Cover Page report

		Florida Department of Environmental Protection Bob Martinez Center 2600 Blair Stone Road Tallahassee, Florida 32399-2400				Storage Tanks & Contamination Monitoring Information

Cover Page Report
Report Run Date: 02/23/2025 Last Data Refresh: 02/22/2025 Report Generated from DOPPLER

District	Northwest			Type		Retail Station

County	Walton			Status		OPEN

ID	8517915			Latitude		30° 28' 1.5922

Name	SUPER STATION 5 13882 HWY 20 W			Longitude		86° 21' 6.5707
	NICEVILLE, FL 32578			LL Method		DPHO

Contact	SHREEPAL R PARIKH			LL Status		REVIEWED

Phone	(850) 353-2846			Status Date		09/21/2023

Account Owner Information

Name	SUPER STATION 5 LLC 13882 FL 20 NICEVILLE, FL 32578			Effective Date		01/04/2023

Contact	SHREEPAL PARIKH

Phone	(714) 727-7493

Email	SUPERSTATION005@GMAIL.COM
				Placard # / Date		683693 - 06/05/2024
Property Owner Information

Name	SPROP 2 LLC 913 BEAL PKWY A215 FORT WALTON BEACH, FL 32547			Effective Date		01/04/2023

Contact	SHREEPAL PARIKH

Phone	(714) 727-7493

Email	PARIKH88@GMAIL.COM









Tank	Tank Size	Content		Installed	Placement	Status
3	12000	Vehicular Diesel (D)		05/01/1995	UNDERGROUND	In Service (U)

Constructions			Pipings		Monitorings
(C) Steel (E) Fiberglass (G) Sacrificial anode CP (I) Double wall (L) Compartmented (M) Spill containment bucket (N) Flow shut-Off (O) Tight fill			(C) Fiberglass (J) Pressurized piping system (K) Dispenser liners (M) Double wall - pipe jacket (N) Approved synthetic material		(2) Visual inspect pipe sumps (4) Visual inspect dispenser liners (F) Monitor dbl wall tank space (H) Mechanical line leak detector (K) Monitor dbl wall pipe space


Tank	Tank Size	Content		Installed	Placement	Status
4	8000	Unleaded Gas (B)		05/01/1995	UNDERGROUND	In Service (U)

Constructions			Pipings		Monitorings
(F) Fiberglass clad steel (G) Sacrificial anode CP (I) Double wall (M) Spill containment bucket (N) Flow shut-Off (O) Tight fill			(C) Fiberglass (J) Pressurized piping system (K) Dispenser liners (M) Double wall - pipe jacket (N) Approved synthetic material		(2) Visual inspect pipe sumps (3) Electronic monitor pipe sumps (F) Monitor dbl wall tank space (H) Mechanical line leak detector (K) Monitor dbl wall pipe space (M) Manual tank gauging - USTs (T) Annual tightness test/Inventory


Tank	Tank Size	Content		Installed	Placement	Status
1	8000	Unleaded Gas (B)		03/01/1976	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(C) Steel (M) Spill containment bucket (N) Flow shut-Off (O) Tight fill			(B) Steel/galvanized metal (F) Double wall (J) Pressurized piping system (N) Approved synthetic material		(2) Visual inspect pipe sumps (4) Visual inspect dispenser liners (8) Manually sampled wells (F) Monitor dbl wall tank space (H) Mechanical line leak detector (M) Manual tank gauging - USTs (N) Groundwater monitoring (O) Vapor monitoring


Tank	Tank Size	Content		Installed	Placement	Status
2	6000	Unleaded Gas (B)		03/01/1976	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(C) Steel (M) Spill containment bucket (N) Flow shut-Off (O) Tight fill			(B) Steel/galvanized metal (J) Pressurized piping system		(8) Manually sampled wells (H) Mechanical line leak detector (M) Manual tank gauging - USTs (N) Groundwater monitoring (O) Vapor monitoring


Insurance Documents

FR Type			Effective Date	Expiration Date	Company Name
INSURANCE			03/29/2023	03/29/2024	TOKIO MARINE SPECIALTY INSURANCE COMPANY
INSURANCE			04/12/2021	04/12/2022	COMMERCE & INDUSTRY INSURANCE CO
INSURANCE			04/12/2019	04/12/2020	COMMERCE & INDUSTRY INSURANCE CO
INSURANCE			04/12/2018	04/12/2019	COMMERCE & INDUSTRY
INSURANCE			04/12/2017	04/12/2018	COMMERCE & INDUSTRY
INSURANCE			07/02/2016	07/02/2017	COMMERCE & INDUSTRY
INSURANCE			04/12/2016	04/12/2017	COMMERCE & INDUSTRY INSURANCE CO
INSURANCE			04/12/2015	04/12/2016	COMMERCE & INDUSTRY
INSURANCE			04/12/2013	04/12/2014	COMMERCE & INDUSTRY
INSURANCE			04/12/2010	04/12/2011	COMMERCE & INDUSTRY
INSURANCE			04/12/2010	04/12/2011	ZURICH-AMERICAN
INSURANCE			04/12/2008	04/12/2009	ZURICH-AMERICAN
INSURANCE			01/01/1989	01/01/1996	FPLIPA


Legacy Compliance Activity Information

Activity Code	Date Initiated	Date Completed	Results		Inspector	AST/UST Count	Description
TCI	02/16/2006	02/21/2006	IN-COMPLIANCE		J. SCOTT HALE	0/2	COMPLIANCE ASSURANCE

	Completion Notes NO VIOLATIONS FOUND THIS INSPECTION

TCI	04/14/2005	04/15/2005	IN-COMPLIANCE		SCOTT HALE	0/2	COMPLIANCE ASSURANCE

RRBD	06/14/2004	06/15/2004					COMPLIANCE ASSURANCE

TCI	03/26/2004	03/30/2004	MINOR OUT-OF-COMPLIANCE		JOSEPH S. HALE	0/2	COMPLIANCE ASSURANCE

TCI	05/05/2003	05/13/2003	MINOR OUT-OF-COMPLIANCE		JOHN S. STEVENSON	0/2	COMPLIANCE ASSURANCE

TCR	06/27/2002	06/28/2002	IN-COMPLIANCE		JOHN S. STEVENSON	0/2	COMPLIANCE ASSURANCE

IRFR	05/31/2002	06/27/2002			JOHN S. STEVENSON	0/0	DISCHARGE PROJECT

	Completion Notes H2O IN INTERSTITIAL

TCR	05/22/2002	05/30/2002	SIGNIFICANT OUT-OF-COMPLIANCE		JOHN S. STEVENSON	0/2	COMPLIANCE ASSURANCE

RRBD	04/03/2002	04/04/2002					COMPLIANCE ASSURANCE

TCI	03/26/2002	04/04/2002	SIGNIFICANT OUT-OF-COMPLIANCE		JOHN S. STEVENSON	0/2	COMPLIANCE ASSURANCE

TCI	03/01/2001	04/10/2001	IN-COMPLIANCE		HUTCHERSON_VP	0/2	COMPLIANCE ASSURANCE

TCI	04/11/2000	04/20/2000	IN-COMPLIANCE		HUTCHERSON_VP	0/2	COMPLIANCE ASSURANCE

RRBD	11/16/1999	01/04/2000			HUTCHERSON_VP	0/0	COMPLIANCE ASSURANCE

TCI	06/01/1999	06/28/1999	MINOR OUT-OF-COMPLIANCE		METZLER_S	0/2	COMPLIANCE ASSURANCE



Compliance Activity Information

Activity Code		Date Completed	Results	Inspector	AST/UST Count	Description
Letter		02/07/2025	Satisfied	GARTIN_D		Compliance Assistance

Electronic Communication		01/31/2025	Satisfied	VOLK_MP_1		Routine Compliance

Site Inspection		01/31/2025	Major Out of Compliance	VOLK_MP_1	0/2	Routine Compliance

Enforcement Tracking		10/02/2023	Closed Without Enforcement	GILLMAN_M		Enforcement

Enforcement Referral		05/23/2023	Accepted	GARTIN_D		Enforcement

Electronic Communication		05/12/2023	Satisfied	GARTIN_D		Routine Compliance

Electronic Communication		05/12/2023	Satisfied	GARTIN_D		Routine Compliance

Electronic Communication		05/10/2023	Satisfied	GARTIN_D		Compliance Assistance

Electronic Communication		05/10/2023	Satisfied	GARTIN_D		Compliance Assistance

Electronic Communication		05/10/2023	Satisfied	GARTIN_D		Compliance Assistance

Letter		02/21/2023	Satisfied	WILSON_ML_1		Compliance Assistance

Site Inspection		02/21/2023	Major Out of Compliance	GARTIN_D	0/2	Routine Compliance

Electronic Communication		02/17/2023	Satisfied	GARTIN_D		Routine Compliance

Letter		09/07/2021	Satisfied	WILSON_ML_1		Compliance Assistance

Issue Document		09/07/2021	Satisfied	WILSON_ML_1		Compliance Assistance

Record Document		08/24/2021	Satisfied	KHAN_MR_1		Compliance Assistance

Record Document		08/20/2021	Satisfied	KHAN_MR_1		Compliance Assistance

Issue Document		05/28/2021	Satisfied	WILSON_ML_1		Compliance Assistance

Letter		05/28/2021	Satisfied	WILSON_ML_1		Compliance Assistance

Site Inspection		05/26/2021	Major Out of Compliance	KHAN_MR_1	0/2	Routine Compliance

Phone Conversation		05/21/2021	Satisfied	KHAN_MR_1		Routine Compliance

Enforcement Tracking		07/09/2020	Closed Without Enforcement	BRISTOL_S		Enforcement

TCAR		05/22/2020	Satisfied	PAYNE_CL_1		Closure

Letter		05/18/2020	Satisfied	WILSON_ML_1		Closure

Document Management		05/18/2020	Satisfied	WILSON_ML_1		Closure

Record Document		05/18/2020	Satisfied	WILSON_ML_1		Closure

Issue Document		05/18/2020	Satisfied	WILSON_ML_1		Compliance Assistance

Letter		05/18/2020	Satisfied	WILSON_ML_1		Compliance Assistance

Issue Document		05/18/2020	Satisfied	WILSON_ML_1		Closure

Electronic Communication		03/02/2020	Satisfied	THROCKMORTON_JN		Routine Compliance

Enforcement Referral		11/04/2019	Accepted	WILSON_ML_1		Enforcement

Record Document		09/20/2019	Satisfied	WILSON_ML_1		Closure

Record Document		09/20/2019	Satisfied	WILSON_ML_1		Compliance Assistance

Letter		09/20/2019	Satisfied	WILSON_ML_1		Compliance Assistance

Issue Document		09/20/2019	Satisfied	WILSON_ML_1		Compliance Assistance

Enforcement Tracking		08/13/2019	Closed Without Enforcement	GILLMAN_M		Enforcement

Issue Document		07/09/2019	Satisfied	WILSON_ML_1		Compliance Assistance

Letter		07/09/2019	Satisfied	WILSON_ML_1		Compliance Assistance

Letter		07/09/2019	Satisfied	WILSON_ML_1		Installation

Site Inspection		07/08/2019	In Compliance	PAYNE_CL_1	0/2	Installation

Enforcement Referral		05/22/2019	Accepted	WILSON_ML_1		Enforcement

Record Document		02/12/2019	Satisfied	PAYNE_CL_1		Compliance Assistance

Record Document		01/17/2019	Satisfied	PAYNE_CL_1		Compliance Assistance

Document Management		12/06/2018	Satisfied	PAYNE_CL_1		Incident

Record Document		12/05/2018	Satisfied	PAYNE_CL_1		Compliance Assistance

Letter		11/16/2018	Satisfied	WILSON_ML_1		Compliance Assistance

Issue Document		11/16/2018	Satisfied	WILSON_ML_1		Compliance Assistance

Site Inspection		11/14/2018	Minor Out of Compliance	PAYNE_CL_1	0/2	Routine Compliance

Record Document		02/20/2017	Satisfied	KHAN_MR_1		Non-Compliance

Letter		01/05/2017	Satisfied	WILSON_ML_1		Non-Compliance

Site Inspection		12/30/2016	Minor Out of Compliance	KHAN_MR_1	0/2	Routine Compliance

Site Inspection		05/29/2015	In Compliance	KHAN_MR_1	0/2	Routine Compliance

Emergency Preparedness Information		05/07/2013	Satisfied	KHAN_MR_1		Routine Compliance

Site Inspection		05/07/2013	In Compliance	KHAN_MR_1	0/2	Routine Compliance

Site Inspection		01/25/2011	In Compliance	HALE_JS_1	0/2	Routine Compliance

Site Inspection		06/25/2010	In Compliance	HALE_JS_1	0/2	Routine Compliance

Site Inspection		06/16/2010	In Compliance	HALE_JS_1	0/2	Routine Compliance

Letter		05/10/2010	Satisfied	PIERCE_LL_1		Non-Compliance

Site Inspection		04/29/2010	Minor Out of Compliance	HALE_JS_1	0/2	Routine Compliance

Site Inspection		04/29/2010	Minor Out of Compliance	HALE_JS_1	0/2	Routine Compliance

Letter		01/06/2009	Satisfied	HALE_JS_1		Non-Compliance

Site Inspection		12/18/2008	Minor Out of Compliance	HALE_JS_1	0/2	Routine Compliance

Emergency Preparedness Information		12/04/2008	Satisfied	HALE_JS_1		Routine Compliance

Letter		04/30/2008	Satisfied	HALE_JS_1		Non-Compliance

Site Inspection		03/18/2008	Minor Out of Compliance	HALE_JS_1	0/4	Routine Compliance

Site Inspection		03/20/2007	In Compliance	HALE_JS_1	0/4	Installation

Emergency Preparedness Information		02/15/2007	Satisfied	HALE_JS_1		Routine Compliance

Site Inspection		12/21/2006	Minor Out of Compliance	HALE_JS_1	0/4	Routine Compliance

Letter		12/21/2006	Satisfied	HALE_JS_1		Non-Compliance

Emergency Preparedness Information		09/28/2006	Satisfied	HALE_JS_1		Routine Compliance



No Open AOCs Found


Open Violations

Insp Date	Vio #	Significance	Violation Text			Corrective Action
01/31/2025	6011	SNC-B	2.8 No financial responsibility instrument or expired instrument for < 180 days.			Provide current proof of Financial Responsibility to Michael.Volk@flhealth.gov

01/29/2025	6056	SNC-B	2.4 Release detection not tested or visually inspected once a month or problems found during the visual inspections not recorded.			Continue conducting monthly visual inspections. Provide the inspector all of 2022 monthly records and monthly records for January, February, March, April, and July of 2023. Email the inspector the paperwork to clear the violation. Email: Michael.Volk@Flhealth.gov

01/29/2025	6073	Minor	4.9 Spill containment, dispenser liners, and piping sumps not accessible. Water or regulated substances not removed.			Have all the liquid removed and properly disposed of from the Regular Unleaded, Premium, and Diesel STP Sumps. Send a work invoice or labeled pictures of the cleaned sumps to the inspector for review to clear the violation. Email Michael.Volk@flhealth.gov



No Discharges Found