirate employees working in a field Service, Wastewater, Engineering, ETSC, or Environmental Specialist role, and all other employees who work in our TSDFs and oil management facilities, or in any related or associated facility or location (i.e., "10Day", warehouse, or maintenance shop) and who are not already taking part in a DOT mandated Random Drug & Alcohol testing program, will be subject to Random Drug & Alcohol Testing per this policy effective December 1, 2012. This policy excludes employees who are serving in an exclusively administrative role. The purpose of this policy is to promote the safety and well-being of all Triumvirate employees and the general public. This policy is designed to help prevent accidents and injuries resulting from the misuse of alcohol or use of controlled substances by employees. Process The process described below shall be followed in order to ensure that all random drug & alcohol tests are administered in a consistent and uniform manner. Upon notification by the Director of Transportation Safety that an employee in his/her branch has been selected for a random drug or drug & alcohol test, the General Manager, or official designee, will do the following: 1. When you are ready to send him/her, inform the selected employee of the random test requirement. Do not give prior notice! 2. Provide the employee the pre-completed Chain of Custody and Control form. 3. Instruct the employee to report immediately and directly to the testing clinic for his/her random drug or drug and alcohol test. Employees may be selected for a drug test only, or both a drug and alcohol test. 4. For alcohol tests, instruct the employee to bring back to you the Chain of Custody and Control Form containing the result upon completion of the test (by the end of their work day). "f?-D An employee who refuses to submit to random testing, or fails to appear for testing as instructed, will be considered to have tested positive. A positive drug/alcohol test will result in disciplinary action up to and including termination. Applicability This policy applies to all full-time and part-time Triumvirate employees working in a Field Service, Wastewater, Engineering, ETSC, or Environmental Specialist role, and all other employees who work in our TSDFs and oil management facilities, or in any related or associated facility or location {i.e., "10-Day", warehouse, or maintenance shop) and who are not already taking part in a DOT mandated Random Drug & Alcohol testing program. This policy excludes employees serving in an exclusively administrative role. This policy is designed to help prevent accidents and injuries resulting from the misuse of alcohol or use of controlled substances by employees. Enforcement All members of the Triumvirate Executive Team, Compliance, Human Resources, Managers and Supervisors will enforce this policy. Business Rationale It is a core belief of Triumvirate that the safety of our employees and the general public is paramount and our policies reflect that belief. No other aspect of our operation and business supersedes the importance of safety. Any questions about this policy should be addressed to the Director, Transportation Safety. +h-a--!M¥12--- ---------- Tiffany A. Tropp Director, Transportation Safety Triumvirate Environmental Andrea Donahue Director, Human Resources Triumvirate Environmental Section Q.1 Florida Department of Environmental Protection Southeast District Office 400 N. Congress Avenue, Suite 200 West Palm Beach, FL 3340 l-2913 56 I -681-6600 Rick Scott Governor Jennifer Carroll Lt. Governor Herschel T. Vinyard Jr. Secretary MAR - 6 2012 Triumvirate Environmental (Florida), Inc. James Green, Vice President, Southeast Region 10100 Rocket Blvd. Orlando, FL 32824 Rc: Department o£ Environmental Protection v. Triumvirate Envimnmcntal (Florida), Inc., OGC File No.: 12-0755 EPA ID # FLD981018773 Dear Mr. Green: Enclosed for your implementation is a copy of the fully executed and filed Consent Order in the above styled case. Please familiarize yourself with the compliance dates and terms of the Consent Order so the complete and timely performance of those obligations is accomplished. Thank you for your cooperation in this matter. If you have any questions concerning this matter, please contact Kathy Winston at 561/ 681-6'756. Sincerely, Southeast District Director Cc: Electronic Archboard/OCULUS Lea Crandall, OGC, DEP Tallahassee (MS#35) Shirley Richards, SED AI Gomez, Broward Co. Environmental Protection and Growth management Department ([email protected]) www. dep.state.fl.us Florida Department of Environmental Protection Sout11east District Office 400 N. Congress Avenue, Suite 200 West Palm Beach, FL 33401-2913 561-681-6600 Riel' Scott Governor Jennifer CmToll Lt. Governor Herschel T. Viny,,d Jr. SCCI'Ctfii'Y FEB 1 4 2012 Triumvirate Environmental (Florida), Inc. James Green, Vice President, Southeast Region 10100 Rocket Blvd. Orlando, FL 32824 SUBJECI': Department of Environmental Protection v. Triumvirate Environmental (Florida), Inc., OGC File No.: 12-0755 EPA ID # FLD981018773 Mr. Green: The State of Florida Department of Environmental Protection ("Department") finds that Triumvirate Envi.romnental (Florida), Inc. ("Respondent") is in violation of the regulations governing hazardous waste transporters. Before sending this letter, the Department requested that the Respondent undertake certain actions to resolve the violations. These actions have since been completed. However, due to the nature of the violations, the Respondent remains subject to civil penalties. The Respondent is also responsible for costs incurred by the Department during the investigation of this matter. The Department's Offer Based on the violations described above, the Department is seeking $5,000.00 in civil penalties and $500.00 for costs and expenses the Department has incurred in investigating this matter, which amounts to a total of$ 5,500.00. The civil penalty in this matter includes one violation of $2,000.00 or more. Respondent's Acceptance If you wish to accept this offer and fully resolve the enforcement matter pending against the Respondent, please sign this letter and return it to the Department at Florida Department of Enviromnental Protection, Southeast District Office, 400 N. Congress Ave, Ste 200, West Palm Beach, Florida 33401 by February 28, 2012. The Department will then countersign it and file it with a designated clerk of the Department. Once the document is filed with the designated clerk, it will constitute a final order of the Department pursuant to Section 120.52(7), F.S. and will be effective unless a request for an administrative hearing is filed by a third party in accordance with Chapter 120, F.S. and the attached Notice of Rights. Wli'W. deo. wote. !l.us DEP vs. Triumvirate Environmental (Florida), Inc. OGC No. 12-0755 Page2 By accepting this offer you, James Green: (1) certify that you are authorized and empowered to negotiate, enter into, and accept the terms of this offer in the name and on behalf of Respondent; (2) acknowledge and waive Respondent's right to an administrative hearing pursuant to Sections 120.569 and 120.57, F.S., on the terms of this offer, once final; (3) acknowledge and waive Respondent's right to an appeal pursuant to Section 120.68, F.S.; and (4) acknowledge that payment of the above amount does not constitute a waiver of the Department's right, if any, to recover emergency response related costs and expenses for this matter. The Department acknowledges that the Respondent's acceptance of this offer does not constitute an admission of liability for the violations referenced above. Respondent's Performance After signing and returning this document to the Department, (1) Respondent must pay $5,500.00 in full by March 28, 2012. (2) The payment must: (a) be in the form of a cashier's check or money order; (b) be payable to the "Department of Environmental Protection"; (c) include the OGC Number assigned above and the notation "Ecosystem Management and Restoration Trust Fund"; and (d) be sent to Florida Department of Environmental Protection, Southeast District Office, 400 N. Congress Ave., Ste 200, West Palm Beach, Florida 33401. The Department may enforce the terms of this document, once finaL and seek to collect monies owed pursuant to Sections 120.69 and 403.121, F.S. Until clerked by the Department, this letter is only a settlement offer and not a final agency action. Consequently, neitl1er the Respondent nor any other party may request an administrative hearing to contest this letter pursuant to Chapter 120, F.S. Once this letter is clerked and becomes a final order of the Department, as explained above, the attached Notice of Rights will apply to parties, other than the Respondent, whose interests will be substantially affected. DEP vs. Triumvirate Environmental (Florida), Inc. OGC No. 12-0755 Page3 Please be aware that if the Respondent declines to respond to the Department's offer, the Department will assume that the Respondent is not interested in resolving the matter and will proceed accordingly. If you have any questions, please contact Kathy Winston at (561)681-6756 or at [email protected]. Sincerely, FOR THE RESPONDENT: I, -s-a 01 a.> F'. 6-'r-a.a.., [Type or Print Name], HEREBY ACCEPT THE TERMS OF THE SETTLEMENT OFFER IDENTIFmD ABOVE. By:~~ Title: r/rU> ~<L_,:J a ..... } : [Type or Print] Date: _ __,;;;?'-f/...c.02,._,'6''1-f-/-(2;;z.._,v~;_,2..""--7 I DEP vs. Triumvirate Environmental (Florida), Inc. OGC No. 12-0755 Page4 FOR DEPARTMENT USE ONLY DONE AND ORDERED this ~y of March, 2012, in Palm Beach County, Florida. STATEOFFLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION ~~ (30tltheast District Director Filed, on this date, pursuant to section 120.52, F.S., with the designated Department Clerk, receipt of which is hereby acknowledged. CI!J«.ci~ = Clerk Attachments: MAR - 6 2012 Date Notice of Rights Warning Letter, Inspection Report Final clerked copy furnished to: Lea Crandall, Agency Clerk ([email protected]) DEP vs. Triumvirate Environmental (Florida), Inc. OGC No. 12-0755 PageS NOTICE OF RIGHTS Persons who are not parties to this Order, but whose substantial interests are affected by it, have a right to petition for an administrative hearing under Sections 120.569 and 120.57, Florida Statutes. Because the administrative hearing process is designed to formulate final agency action, the filing of a petition concerning titis Order means that the Department's final action may be different from the position it has taken in the Order. The petition for administrative hearing must contain all of the following information: a) The OGC Number assigned to this Order; b) The name, address, and telephone number of each petitioner; the name, address, and telephone number of the petitioner's representative, if any, which shall be the address for service purposes during the course of the proceeding; c) An explanation of how the petitioner's substantial interests will be affected by the Order; d) A statement of when and how the petitioner received notice of the Order; e) Either a statement of all material facts disputed by the petitioner or a statement that the petitioner does not dispute any material facts; f) A statement of the specific facts the petitioner contends warrant reversal or modification of the Order; g) A statement of the rules or statutes the petitioner contends require reversal or modification of the Order; and h) A statement of the relief sought by the petitioner, stating precisely the action petitioner wishes the Department to take with respect to the Order. The petition must be filed (received) at the Department's Office of General Counsel, 3900 Commonwealth Boulevard, MS# 35, Tallahassee, Florida 32399-3000 within 21 days of receipt of this notice. A copy of the petition must also be mailed at the time of filing to the District Office at the address indicated above. Failure to file a petition within the 21-day period constitutes a person's waiver of the right to request an administrative hearing and to participate as a party to tlus proceeding under Sections 120.569 and 120.57, Florida Statutes. Mediation under Section 120.573, Florida Statutes, is not available in tlus proceeding. fi le:///Cj/Docurnents%20and%20Settings/winston_k!My%20Docurnents/My%20Docurnents/Kathyrrriurnvirate%20Env!RE%20Settlernent%20offer.htrn From: Green, James F. [[email protected]] Sent: Sunday, January 29, 2012 7:34PM To: Winston, Kathy; Lennon, John P. Jr; Gilbert, Sara L. Cc: Kantor, Karen E.; Lurix, Joe Subject: RE : Settlement offer Kat hy, We accept yo ur offer. I will be t he point person on t his issue along with Sara Gilbert and John Lennon. From: Winston, Kathy [mailto:[email protected]] Sent: Monday, January 23, 2012 9:50AM To: Green, James F.; Lennon, John P. Jr Cc: Kantor, Karen E.; Lurix, Joe Subject: Settlement offer This letter is to acknowledge the Department's receipt of your letter of dated January 13, 2012. We appreciate your coming to meet with us on November 30, 2011 to discuss resolving the outstanding issues from the Warning Letter and a possible resolution to this matter. The letter gives a response to each of the issues raised during the inspection and also how Triumvirate Enviro nmental (Florida} (TE} intends to avoid these problems in the future . The Depa rtment appreciates this pro-act ive approach. The letter also included an offer from TE of $5,000.00 to settle this matter in an expedit ious fashion. The state is willing to accept this offer; however, there is an automatic $500.00 assessment added to all settlements to cover Department cost and expense. If TE is w illing to include this added amount t o their offer for a total of $5,500.00, then we can move forward with the issuing of a Consent Order. Plea se let me within the next ten days whether TE is willing to go along with the addition of cost and expenses to their original offer, so that the course of action on our pa rt can be determined . Hope to hear f rom you and t hat we can bring th is matter to an amicable resolution. Any quest ions concerni ng this issue, please feel free to contact me at the contact information below. file:///Cj/Docurnents%20and%20Setti ngs/winston_ k!My%2 .../Kathy{friumvirate%20Env/RE%20Settlement%20offer.htm ( I of 2) 1/31/20 12 7 : 13:03 AM fi le:///CI/Documents%20and%20Settings/winston_ kiM y%20Documents/M y%20Documents/Kathy!rriumvirate%20Env/RE%20Settlement%20offer.him Kathy Winston Environmental Consultant Hazardous Waste Compliance/Enforcement (561 )681-6756 Fax (561)681-6770 Florida's Water- Ours to Protect: Check out the latest information on Florida Water Issues at http://www. protectingourwater.org/ presented by the Florida Department of Environmental Protection . Please take a few minutes to share your comments on the service you received from the department by clicking on this link DEP Customer Survev. file: ///CI/Documents%20and%20Settings/winston_k/My%2 ...1Kathy!rriumvirate%20Env/RE%20Settlement%20offer.htm (2 of 2) 1/3 1/201 2 7: 13 :03 AM TRIUMVIRATE RECEIVED ENVIRONMENTAL January 13, 2012 JAN 1 7 2012 Kathy Winston Florida Department of Environmental Protection Southeast District Office 400 N. Congress Avenue, Suite 200 West Palm Beach, Florida 33401 Re: FL DEP WEST PALM BEACH Corrective Action Plan in response to Hazardous Waste Compliance Evaluation Inspection at Triumvirate Environmental (Florida), Inc, formerly Perma-Fix of Ft. Lauderdale 3670 SW 4ih Avenue, Davie, Florida 33314 EPA 10# FLO 98101773 FEID# 592480377 Dear Ms. Winston, Several compliance issues were noted during a Hazardous Waste Compliance Evaluation Inspection conducted by the Florida Department of Environmental Protection on May 12, 2011 at the Perma-Fix of Ft. Lauderdale facility located at the above-referenced address. In August 2011 , Perma-Fix of Ft. Lauderdale, Inc., changed its name to Triumvirate Environmental (Florida), Inc. (TEFI) as part of a stock purchase of the corporation by Triumvirate Environmental Inc., headquartered in Somerville, Massachusetts. The FDEP issued Warning Letter #11-0108HW06SED dated November 9, 2011 in response to the May 12, 2011 Compliance Inspection. Mr. James Green, Vice President, and Mr. John (Shawn) Lennon , Facility Manager of TEFI met with Ms. Kathy Winston and Ms. Karen Kantor of the FDEP on November 30, 2011 to discuss the compliance issues. The following Corrective Action Plan was prepared as a follow-up to the November 30, 2011 meeting : Item #1) In at least two cases, Item #1 on the manifests indicated the generator facility was an unregistered CESQGs when the facility actually had an EPA ID Number. The FDEP requested TEFI go through every manifest indicating the facility was a CESQG since May 22, 2009 and reissue the manifest if the facility was found to have an EPA ID Number. The corrected manifests must then be copied to the generator: the treatment, storage, and disposal facility, and the FDEP. Corrective Action Issue #1) After reviewing the manifests, Mr. Lennon discussed the corrections with Ms. Winston on December 22, 2011. Per Ms. Winston's instructions, the incorrect CESQG was crossed out with a double line and the EPA ID #was written over the Item #1 box. Additionally, TEFI noted the correction in the Item # 14 box on the manifests. TEFI submitted electronic copies of the corrected manifests to the FDEP and mailed copies of the revised manifests to the generator and treatment, storage, and disposal facility. Additionally, TEFI devised a Generator Status EPA ID # Protocol for the sales and customer service representative to verify the generator status to ensure future compliance. A copy of the protocol is attached. Mr. Lennon also coached the drivers to cross check the amount of waste with the generator status. If the amount of waste exceeds that allowable for a CESQG, the driver is not to accept the waste and contact management immediately. Item #2) The acceptance and delivery Jogs for the end of October 2010 contained an error in which it appeared that in two instances waste was received after it went out of the facility, as the outgoing date was not changed to reflect the proper month. Also, two manifests with incoming entries from December 8, 2010 did not have a corresponding outgoing date. FDEP reminded TEFI to note the outgoing dates corresponding to the actual month of the shipment and requested copies of the 3701 SW 47th Avenue Su1te 109 Davie, FL 33314 P 964 583 3795 F 954 583 8017 TRIUMVIRATE ENVIRONMENTAL completed manifests from December 8, 2010 to establish the waste did not remain onsite for more than 10 days and.confirm the waste reached its' final destination facility. Corrective Action Item #2) TEFI submitted the manifests from December 8, 2010 proving the waste was not onsite for more than 10 days and confirming the waste reached its' final destination facility. Additionally, TEFI staff were coached on the importance of completing manifests correctly. Item #3) FDEP noted two boxes of Universal Waste lamps in the Drum Storage Building had Universal Waste stickers on them but did not have the words "Mercury Containing Lamps for Recycling" or any of the other acceptable labeling phrases for Universal Waste Lamps per the state regulations. FDEP requested TEFI properly label the boxes and provide pictures to the FDEP. Corrective Action #3) Mr. Lennon submitted photos of the re-labeled boxes on May 17, 2011 via email to Ms. Kathy Winston . Item #4) The Contingency Plan did not have the telephone numbers of the closest police and fire station. FDEP requested the plan be revised to include the telephone numbers. Corrective Action #4) TEFI revised the Contingency Plan as requested and sent the revised plan to the appropriate authorities on May 20, 2011. Item #5) Records reviewed during the inspection indicated TEFI had transported hazardous waste in amounts exceeding 1,000 kg for a facility which was a non-notifier. A transporter of hazardous waste must also comply with 40 CFR Part 262, Standards for Generators of Hazardous Waste and shall not treat, store, dispose of, transport or offer for transportation hazardous waste from a generator without a EPA ID Number. FDEP requested TEFI cease and desist transporting hazardous waste from a generator without an EPA ID Number. Corrective Action #5) TEFI implemented the protocol(s) and procedures detailed in Corrective Action #1 to ensure compliance with this regulation. Item #6) TEFI hazardous was transporter drivers were not carrying a copy of their Transporter Status Form and Department Certificate of Approval in their trucks. FDEP requested the facility make copies of these documents and ensure that the all trucks that transport hazardous waste have them on board. Corrective Action #6) Mr. Lennon explained during the meeting with FDEP that there was a miscommunication regarding this issue. However, TEFI ensured the requested copies of the documents and placed them in each vehicle that will be transporting hazardous waste. Additionally, TEFI re-trained the drivers to verify the documents are present during their pre-trip inspection of the vehicle. As you are aware, the previous compliance issues were noted during an inspection conducted on May 21, 2011 , and occurred while the company was owned by Perma-Fix of Ft. Lauderdale, Inc. On August 12, 2012, the shareholders of Triumvirate Environmental (Florida), Inc. purchased the shares of ParmaFix of Ft. Lauderdale, Inc and submitted requests to transfer the existing facility permits. The permits were transferred with no correspondence from FDEP regarding the pending Warning Letter, which was subsequently issued on November 9, 2011. We would like you to take this into consideration and propose no monetary fine. Additionally, in order to avoid additional potential Warning Letters, we request the opportunity to conduct a self-audit for the time period from May 9, 2011 through December 31, 2011 in order to ensure no similar compliance issues occurred between the date of the inspection and implementation of the aforementioned actions without further regulatory action . Should our self-audit uncover additional 3701 SW 47th Aven ue. Suite 109 Dav1e fL 333 14 P 954 583 3795 F · 954 583.8017 TRIUMVIRATE ENVIRONMENTAL compliance issues, we agree to implement the corrective actions listed above and submit a report detailing the results. As you are aware, there was a change in shareholder control for the corporation on August 12, 2011 . The inspection occurred before this change and the Warning Letter was issued after this change. TEFI has endeavored to rectify all issues noted and implement the enclosed changes. We respectfully submit that no dollar penalty should be assessed. However, in an act of good faith and to expedite the settlement of this issue, TEFI is prepared to offer $5,000.00 ·to resolve this matter. If you have any questions or require any additional information, please do not hesitate to contact me at jqre'~' "'·1'tri ~"mvi ••1~c.com. 407-859-4441 or via email at ~T~ :James F. Green Vice President Triumvirate Environmental (Florida), Inc. Attachment - TEFI Generator Status Protocol CC: Sara Gilbert, ETSC, TEFI <via email: sqi,t>n t((i triumvir .):e.com> John (Shawn) Lennon , Facility Manager, TEFI <via email: jl<3nnon,wtriu m-.l iratt>.corn> Richard Barry, Director of Compliance, Triumvirate Environmental, Inc., <via email: r o<:~n y\~trium 1 ir:Jtc .c ~ ..> 3701 SW 47th Avenue. Su1te 109 Davie Fl33314 P 954 583 3795 F 954 583.8017 Florida Department of Environmental Protection NOV - 9 2011 Southeast District Office 400 N. Congress Avenue, Suite 200 West Palm Beach, FL 33401 561-681-6600 Rick Scott Governor Jennifer Carro:! LL Governor Herschel T. Vinyard Jr. Secretary CERTIFIED MAIL NO.: _'l_1 7108 2133 3938 2488 4738 RETURN RECEIPT REQUESTED John F. McQuillan, Jr., President Triumvirate Environmental (Florida), Inc. 61 Inner Belt Rd. Somerville, MA 02143 Warning Letter# 11-0108HW06SED Subject: Hazardous Waste Compliance Evaluation Inspection at Triumvirate Environmental (Florida), Inc., formerly PermaFix of Ft. Lauderdale, 3701 SW 47th Ave., Suite 109, Davie, FL 33314 EPA ID # FLD981018773 Dear Mr. McQuillan: The purpose of this letter is to advise you of possible violations of law for which you may be responsible, and to seek your cooperation in resolving the matter. A hazardous waste compliance evaluation inspection conducted on May 12, 2011, at your hazardous waste transporter and used oil processing facility indicates that violations of Florida Statutes and Rules may exist at the facility. Department of Environmental Protection personnel observed possible violations regarding hazardous waste and universal waste management. The observations of the Department are in the attached inspection report. Section 403, Florida Statutes, provides that facilities must comply with Title 40 Code of Federal Regulations (CFR), Parts 260 to 268 and 273 as adopted in Chapter 62-730 and Chapter 62-737 Florida Administrative Code (F.A.C.). The activities observed during the Deparhnent's field inspection and any other activities at your facility that may be contributing to violations of the above-described statutes or rules should be ceased. The operation of a facility in violation of State statutes or rules may result in liability for damages and restoration, and the judicial imposition of penalties up to $50,000.00 per violation per day pursuant to Section 403.727, Florida Statutes. You are requested to contact Kathy Winston at the address above or 561/681-6756 within fifteen (15) days of receipt of this Warning Letter to arrange a meeting to discuss this matter. The Department is interested in reviewing any facts you may have that will assist in determining whether any violations have occurred. You may bring anyone with you to the wlrwdep.swtejf_ 11s Q4 Triumvirate Environmental (Florida), Inc. Page 2 of2 meeting that you feel could help resolve this matter. However, we must be given the names and positions of any persons you intended to bring to the meeting and we must have the information at least five days before the meeting. If after further investigation, the Department determines that the violations occurred, this matter may be resolved through entry of a Consent Order which will include a compliance schedule and an appropriate penalty. In accordance with Section 403.121, Florida Statutes, the U.S. EPA RCRA Civil Penalty Policy, the Department's Guidelines for Characterizing RCRA Violations, and the Department's Guidelines for Characterizing Universal Waste Violations, the penalty proposed in the case is $21,939.00 plus $1,000.00 for costs and expenses, for a total of $22,939.00. Please be advised that this Warning Letter is part of an agency investigation, preliminary to agency action in accordance with Section 120.57(5), Florida Statutes. We look forward to your cooperation in completing the investigation and resolution of this matter. Sincerely, Attachments: cc: Hazardous Waste Inspection Report Penalty justification Worksheets Electronic Archboard/ Oculus Glen Perrigan, FDEP, [email protected] Alfred Gomez, Broward County Environmental Protection and Growth Management Deparhnent [email protected] Q5 PENALTY COMPUTATION WORKSHEET Facility Name: Triumvirate Environmental (Florida), Inc. Facility Address: 3701 SW 47th Ave., Ste 109, Davie, FL Department Staff Responsible for the Penalty Computations: ~"l-~-~- t .\J-------·" . Kathy Winston v Date: lj\'(,\l: ass AP ena1tv Det ermwa f 10ns PRTICI A M _ Allee.ed Violation Tyne Potential for Harm Extent of Dev. Matrix Multi- Amount event Minor Minor $710 40 CFR 263.20 I Manifest Discrepancies 2 Adjustmen ts Economic Benefit Calculation $4,050 Total 54,760 $!50 X 27 Chaoer 62-737.400(5)(bl $120 Minor Moderate $599 $719 20% Failure to properly label Universal Waste lamps 3 upward 40CFR262.12(c) Moderate• Major $11,330 Hazardous Waste Transporter Requirements *See attached Ranking System for Potential for Hann Worksheets $5,130 $16,460 $570 X 9 Penalties Subtotal: S21,939 Department Co~·t~: $1,000 Total: $22,939 All penalty calculations are ba,.ed on the Florida Department ofEnvirorunental Protection Hazardous Waste Regulation St:ction's "Guidelines for Characterizing RCRA Violations" and "Guidelines for Characterizing Used Oil Violations" both of which were revised as of May 2008. Certain violations require Potential for Hann R~!!& System characterization and have been utilized where applicable; refer to the attached Ranking System for Potential for JIarm worksheet. The _;!tlached civil~nalty ~~r~~t§-:)c fo~ulated and tendered only in the context of settlement negotiatioJJS in order to attempt to reach a cooperative .'~tllement. 1·. -f;../ Y't .v(_ / ~-y<::/-:- / . -/ ' 4/1 -··' // /l./ ./{/ ----~---- "9J~Q:<cch, P,E. ;District Director ~ Florida Dep~ent of Environmental Protection Southeast District '--.. Date ------ '" Penalty Worksheet Page 1 of2 Q6 PENALTY COMPUTATION WORKSHEET (continued) Facility Name: Triumvirate Environmental (Florida), lnc. Facility Address: 3701 SW 47th Ave., Ste 109, Davie, FL Part II - Multi-day Penalties and Adjustments Adjustments: Dollar Amount: Good Faith/lack of good Faith prior to Discovery: Justification: Good Faith/lack of good Faith after Discovery: Justification: History of Non-Compliance: Justification: A 20% upper adjustment was added to violation #2, as this was a repeat violation noted during the last inspection of this facilty. Economic Benefit ofNon-Compliance: Justification: $120 Ability to pay: Justification: Multi-Event Penalties: Dollar Amount: $9,180 Number of events matrix amount is to be multiplied: 27 & 9 An additional 27 times between May 2009 and May 2011, the facility indicated on the Justification: manifest that the facility they were transporting waste for was a CESQG, when, in fact, the facility had an EPA ID number. Also, at least an additional9 times since May of 2009, the transporter picked up SQG amounts of waste from facilities without EPA ID numbers. Part HI-Other Adjustments Made After Meeting With Responsible Party Adjustments: Relative Merits of the Case: Dollar Amount: Resource Consideration: Other Justification: Jill S. Creech, P.E. Date District Director Florida Department of Environmental Protection Southeast District Penalty Worksheet Page 2 of2 Q7 NOTICE OF POTENTIAL HAZARDOUS WASTE NON-COMPLIANCE- Page 1 of 2 FACILITY NAME TYPE OF INSPECTION: CAV: ADDRESS 0 CEI: CITY DA ~"'- Sh llei 9 Cl: 0 STATE OTHER: 0 FL PAGE I FOLLOW UP CAV INSPECTION WITHIN 120 DAYS: A hazardous waste/used oil compliance inspection was made this date, under the authority of Section 403.091, Florida Statutes (F.S.), to determine your facility's compliance with Chapter 403, F.S. and Chapters 62-730 and 62-710, Florida Administrative Code (F.A.C.). Provisions of Title 40 Code of Federal Regulations (C.F.R.) Parts 260 through 268 and 279, which are cited on this form, have been a(jopted by reference as the state hazardous waste and used oil rules in Chapter 62-730 and 62-710, F.A.C. The following potential items of non-compliance were identified by the inspector(s). This is not a formal enforcement action and mav not be a complete listing of all items of non-compliance which exist at the tlrhe of this inspection. GENERAL REQUIREMENTS: CONTAINER MANAGEMENT: D Failure to ensure delivery of HW to proper HW facility 0 0 0 0 0 0 Failure to use a manifest or reclamation agreement § 262.20 0 0 0 0 Failure to provide personnel training§ 265.16. 262.34 0 § 261.5 Failure to provide hazardous waste determination§ 262.11 Failure to notify as generator§ 262.12 Evidence of release(s) of waste§ 265.31 Unlabeled containers§ 262.34 Undated containers§ 262.34 Leaking or bulging containers § 262.34 Open containers § 265.173 Inadequate aisle space§ 62-730.160 RECORDKEEPING REQUIREMENTS: Facility exceeds 90/180 day time limit§ 262.34 0 0 USED OIL VIOLATIONS: Manifests§ 262.40, § 262.44 Training records § 262.34 ,!~[Contingency Plan§ 262.34 D Failure to label containers§ 2i9.22 D Failure to respond to releases§ 279.22 0 Failure to document used oil dlsposal § 279.10 ~Weekly Inspection records§ 62-730.160 0 Information not posted by phone§ 262.34 0 Authorities not notified§ 262.37 · MATERIALS PROVIDED to ass.ist in accomplishing corrective actions 0 DEP Small Quantity Generator Handbook. 0 EPA Managing Used Oil 0 EPA Understanding the Hazardous .Waste Rules 0 Environmental Yellow Pages 0 EPA Notification of Regulated Waste Activity 0. Florida Automotive Recyclers Handbook D List of HW/Used Oil Transporters 0 Antifreeze Recycling Vendors 0 Marcury Lamp Recyclers 0 Other _ _ _ _ __ 0 Other _ _ _ _ __ D Other _ _ _ _ __ Florida Fact Sheets 0 Antifreeze for Recycling I Waste Antifreeze 0 Summary of Hazardous Waste Regulations 0 Summary of Used Oil/Used Oil Filter Regulations 0 Other.------------ 0 0 Other:-------------------Other. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 0 0 Other:------------------Other: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ . .JUS WASTE INSPECTION EXIT INTERVIEW SUMMARY, NOTICE OF POTENTIALVIOLATIONS of 2 •.tiS REQUESTED OR RECOMMENDATIONS BY THE "/NSPECTOFr': -~- ~l (\ •\ OWNERIOPERATOR COMMENTS: The owner/operator is hereby requested to submit in writing, withir/j_ days of this inspection, 1) a description of all corrective actions taken, 2) a schedule for completion of corrective actions to be taken and 3) a description of efforts to prevent recurrence of the above items to the person signing as "INSPECTOR", Florida Department of Environmental Protection, 400 North Congress Avenue, Suit_e 200, West Palm Beach, FL 33401. The actions taken within& days of this notice will be considered in determining whether enforcement, including the assessment of penalties, should be initiated. IF YOU HAVE QUESTIONS, "/NSPECTOR"(signature): con\a~t: ~~~\~~.~- ~;)~~~~ { \ . -,- ~~- <> e.'f:tJ<b ~- at (561) 681·66D6. \ \.·--· Date: ---"sl.·..!..1:.__'-=:...-'-1-".:1''----- The undersigned person hereby acknowledges that he/she received a copy of this notice and has read and understands the same . ..---..._ /, ( - -. /! , .. / I ' . / " '' ... ·····- )r.:t/(__,,·;:.... ~~~~ SIGtlf-TURE: j I r,' I I/ PRINTED NAME: DATE: / ,· I '/,,I Florida Department of Environmental Protection Hazardous Waste Inspection Report FACILITY INFORMATION: Facility Name: Triumvirate Environmental Florida Inc On-Site Inspection Start Date: ME ID#: 05/12/2011 EPA ID#: 50649 Facility Street Address: Contact Mailing Address: County Name: On-Site Inspection End Date: 05/12/2011 FLD981018773 3670 SW 47th Ave #109, Davie, Florida 33314 3701 SW 47th Ave #109, Davie, Florida 33314-2830 Broward Contact Phone: (954) 583-3795 NOTIFIED AS: CESQG (<100 kg/month) Transporter Transfer Facility Used Oil INSPECTION TYPE: Routine Inspection for CESOG (<100 kg/month) facility Routine Inspection for Hazardous Waste Transporter facility Routine Inspection for Transfer Facility Routine Inspection for Universal Waste Transporter facility Routine Inspection for Used Oil Transporter facility Routine Inspection for Used Oil Transfer Facility Routine Inspection for Used Oil Processor facility Routine Inspection for Used Oil Marketer facility Routine Inspection for Used Oil Generator facility INSPECTION PARTICIPANTS: Principal Inspector: Kathy R. Winston, Inspector Other Participants: Shawn Lennon, General Manager; Ben Fisch, Environmental Specialist LATITUDE I LONGITUDE: Lat 26' 4' 37.8283" I Long 80' 12' 33.5153" SIC CODE: 9511 -Public ad min. -air, water, and solid waste management TYPE OF OWNERSHIP: Private Introduction: Triumvirate Environmental Florida Inc. (TEF), formerly known as PermaFix of Ft. Lauderdale, is a permitted facility authorized to process used oil, oily wastewater, petroleum contact water, oily solid waste, and used oil filters. TEF is also a hazardous waste transporter and transfer station. The facility is situated on a 2.5 acre site in light industrial area, and is served by city water and sewer. TEF has operated from this site for 13 years and employs 26 people. In a notification to the Department on August 24, 2011, Triumvirate Environmental (Florida), Inc., recorded its' name change from PermaFix of Ft. Lauderdale, Inc. as part of a stock purchase of the corporation by Triumvirate Environmental, Inc., headquartered in Somerville, MA. Inspection History- The Department is required to inspect TEF at least every two years. Inspections were conducted in 2009 and before that in 2007. In each case, the facility had only minor violations QS and was brought back into compliance without enforcement. Process Description: Used oil and oily wastewater are received in the tank farm area located in the southeast portion of the site. Used oil is offloaded into two 20,000-gallon aboveground tanks. The used oil is filtered, and then allowed to sit for further oil/water separation. The processed oil is tested for compliance with on-specification standards, and is sold as fuel oil to TEF customers. The oily wastewater is transferred for storage into one of seven tanks. The oily water is filtered, and then transferred to a boiler tank where it is heated to 150 " F for oil/water separation. An emulsifier is added to facilitate further oil/water separation and the temperature is raised to 200 • F, then the process is shut down. The water readily separates from the oil, and the oil is diverted to a holding tank. Used oil filters are not consolidated but sent in generator containers to US Foundry in Medley, Florida. Oily solid wastes are consolidated into a rolloff container for disposal at the Central Landfill in Pompano Beach, Florida. Inspection - The inspector noted two boxes of Universal Waste lamps in the transfer facility storage area that were not labeled per the state regulation. All the boxes appeared to have Universal Waste stickers on them but those two did not say "Mercury Containing Lamps for Recycling" or any of the other acceptable labeling phrases per the state regulations. See the potential violations area of this report for the Department's recommendation on this matter. The inspector noted no violations or compliance issues in the Used Oil processing area or the solid waste consolidation area. The consolidation area sits directly in front of the processing operations and shares the same berm system. TEF stores used oil filter containers here before shipment, as well as, the oily solids rolloff. The storage tanks were labeled appropriately with tank# 11 indicated as "out of service." The secondary containment for both the main tank farm and the single large tank in the rear of the property were clean, dry and there were no visible damage to the sealant In the rear of the property was a three sided pole barn that contained the boiler for the processing operation and some equipment and chemical feed drums associated with a system to control the buildup of sealant in the boiler itself. The large Drum Storage building is divided into several different sections and is used for many aspects of the operation. A large section of the rear of the facility serves as storage for everything from emergency response equipment, to spare parts for the processing operation, as well as, toots and products for facility maintenance. The only repair work performed onsite involves the processing equipment and the it's related pumps and valves, as maintenance of the truck fleet and the forklifts are contracted out On the other side of the building there were four distinct storage zones. There was the Hazardous Waste Transfer facility, the liquid non-regulated waste area, the solid non-regulated waste area and the Universal Waste storage area which also contained a small collection of escrap. The drums in those zones were all properly labeled and aisle space was acceptable. Right outside the Drum Storage building and backed up to the loading dock was a trailer being prepared for shipment. Already in the rear of the trailer were eleven 55-gallon drums and one 30-gallon drum of flammable liquids and paint related wastes. Near the door of the trailer were two more 55-gallon drums, the first one contained paint related waste and the other contained flammable liquids. Sitting beside these drums were three five-gallon buckets of isopropyl alcohol. It appeared that the containers in the front of the trailer were still being checked for proper labeling and paperwork before being moved to the rear of the trailer for shipment off site. Records Review- Inspectors reviewed acceptance and delivery logs for both hazardous waste and used oil and found two discrepancies. The hazardous waste transfer facility log entries from October 2010 made it appear that two shipments of waste arrived on site after they had already been shipped out This was an error due to the entry for the outgoing date having not been Q9 changed to refiect the correct month; i.e. November. Also, log entries for two shipments of hazardous waste that arrived on December 8, 2010 didn't have a corresponding outgoing date. Inspectors request copies of these manifests to establish whether these waste were shipped out of the facility within ten days and reached their final destination facility. The inspectors inquired as to whether the drivers of the hazardous waste transport trucks carried a copy of the completed Transporter Status Form and Department Approval Certificate in their vehicles. Facility representatives indicated they were unaware of this rule and would ensure this was done in the future. A review of the Contingency Plan revealed that their emergency contact list did not include the telephone numbers of the closest police and fire station. A random sampling of Bills of Lading and manifests that had gone through the facility since their last inspection were compared to the logs mentioned above and no other issues were found. All other records that were reviewed on site appeared to be in order; i. e. training records, facility inspection logs and container inspection logs. New Potential Violations and Areas of Concern: Transporters Checklist Type: Violation Rule: 263.20 Question Number: 1.40 Question: Do the manifests contain at least: Explanation: Records that were requested during the inspection and subsequently submitted to the Department revealed that TEF had signed off on incorrectly filled out manifests. In 2011 alone, there were at least two case were TEF filled out item #1 on the manifests indicating the facilities as unregistered CESQGs, when the facilities actually had an EPA ID number. Corrective Action: TEF needs to go back through every manifest since May 22, 2009, where item #1 on the manifest indicates the facility as a CESQG and the facility actually has an identification number, and reissue a corrected manifest These corrected manifests must then be copied to the generator, the treatment, storage and disposal facility and the Department. Type: Area Of Concern Rule: 62-730.171 (2)(e) Question Number: 1.830 Question: Does the log contain: Explanation: In the acceptance and delivery logs for the hazardous waste transfer facility, there was an error in the end October of 2010. The error made it appear that in two instances, the waste came in after it went out, as the outgoing date was not changed to reflect the proper month. Also, there were two manifests with incoming log entries from December 8, 2010 that did not have a corresponding outgoing date. Corrective Action: The Department reminded TEF to make sure and note that outgoing dates correspond to the actual month of shipment. Also, the Department requested copies of the completed manifests from December 8, 201 0 that didn't indicate an outgoing date in the hazardous waste transfer facility log to establish that the waste did not remain onsite for more than ten days and that it reached its' final destination facility. QlO Universal Waste Lamps Type: Violation Rule: 62-737.400(5)(b) Question Number: 39.40 Question: Is each lamp or container labeled or marked clearly with either "Spent Mercury Containing Lamps for Recycling", "Universal Waste Mercury Lamps", "Waste Mercury Lamps" or "Used Mercury Lamps"? Explanation: There were two boxes of Universal Waste lamps in the Drum Storage building that had Universal Waste stickers on them but did not have the words "Mercury Containing Lamps for Recycling" or any of the other acceptable labeling phrases for Universal Waste lamps per the state regulations. Corrective Action: Please properly label the referenced boxes and provide pictures to the Department. Used Oil Processor Type: Area Of Concern Rule: 279.52(b)(2) Question Number: 28.340 Question: Does the plan include the following? Explanation: The Contingency Plan did not include the telephone numbers of the closest police and fire station. Corrective Action: Please revise the plan to include the telephone numbers of the closest police and fire station. Type: Area Of Concern Rule: 279.52(b)(3) Question Number: 28.360 Question: Has the plan been distributed to the: Explanation: Requested updates to the Contingency Plan will need to be send to the appropriate local authorities. Corrective Action: Please revise the emergency contact page as requested and then provide proof that these updates have been forwarded to the appropriate local authorities. Checklist Independent Potential Violations and Areas of Concern Type: Violation Rule: 262.12(c) Explanation: Records that were requested during the inspection and subsequently submitted to the Department revealed that TEF had provided transport of hazardous waste in amounts exceeding 1000 kg for a facility which was a non-notifier. Corrective Action: A transporter of hazardous waste must also comply with 40 CFR Part 262, Qll Standards for Generators of Hazardous Waste and shall not treat, store, dispose of, transport or offer for transportation hazardous waste from a generator without a EPA identification number from the Administration. TEF must cease and desist transporting in violation of State and Federal rules. Type: Area Of Concern Rule: 62-730.170{2)(e) Explanation: TEF's hazardous waste transporter drivers were not carrying a copy of their Transporter Status Form and Department Certificate of Approval in their trucks. Corrective Action: The facility needs to make copies of these documents and assure that all trucks that transport hazardous waste have them onboard. Summary of Potential Violations and Areas of Concern: Potential Violations Rule Number Date Cited Explanation Transporters Checklist 263.20 Area 05/12/2011 Records that were requested during the inspection and subsequently submitted to the Department revealed that TEF had signed off on incorrectly filled out manifests. In 2011 alone, there were at least two case were TEF filled out item #1 on the manifests indicating the facilities as unregistered CESQGs, when the facilities actually had an EPA ID number. Universal Waste Lamps 62-737.400(5){b) 05/12/2011 There were two boxes of Universal Waste lamps in the Drum Storage building that had Universal Waste stickers on them but did not have the words "Mercury Containing Lamps for Recycling" or any of the other acceptable labeling phrases for Universal Waste lamps per the state regulations. Checklist Independent Violations 262.12(c) 05/12/2011 Records that were requested during the inspection and subsequently submitted to the Department revealed that TEF had provided transport of hazardous waste in amounts exceeding 1000 kg for a facility which was a non-notifier. Date Cited Explanation 05/12/2011 In the acceptance and delivery logs for the hazardous waste transfer facility, there was an error in the end October of 2010. The error made it appear that in two instances, the waste came in after it went out, as the outgoing date was not Areas of Concern Rule Number Transporters Checklist 62-730.171 (2)(e) Area Ql2 Rule Number Area Date Cited Explanation changed to reflect the proper month. Also, there were two manifests with incoming log entries from December 8, 2010 that did not have a corresponding outgoing date. Used Oil Processor 279.52(b)(2) 05/12/2011 279.52(b)(3) 05/12/2011 The Contingency Plan did not include the telephone numbers of the closest police and fire station. Requested updates to the Contingency Plan will need to be send to the appropriate local authorities. Checklist Independent Areas of Concern 62-730.170(2)(e) 05/12/2011 TEF's hazardous waste transporter drivers were not carrying a copy of their Transporter Status Form and Department Certificate of Approval in their trucks. Conclusion: Post Inspection The manifests that were requested at the inspection and subsequently submitted to the Department revealed that TEF had provided transportation of hazardous waste in amounts exceeding 1,000 kg from a facility without an EPA ID number; TEF had indicated in box #1 of the manifest that this facility was a CESQG. To further investigate the matter, the Department requested copies of all hazardous waste manifests where TEF transported greater than 1,000 kg since the Department's previous inspection of June 23, 2009. The Department is reviewing these documents at this time. The facility was not in compliance at the time of the inspection. The facility was given 14 days to return to compliance. Ql3 Ins pee lion 0Dts: 05/i 2/?0'i ·1 Signed: A hazardous waste compliance inspection was conducted on this date, to determine your facility's compliance with applicable portions of Chapters 403 & 376, F.S., and Chapters 62-710, 62-730, 62-737, & 62 -740 Florida Administrative Code (FAC.). Portions of the United States Environmental Protection Agency's Title 40 Code of Federal Regulations (C.F.R.) 260- 279 have been adopted by reference in the state rules under Chapters 62-730 and 62-710, F.A.C. The above noted potential items of non-compliance were identified by the inspector(s). This is not a formal enforcement action and may not be a complete listing of all items of non-compliance discovered during the inspection. Kathy R. Winston PRINCIPAL INSPECTOR NAME Inspector PRINCIPA7L-::IN-:-:S:::P--EC::::-'TOR T::::IT:::L-::E:---- 5/16/2011 PRINCIPAL INSPECTOR SIGNATURE DATE ~-e_n_F'_ISCh:.:___ _ _ _ _ _ _ _ _ _ _ __ INSPECTOR NAME Environmental Spec:::ia=l=is"-t- - - - - - - - - - INSPECTOR TITLE NO SIGNATURE FDEP INSPECTOR SIGNATURE ORGANIZATION Shawn Lennon REPRESENT:=A:CT::::I:-:V"'E7N~AM::cE::---·---- General Manager REPRESENTATIVE TITLE NO SIGNATURE Perma Fix REPRES~E:-:NT=A~T::::I:-:V::::E~S~tG~N7A~T~U~R~E:------ ORGANIZATION ~--------------- NOTE: By signing this document, the Site Representative only acknowledges receipt of this Inspection Report and is not admitting to the accuracy of any of the items identified by the Department as "Potential Violations" or areas of concern. Ql4 Section T Port Operations Manual {33 CFR 154 &156) TRIUMVIRATE ENVIRONMENTAL (FLORIDA), INC. 3701 SW 47TH AVENUE SUITE 109 DAVIE, FL 33314 954-538-3795 FACILITY LOCATION: 3670 SW 47TH AVENUE DAVIE, FLORIDA 33314 SEPTEMBER 12, 2011 MANAGEMENT CONCURRENCE BY: (] - Jb11A' h /lr--~~~--l - John /l~/;, 4/ Date: P. Lennon, General Mana~ (~ Triumvirate Environmental (Florida)~ ~c. 1 Davie, Florida 33314 · . •i'J(NilV'IINED B'tf> ~!JS COA>ST GUARD TABLE OF CONTENTS ·SectionPage I.OINTRODUCTION l 2.00PERATIONS MANUAL! 2.1 Geographic Location I 2.2Physical Description ofF acility I 2.3The Hours of Operation! 2.4:;>ize and Types ofVessels2 . 2.5DescriptioiJ. ofMaterial Transferred2 2.6Personnel Responsibilities3 2.7Emergency Contacts4 2.8Communication Systems4 2.9Emergency Shutdown Equipment4 2.1 OS pill Collection&. Monitoring Procedures4 2.11 Fire Extinguisher AccessibilitJ5 2.120peration Procedures5 2.13Personnel Training Requiremerits6 2.14Surnmary of Federal, State, and Local Oil Pollution Regulations? 3.0EQUif>MENT REQUIREMENTS? 4.0FACILITY OPERATIONS? 4.1Persons in Charge: Designation/Qualification& Evidence of Designation? 4.2Safety Requirements8 4.3Records of Test and Inspections8 S.OVESSELS WITH 250 BARREL CAPACITY AND GREATER9 5.1Advance Notice ofTransfer9 5:2Requirementsfor Transfer9 5.3Discharge Clean-up9 5.4Connection9 · 5.5Dec!aration of InspectionlO ): Appendices A B c D E .\ .F ··[\ G H I .. ) !. Applicable Regulations Declaration of Inspection Form Spill Regponse Vendor Capabilities Certified MTRF Operator · COTP Notification Form Material SafetY Data Sheets Health and Safety Training Program (contents only) Spill Response Equipment Fire Extinguisher Use Instructions ) j •• . ' .. ii \ ' BR\S~WARD '' Section U Section U Environmental Protection and Growth Ma1agement Department POLLUTION PREVENTION, REMEDIATION ANJ AIR QUALITY DIVISION Ole North UnivErsity Drive, Suite 102, Plantation, FL 33324 C:OUI'\IT\' 954-51!l-1260 ·FAX 954-51!l-1494 r--,•r.w;MM·If!\( WASTE TRANSPORTER LICENSE APPLICANT: Triumvirate Environmental (Florida), Inc. Attention: Douglas Youngen, Chief Operating Officer 3701 SW 47 AVENUE, SUITE 109 Davie, FL 33314 License Number: WT-1 1-0113 This license is issued under the provisions of Chapter 27 of the Broward County Code of Ordinances hereinafter called the Code. The above-named applicant, hereinafter called Licensee, is hereby authorized to perform the work or operate the facility shown on the approved drawings, plans, documents, and specifications submitted by Licensee and made a part hereof and described specifically below. The issuance of this license is a final agency determination. A person with a substantial interest may file a petition to request review of or to intervene in a review of a final administrative determination, subject to the provisions of Section 27-14, Broward County Code of Ordinances. If no objection to this license is received within 14 days, you will be deemed to have accepted it and all the attached terms and conditions. ALL GENERAL CONDITIONS and SPECIFIC CONDITIONS, as attached, are considered to constitute the requirements of this license. The Licensee is required to fully comply with all these conditions. Any failure to comply h the conditions or requirements as set forth may result in revocation or suspension of this license and may subject " Licensee to enforcement action in accordance with the provisions of Article 1, Division 4 of the Code. Nature of Business: Sludge Hauling Sewage and Grease Trap Waste for Vessles Discarded Hazardous Material Hauling Used Oil RCRA Hazardous Waste Photochemical Waste Nonhazardous Industrial Waste (Solid) Nonhazardous Industrial Waste (Liquid) Contaminated Soils Biomedical Waste Hauling Prepared By: Ap]Jlication Received: Date of Issue: Didier Dupuy Renewal App. Due: 09101/2013 Expiration Date: 1013112013 I 0/20120 I I I 0124120 I I 'Pollution Prevention, Rcmcd'tiiion and Air Quality Division Page 1 of2 WASTE TRANSPORTER LICENSE GENERAL CONDITIONS ( 1) The terms, conditions, requirements, limitations and restrictions set forth herein are accepted by the Licensee and must be completed by the Licensee and are enforceable by The Environmental Protection and Growth Management Department (THE AGENCY) pursuant to this chapter. THE AGENCY will review this license periodically and may revoke or suspend the license, and initiate administrative and/or judicial action for any violation of the conditions by the Licensee, its agents, employees, servants or representatives. (2) The license is valid only for the specific uses set forth in the license application and any deviation from the approved uses may constitute grounds for revocation, suspension, and/or enforcement action by THE AGENCY. (3) In the event the Licensee is temporarily unable to comply with any of the conditions of the license or with the Code, the Licensee shall notify THE AGENCY within eight (8) hours or as stated in the specific section of the Code. Within three (3) working days of the event, the Licensee shall submit a written report to THE AGENCY that describes the incident, its cause, them easures being taken to correct the probl ern and prevent its reoccurrence, the owner's intention regarding the repair, replacement and reconstruction of destroyed facilities and a schedule of events leading toward operating within the license condition. (4) The issuance of this license does not convey any vested rights or exclusive privileges, nor does it authorize any injury to the public or private property or any invasion of personal rights, or any violation of federal, state or I ocal I aws or regulations. (5) This license must be available for inspection on the Licensee's premises during the entire life of the license. '6) By accepting this license, the Licensee understands and agrees that all records, notes, monitoring data and other information relating to the construction or operation of this licensed facility or activity, that are submitted to the County, may be used by the County as evidence in any enforcement proceeding arising under the Code, except where such use is prohibited by section 403.111, Florida Statutes. (7) The Licensee agrees to comply and shall com ply with all provisions of the most current version of the Code. (8) Any new owner or operator of a licensed facility shall apply by letter for a transfer of license within thirty (30) days after sale or legal transfer. The transferor shall remain liable for performance in accordance with the I icense until the transferee applies for and is granted a transfer of license. The transferee shall be liable for any violation of the Code that results from the transferee's activities. The transferee shall comply with the transferor's original license conditions when the transferee has failed to obtain its own license. (9) The Licensee, by acceptance of this license, specifically agrees to allow access and shall allow access to the licensed source, activity or facility at times to AGENCY personnel for the purposes of inspection and testing to determinecompliancewith this license and the Code. ( 10) This license does not constitute a waiver or approval of any other license, approval, or regulatory requirement by this or any other governmental agency that may be required. ( 11) Enforcement of the terms and provisions of this license shall be at the reasonable discretion of THE AGENCY and any forbearance on behalf of THE AGENCY to exercise its rights hereunder in the event of any breach by the Licensee, shall not be deemed or construed to be a waiver of THE AGENCYs rights hereunder. Page 2 of2 En>ironmental Protection and Growth Malagement Departroont POLWTION PREVENTION, REMEDIATION AID AIR QUALITY !:!VISION 01e North Univa-sity Dril.e, Sutte 102, Plantation, FL 33324 ' " I - •, { ·. ,' l ,· 954-519-1260 ·FAX 954-519-1494 WASTE TRANSPORTER LICENSE INVENTORY APPLICANT: Triumvirate Environmental (Florida), Inc. Attention: Douglas Youngen, Chief Operating Officer 3701 SW 47 AVENUE, SUITE 109 Davie, FL 33314 STORAGE LOCATIONS: WT-11-0113 License Number: 10/24/2011 License Issue Date: License Expiration Date: I 0/31/2013 LICENSED VEIDCLES: Address PPRAQ Sticker# License Plate # 3670 SW 47 Ave Davie, FL 1159 2500 3156 3360 3830 3905 4570 4571 4597 4598 5092 5132 5134 5137 5138 5785 5871 5872 5873 5874 FL/N2192H FLIC5881N FL/570 ICE TN/4253CE FL/N7956G FL/N28641 FLIC6345N FLIC6362N FL/0708CF FL/1013CD FL/N0398M FL/N3464K FL/N7161M FL/968JDR FLIV960M1 FL/N0381M FL/N461721 FLIC7047N FLIC5883N FL/0044CA Page I of2 Emlironmental Protection and Growth f'v1alagement Department POLLUTION PREVENTION, REMEDIATION ANJ AIR QUALITY llVISION 01e North UnwB"sily Drive, Sune 102, Plantation, FL 33324 954-519-1260 ·FAX 954-519-1494 WASTE TRANSPORTER LICENSE INVENTORY Prepared By: Inventory Date: Didier Dupuy 10/24/2011 Page 2 of2 PPRAQ Sticker# License Plate # 5875 TN/TN033361S Sections T and Z U.S. Department of Homeland Security Commander United States Coast Guard Sector Miami United States Coast Guard 100 Mac Arthur Causeway Miami Beach, Florida 33139-5101 Staff Symbol: sp Phone: (788) 777-0775 Fax: (786) 777-0791 Section V 16471/11-0563 June 7, 2011 MISLE#: 4036963 FIN#: MIAMOB18 APPROVAL LETTER Penna-Fix of FT. Lauderdale, INC. Attn: Mr. John Lern10n 3701 SW 4ih Avenue Suite 109 Davie, FL 33314 Dear Mr. Lennon, Members of my staffreviewed the facility response plan for Penna-Fix . The response plan meets all Federal requirements of Title 33 of the Code of Federal Regulations Part 154 (33 CFR 154) and is hereby approved. The approval is valid until June 7, 2016. You are required to resubmit an updated plan every five years in accordance with 33 CFR 154.1030 and 33 CFR 154.1060. Also, if you make any changes outlined in 33 CFR 154.1065(b), such as changing the types of oil handled, you must submit revisions to this office within 30 days. Finally, you must notifY this office if you make revisions to personnel and telephone number lists included in the response plan. Please refer to the facility identification number MIAMOB18 in any future correspondence. If you have any questions, please contact the Sector Miami Port Field Office at (786)777-0775. Sincerely, (:}9/)ffkl___. J:). G. MCCLELLAN Commander, U.S. Coast Guard Captain of the Port, Miami By direction -, FACILITY RESPONSE PLAN FOR PORT OF MIAMI, PORT EVERGLADES, FL TRIUMVIRATE ENVIRONMENTAL (FLORIDA), INC. 3701 SW 47TH AVENUE SUITE 109 DAVIE, FL 33314 954-538-3795 TABLE OF CONTENTS Page 154.1035(a) -Introduction and Plan Content .............................................................................. .. 154.1035(a){1)- Facility Address ..................................................................................................... 154.1035(a)(2)- Facility and MTRF Locations .............................................................................. .. 154.103S(a){3)- Owner/Operator 24 Hour Contact ..................................................................... 1S4.103S(a)(4)- Table of Content ................................................................................................... 154.103S(a)(S)- Cross Index ............................................................................................................ I 1 1 1 1 1 1S4.1035(b)- Emergency Response Action Plan ..................................................................................... . 154.1035(b)(1)- Notification Procedures ....................................................................................... . 154.103S(b)(2)- Facility Spill Mitigation Procedures ..................................................................... 154.103S(b)(3)- Facility Response Activities ................................................................................. . IS4.103S(b)(4)- Sensitive Areas .........................................................................,............................ . 1S4.103S(b)(S)- Disposal Plan .......................................................................................................... 1 6 6 154.103S(e)- Training and Drills ................................................................................................................ 154.1035(e)(l)- Training Procedures .............................................................................................. 154.1035(e)(2)- Drill Procedures ..................................................................................................... 6 6 7 154.1035(f)- Plan Review and Update Procedures .................................................................................. 7 Appendices ABCDEFGH1JK- Facility Specific Information List of Contacts Equipment List and Records Communication Plan Health & Safety Plan Acronyms and Definitions Coast Guard Oil/Hazardous Material Contingency Plan Record of Changes Fire Extinguisher Instructions for Use Oil Spill Management Team in Cape Canaveral Area Environmentally Sensitive Areas in Broward 1 Miami-Dade and Cape Canaveral Area 1 4 5 s:c 0 :;::::; (.) Q) ~ .., en FLORIDA DEPARTME!ItT Of' EN\1RONMENTAL PROTECTION DIVISION OF WASTE MANAGE.l\tEN'f STOR4..GE TANK REGl.."L>\ TION SECTION, M.S. 4...:;25 2600 BLAIR STONE ROAD Tt\LLAHASSEE. FLORIDA 32399-2400 Certificate#: (85tH 488~3935 FAX (8511) 9224939 '" "'..,"'. u'" <J) <J) "'" {)[)3 0 0. "'"'"' TER.MINAL.K\CILITY l)JSCHARGE I'REVE!IrrJDNAND RESPONSECERTIF1CATE """ "' ..," 0 Issued to: ·r< "> ILium t.1/e._q-fr:._ Coumy: /3f:oc.Ua.ed Dare: Dr I <J) <J) "''" '"'" .<: Address: <J) Oil 370 I 6uJL-/ 7(U_J/)c~. ):::::0e./)..f)UtJE.£lJJV__£ I r-L I r:XJ/3 <) "' ..,"' ·r< A ·r< This Discharge Prevention and Response Certificate certifies that the holder.has demonstrated to the. deparnnem satisfactory pollmant discharge containment and cleanup capabilities pursuant to Sccti.on 376.065, Florida Statutes. .-< ·r< <) '""' ls~uedBy:\., .-< ""'s ·r< '" E:~:pires: , ~ q -4 LA.(./ I J t\.,r ~¥'\.A.'"¢' Twelve (12) months after the date of issuance. <J) H DEP 20-009 FMP (5/95) Distribution: \Vhitc - Terminal Facility Yellow - Storage Tank Regulation Inspection Office Storage Tank Regulation Section- Tallaha~scc Pink Part X Section X Florida Department of Environmental Protection Uob 1\-l"rtincz Center 2600 /ik1ir Slone Ro;Jd Talbha~~l'C, Horid<l 32399-2400 \ni,_';P\ May 1, 2013 John Wyluda Triumvirate Environmental Florida Inc 3701 SW 47th Ave, Suite 109 Davie, FL 33314 BE IT KNOWN THAT Triumvirate Environmental Florida Inc 3670 SW 47th Ave #109 Davie, FL 33314 IS HEREBY REGISTERED AS A USED OIL Transporter, Transfer Facility, Processor, Marketer, Filter Transporter, Filter Transfer Facility, Filter Processor pursuant to Chapter 62-710, Florida Administrative Code (F.A.C) For regulatory guidance, go to: htto: //www .dep_,state..Jl...u.s/waste/ categQries/us.ed oil/default. htm The Department of Environmental Protection hereby issues Registration Number FLD981018773 on May 1, 2013 Transporter Type: FH This registration will expire on 6/30/2014 This certificate documents receipt of your annual registration and annual report. It shall be displayed in a prominent place at your facility. This certificate and your cancelled check are your receipts. Janet Ashwood Engineer Specialist III Hazardous Waste Regulation Permitting Section Y FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION BOB MARTINEZ CENTER 2600 BLAIRSTONE ROAD TALLAHASSEE, FLORIDA 32399-2400 RICK scon GOVER"OR HERSCHEL T. VINYARD JR. SECRE'I ARY May 7,2013 Sent Via E-mail [email protected] Mr. Shawn Letmon, Jr., General Manager Triumvirate Environmental (Florida), Inc. 3670 SW 47th Avenue Davie, Florida 33314 SUBJECT: Triumvirate Environmental (Florida), Inc. Facility EPA ID Number: FLO 981018 773 Operating Permit Numbers: 77390-H0-008; 77390-S0-009 Broward County Dear Mr. Letmon: Enclosed are Pennits Number 77390-H0-008 and 77390-S0-009 issued to Triumvirate Environmental (Florida), Inc. pursuant to Section 403.769, Florida Statutes (F.S.), and Chapters 62-4, 62-70 I, 62-710 and 62-740, Florida Administrative Code (F.A.C.). This pem1it is final and effective on the date filed with the Clerk of the Department. When the permit is final, any party to the petmit has the right to seek judicial review of the penni! pursuant to Section 120.68, F.S., by the filing of a Notice to Appeal pursuant to Rule 9.110, Florida Rules of Appellate Procedure, with the Clerk of the Department in the Office of General Counsel, Department of Environmental Protection, 3900 Commonwealth Boulevard, MS #35, Tallahassee, Florida 32399-3000; and by filing a copy of the Notice of Appeal accompanied by applicable filing fees with the appropriate District Court of Appeal. The notice of Appeal must be filed within thirty (30) days from the date the final petmit is issued. lfyou have any questions, please contact Bheem Kothur at (850) 245-8781 or via e-mail: [email protected]. Sincerely, Tim J. Bahr, Administrator Hazardous Waste Regulation 1\'lnl'.dep ..\tate.jl.us C~ifl f-:.ie:'i/ 1 Section Z 1;-~c.()',·pordP.r} i~ :-·: \'f I{· !I tl; 81'1 L:.·- f S~e l'\dC\:Of.' January 19'" 2011 Discharge Cleanup -- Part Z EMERGENCY RESPONSE AGREEMENT tl.4! frMJlU!~. E~lfflERGfSN,C\1 NU~BfER 1l .800:,899, 17' 415 By and Between CLIFF BERRY, INCORPORATED P.O. BOX 13079 PORT EVERGLADES STATION FT. LAUDERDALE, FL 33316 954.763.3390 OFFICE 954.764.0416 FAX And Triumvirate Environmental (Florida), Inc. 3701 SW 47th Avenue Suite 109, Davie FL 33314 Attn: Shawn Lennon PROPOSAL NUMBER#: 21009 CLIFF BERRY, INCORPORATED EMERGENCY RESPONSE SERVICES This agreement for-Emergency R_esponse Services (the "Agreement") is made this 19th day of January 2011 oetween Cliff Berry, Incorporated with its principal offices located at 851 Eller Drive, Ft. Lauderdale, FL 33316 and Triumvirate Environmental (Florida), Inc. (hereafter referred as the "Client") with its principal offices located at 3701 SW 47th Avenue, Suite 109 in Davie, FL 33314 RECITALS WHEREAS Cliff Berry, incorporated has been awarded a contract to perform Emergency Response Services on an as-called basis for certain companies (hereinafter referred to as the "Client"); and whereas Cliff Berry, Incorporated shall be herei~after referred to as CBI. WHEREAS CBI represents that it is capable of providing additional Emergency Response resources to "Client" which services include, but may not be limited to, Emergency Response Services reasonably required to mitigate oil, chemical and other hazardous or non-hazardous substances released into the environment on an as-called basis, twenty-four (24) hours per day, seven (7) days per week; and WHEREAS CBI shall respond to said emergency response within 1 HOUR as stipulated by USCG regulations. WHEREAS CBI wishes to e!;tablish in advance the terms an"d procedures whereby the "Client" may, from time to time, contract Emergency Response Services under the Prime Agreement. NOW THEREFORE, in consideration of the mutual covenants contained herein and for other good apd valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties, intending to be legally bound, do hereby agree as follows: SCOPE OF WORK The scope of work to be performed by CBI shall be determined by the Parties at the time the "Client" requests the services and as authorized by the "Clients" authorized representative. A request from the "Client" for CBI to perform services under this agreement constitutes an "ORDER" placed for these services. The "Client" acknowledges and agrees that CBI may, at its sole discretion, expand, modify, and/or discontinue the services with appropriate notice to the "Client". If such changes result in an increase or decrease in costs, these costs adjustments shall be docume!)ted in a written change order, signed by the parties. Should the "Client" discontinue the request for services once the "ORDER" has been placed and authorization to proceed has been given, the "Client" concedes that CBI has deployed equipment, personnel ~nd managerial staff in support of the service order. Accordingly, the "Client" agrees to mobilization charges equivalent to a 4 hour minimum that will be applied to the service order. In the event that CBI can not respond due to uncontrollable circumstances, CBI shall notify the "Client" in a judicious manner. The services to be provided by CBI include, but are not limited to: Site evaluation, decontamination and restoration Containment, recovery, repackaging and removal of Hazardous & Non-Hazardous substances Transportation, storage, treatment or disposal of recovered wastes Technical services, including sampling, laboratory analysis, and other related services Training and mock spill drill deployments 2 EMERGENCY NOTIFICATION The "Client" may request services of CBI by telephone - 24 hours I day - 7 days a week by calling its emergency number 80(!.899. 7745. When the "Ciienf' requests CBI to take action in an Emergency Response, ' ~h a request shall constitute an "ORDER" which may be accepted or rejected by CBI. When the "ORDER" has been placed, CBI shall provide the "Client" with a written "JOB AUTHORIZATION, ACCEPTANCE OF TERMS AND CONDITIONS FORM" either in person or via fax to be signed by an authorized agent of the "Client" empowering CBI to perform the scope of work. (See attached exhibit A) When placing an "ORDER", the "Client" shall identify the location and preliminary scope of services requested. Initial information may include, to the extent practicable: V' The surface impacted (soil, concrete, pavement, storm drains, etc ... ), V' The substance released V' The products chemical name and trade name V' Amount of release V' Name of either Party's on-scene representative. •client is responsible for advising all Federal, state, local, and anv other governing authorities of the spill event occurrence. (See Emerqencv Response Spill- Reporting & Notification Requirements/ CHANGE ORDER CBI may, at any' time, by verbal order followed by a written change order; make specific changes in the scope of work under any "ORDER" accepted by CBI. Should such. changes involve additional services on the part of CBI, then CBI shall submit an estimate of the amounts of additional personnel and equipment it expects to be utilized for such changes. CBI will not proceed with the changes until it has received written authorizatipn from the "Client" unless the "ORDER" is issued under emergency conditions, were by a verbal "ORDER" followed by a written fax to CBI's corporate office shall control. .n an emergency where the safety of persons or property is threatened, CBI shall act, at its sole discretion, to prevent threatened damage, injury or loss to persons or property. Any such actions must be prudent, cost effective and justifiable. Such actions will be compensated in accordance with this agreement. SITE ACCESS The "Client" shall be responsible for securing all necessary approvals, judicial and/or administrative orders necessary to ensure CBIIegal access toJhe site. ~ RETAINER CBI shall charge a yearly retainer fee of $0.00 which shall be prepaid before any services." equipment, or materials are made available to the "Client". The retainer is required to offset the cost of storage, maintenance, training and administrative fees. If CBI is called upon to respond to a spill, the annual fee shall be credited to the cleanup charge. LICENSING CBI warrants that it is properly licensed and has the requisite skills and related expertise to provide the services described or reasonably implied in this agreement. 3 SUPPLEMENTARY TERMS AND CONDITIONS MANIFEST AND PRODUCT PROFILING: CBI will provide the "Ciienf' a manifest for all waste removed from the spill site. CBI reserves the right to determine the ex1i"ct amount of waste transported and disposed thereof. Costs are determined based on the generator's waste material profile sheet and certification of the representative sample submitted. Should the waste be different from the sample submitted, the "Client" will be responsible for any additional disposal surcharges assessed by the disposal facility or incurred during subsequent transportation. PERSONNEL: All personnel sent on-site from CBI are technical personnel with the capacity of performing the entire operation on a given job. If, for any reason, due to the "Clients" collective bargaining agreements, or if the "Client" deems it is necessary to utilize other personnel in the performance of the work, such personnel shall be furnished by and at the sole expense of the "Client". Such additional personnel shall work under the direction and supervision of the "Client" and shall not be employees of CBI. INSURANCE: CBI shall observe and comply with all applicable laws in the state where such work is performed relating to Worker's Compensation and Longshoreman's and Harbor Worker's Insurance coverage for its employees and shall carry public liability insurance. TAXES: Unless otherwise indicated, all applicable federal, state, local taxes and tariffs are to be added to the quoted price(s). RENTAL: The "Client" assumes and agrees to be liable for all risks of physical foss or damage (other than ordinary wear and tear due to use) to the equipment after delivery to the "Client's" work site until returned to CBI's possession at point of origin. If such equipment is lost or damaged so as to be unrepairable, the "Client" shall pay CBI its replacement cost. TERMS OF PAYMENT: Unless otherwise stated, terms are NET UPON RECEIPT OF INVOICE. The parties further acknowledge making payment for all services provided by CBI as outlined under the terms set forth in this agreement. Failure to make timely payme·nt will result in a 1.5% monthly interest penalty which is to be added to the outstanding balance, as well as any cost incurred during the process of securing payment, including but not limited to attorney's fees and the cost of collection. . ~ PROPOSAL ACCEPTANCE By my signature below I acknowledge that I have read the proposal and agree to its terms, inducting all those set forth above. In addition, I concede receiving a copy of the CBI Price List and that I have read all provisions set forth and agree to all terms and conditions thereof. COMPANY NAME: CLIENT SIGNATURE: CLIENT PRINTED: TITLE: DATE: 4 Witnessed: Cliff Berry, Incorporated Authorized Signature: Signature Printed: Kirk Roberts Title: Sales Manager Date: 1/19/2011 CLIENT INFORMATION Facility: Business Address: Site Address: Technical Contact: After Hour Phone#: Triumvirate Environmental (Florida), Inc. Facility ID #: 3701 SW 47th Avenue, Suite 109, Davie, FL 33314 Port Everglades, Port of Miami, Port Canaveral, Port Tampa, Orlando, Port of Jacksonville Shawn Lennon Phone#: (954) 583-3795 Email: [email protected] (954) 296-3873 Emergency Phone#: (954) 296-3873 Insurance Company: Name Address: Phone#: Wells Fargo Insurance Services Southeast, Inc. Policy#: 1100 Johnson Ferry Road, Suite 250, Atlanta, GA 30342 (404) 531Fax#: 24 Hour Emergency#: Technical Contact: Title: Phone#: Email: 24 Hour Emergency#: FACILITY DESCRIPTION Type of Facility: Shoreside Fixed XXXX Tank Truck Vessel Diesel Gasoline XXXX Oil Type Other: Oily Water/Surface MSDS Date Sheets Included Number of Tanks & Capacities: (See diagram below for locations) Equipment on Hand: Boats# XXXX Boom XJ<XX Absorbents Additional Details NamesFacility Certified Responder Personnel: Length of Largest Vessel Docking at the Facility: Special Instructions I Additional Information: Shawn Lennon, Steve Swett, Dave Jones 5 ''.' {_:, Section Z (Cont.) FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION MARJORY STONEMAN DOUGLAS BUILDING 3900 COMMONWEALTH BOULEVARD TALLAHASSEE, FLORIDA 32399·3000 RICK SCOTT GOVERNOR HERSCHEL T. VINYARD JR. SECRETARY June 6, 2013 Oiff Berry & Associates, Inc. Cliff Berry, Sr. 700 SE 32nd court Ft. Lauderdale, FL 33316 RE: Renewal of Certificate for Discharge Cleanup Organization Dear Mr. Berry: You are currently listed as an Approved Discharge Cleanup Organization (DCO) for the State of Florida. We are extending the expiration date of your DCO Certificate to June 30, 2014. Please notifY this office of any significant changes in your capabilities as a DCO, as well as, changes in addresses, phone numbers, or contacts. Retain a copy of this letter with your most current DCO certificate as evidence of your certification status. If you have any questions, or wish to provide updates, please contact Ms. Amanda Hartsfield at (850) 245-2870 or via email at [email protected]. You may also contact your District Emergency Response Manager to address any questions or issues regarding this program. Sincerely, ~Ja---- Gwen Keenan, Director Office of Emergency Response cc: District OER Managers www. dep.state.j/. us
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