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: 01/22/2025 Last Data Refresh: 01/21/2025 Report Generated from DOPPLER

District	Southwest			Type		Retail Station

County	Hardee			Status		OPEN

ID	8518350			Latitude		27° 32' 11

Name	SAMI FOOD & BEV INC 101 W CARLTON ST			Longitude		81° 48' 35
	WAUCHULA, FL 33873-3315			LL Method		DPHO

Contact	ROKSANA SULTANA			LL Status		REVIEWED

Phone	(863) 773-3009			Status Date		06/19/2003

Account Owner Information

Name	SAMI FOOD & BEV INC PO BOX 298 ZOLFO SPRINGS, FL 33890			Effective Date		08/11/2011

Contact	ROKSANA SULTANA

Phone	(863) 832-1366

Email	ROKSANANABIHA@YAHOO.COM
				Placard # / Date		688260 - 06/17/2024
Property Owner Information

Name	SAMI FOOD & BEV INC PO BOX 298 ZOLFO SPRINGS, FL 33890			Effective Date		08/11/2011

Contact	ROKSANA SULTANA

Phone	(863) 832-1366

Email	ROKSANANABIHA@YAHOO.COM









Tank	Tank Size	Content		Installed	Placement	Status
4	20000	Unleaded Gas (B)		11/01/1999	UNDERGROUND	In Service (U)

Constructions			Pipings		Monitorings
(C) Steel (L) Compartmented (M) Spill containment bucket (N) Flow shut-Off (O) Tight fill (R) Double wall - tank jacket			(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
1	8000	Unleaded Gas (B)		03/01/1983	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(C) Steel			(C) Fiberglass		(8) Manually sampled wells (N) Groundwater monitoring


Tank	Tank Size	Content		Installed	Placement	Status
2	8000	Unleaded Gas (B)		03/01/1983	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(C) Steel			(C) Fiberglass		(8) Manually sampled wells (N) Groundwater monitoring


Tank	Tank Size	Content		Installed	Placement	Status
3	8000	Vehicular Diesel (D)		03/01/1983	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(C) Steel			(C) Fiberglass		(8) Manually sampled wells (N) Groundwater monitoring


Insurance Documents

FR Type			Effective Date	Expiration Date	Company Name
INSURANCE			07/27/2023	07/27/2024	COMMERCE AND INDUSTRY INSURANCE COMPANY
INSURANCE			07/27/2022	07/27/2023	COMMERCE AND INDUSTRY INSURANCE COMPANY
INSURANCE			07/27/2021	07/27/2022	COMMERCE & INDUSTRY INSURANCE CO
INSURANCE			07/27/2020	07/27/2021	COMMERCE & INDUSTRY INSURANCE CO
INSURANCE			07/27/2019	07/27/2020	COMMERCE & INDUSTRY INSURANCE CO
INSURANCE			07/27/2018	07/27/2019	COMMERCE & INDUSTRY INSURANCE CO
INSURANCE			07/27/2016	07/27/2017	COMMERCE & INDUSTRY
INSURANCE			07/27/2014	07/27/2015	COMMERCE & INDUSTRY
INSURANCE			07/27/2012	07/27/2013	COMMERCE & INDUSTRY
INSURANCE			07/27/2011	07/27/2012	CHARTIS SPECIALTY INSURANCE CO
INSURANCE			07/27/2010	07/27/2011	COMMERCE & INDUSTRY
INSURANCE			07/27/2009	07/27/2010	COMMERCE & INDUSTRY
INSURANCE			07/27/2008	07/27/2009	COMMERCE & INDUSTRY
INSURANCE			03/08/2002	03/08/2003	COMMERCE & INDUSTRY
INSURANCE			09/10/1991	09/10/1999	FPLIPA
INSURANCE			09/01/1989	09/10/1992	FPLIPA


Legacy Compliance Activity Information

Activity Code	Date Initiated	Date Completed	Results		Inspector	AST/UST Count	Description
LTR	09/19/2004	09/24/2004			SACLARIDES_M	0/0	COMPLIANCE ASSURANCE

	Completion Notes 60 DAY VIOLATION LETTER.

LTR	08/20/2004	09/24/2004			SACLARIDES_M	0/0	COMPLIANCE ASSURANCE

	Completion Notes 30 DAY VIOLATION LETTER.

TCI	07/21/2004	08/11/2004	MINOR OUT-OF-COMPLIANCE		SACLARIDES_M	0/1	COMPLIANCE ASSURANCE

	Completion Notes 2 PHOTOS TAKEN. PIPING-OPW PISCES CP15 (MODEL NO. STILL LEGIBLE) NO APPARENT DEFORMITY OR OTHER UNUSUAL CONDITION OBSERVED. RESOLVES VIOLATION #87, 142, 144, & 157.

NCLI	07/21/2004	08/11/2004			SACLARIDES_M	0/0	COMPLIANCE ASSURANCE

	Completion Notes REQUESTED: COMPLETED INCIDENT FORM & MAINFEST FOR LIQUIDS REMOVED.

RRBD	06/05/2003	06/05/2003			COOK_J	0/0	COMPLIANCE ASSURANCE

	Completion Notes RESOLVES VIOLATION #3.

NCLI	03/27/2003	04/01/2003			COOK_J	0/0	COMPLIANCE ASSURANCE

TCI	03/13/2003	04/01/2003	SIGNIFICANT OUT-OF-COMPLIANCE		COOK_J	0/1	COMPLIANCE ASSURANCE

RRBD	05/17/2002	07/25/2002					COMPLIANCE ASSURANCE

TCI	03/12/2002	04/03/2002	MINOR OUT-OF-COMPLIANCE		COOK_J	0/1	COMPLIANCE ASSURANCE

RRBD	03/27/2001	04/03/2001			COOK	0/0	COMPLIANCE ASSURANCE

NCLI	03/08/2001	03/09/2001			COOK_J	0/0	COMPLIANCE ASSURANCE

TCI	02/28/2001	03/09/2001	SIGNIFICANT OUT-OF-COMPLIANCE		COOK_J	0/1	COMPLIANCE ASSURANCE

RRBD	01/27/2000	01/28/2000			COOK_J	0/0	COMPLIANCE ASSURANCE

NCLI	11/05/1999	11/09/1999			COOK_J	0/0	COMPLIANCE ASSURANCE

TIN	10/28/1999	11/09/1999	MINOR OUT-OF-COMPLIANCE		COOK_J	0/1	COMPLIANCE ASSURANCE

TXI	08/20/1999	09/03/1999	IN-COMPLIANCE		COOK_J	0/3	COMPLIANCE ASSURANCE

	Completion Notes LIMITED CLOSURE & MANIFESTS REQUESTED

NCLI	04/29/1999	04/29/1999			HONEY_K	0/0	COMPLIANCE ASSURANCE

TCI	04/20/1999	04/29/1999	MINOR OUT-OF-COMPLIANCE		HONEY_K	0/3	COMPLIANCE ASSURANCE

UTCI	08/27/1997	09/02/1997	MINOR OUT-OF-COMPLIANCE				COMPLIANCE ASSURANCE



Compliance Activity Information

Activity Code		Date Completed	Results	Inspector	AST/UST Count	Description
Letter		03/08/2024	Satisfied	GLENN_LE_1		Compliance Assistance

Electronic Communication		03/08/2024	Satisfied	GLENN_LE_1		Routine Compliance

Electronic Communication		03/08/2024	Satisfied	GLENN_LE_1		Routine Compliance

Electronic Communication		03/08/2024	Satisfied	GLENN_LE_1		Compliance Assistance

Site Inspection		02/27/2024	Major Out of Compliance	GLENN_LE_1	0/1	Routine Compliance

Electronic Communication		06/04/2021	Satisfied	GLENN_LE_1		Routine Compliance

Document Management		06/04/2021	Satisfied	GLENN_LE_1		Incident

Incident		06/04/2021	Has not led to Discharge	GLENN_LE_1		Incident

Electronic Communication		06/04/2021	Satisfied	GLENN_LE_1		Routine Compliance

Electronic Communication		06/04/2021	Satisfied	GLENN_LE_1		Routine Compliance

Electronic Communication		06/04/2021	Satisfied	GLENN_LE_1		Compliance Assistance

Document Management		06/04/2021	Satisfied	GLENN_LE_1		Incident

Letter		06/04/2021	Satisfied	GLENN_LE_1		Compliance Assistance

TCAR		06/04/2021	Satisfied	GLENN_LE_1		Component Closure

Letter		06/04/2021	Satisfied	GLENN_LE_1		Component Closure

Electronic Communication		06/04/2021	Satisfied	GLENN_LE_1		Routine Compliance

Document Management		06/03/2021	Satisfied	GLENN_LE_1		Incident

Site Inspection		06/03/2021	Major Out of Compliance	GLENN_LE_1	0/1	Routine Compliance

Electronic Communication		02/19/2021	Satisfied	PEDIGO_L		Enforcement

Electronic Communication		02/19/2021	Satisfied	PEDIGO_L		Enforcement

Electronic Communication		02/19/2021	Satisfied	PEDIGO_L		Enforcement

Electronic Communication		02/09/2021	Satisfied	GLENN_LE_1		Compliance Assistance

Letter		02/09/2021	Satisfied	GLENN_LE_1		Compliance Assistance

Electronic Communication		02/09/2021	Satisfied	GLENN_LE_1		Compliance Assistance

Site Inspection		02/08/2021	Minor Out of Compliance	GLENN_LE_1	0/1	Compliance Assistance

Letter		08/21/2020	Satisfied	PEDIGO_L		Enforcement

Electronic Communication		11/16/2018	Satisfied	GLENN_LE_1		Compliance Assistance

Electronic Communication		11/16/2018	Satisfied	GLENN_LE_1		Compliance Assistance

Enforcement Referral		10/31/2018	Accepted	GLENN_LE_1		Enforcement

Electronic Communication		10/30/2018	Satisfied	GLENN_LE_1		Compliance Assistance

Electronic Communication		10/26/2018	Satisfied	GLENN_LE_1		Compliance Assistance

Electronic Communication		10/26/2018	Satisfied	GLENN_LE_1		Compliance Assistance

Electronic Communication		10/12/2018	Satisfied	GLENN_LE_1		Compliance Assistance

Electronic Communication		10/12/2018	Satisfied	GLENN_LE_1		Compliance Assistance

Electronic Communication		10/05/2018	Satisfied	GLENN_LE_1		Compliance Assistance

Electronic Communication		08/01/2018	Satisfied	GLENN_LE_1		Compliance Assistance

Letter		08/01/2018	Satisfied	GLENN_LE_1		Compliance Assistance

Electronic Communication		08/01/2018	Satisfied	GLENN_LE_1		Routine Compliance

Electronic Communication		08/01/2018	Satisfied	GLENN_LE_1		Compliance Assistance

Site Inspection		07/31/2018	Major Out of Compliance	GLENN_LE_1	0/1	Routine Compliance

Electronic Communication		12/12/2016	Satisfied	WILLIAMSON_KE_1		Closure

Site Inspection		12/12/2016	In Compliance	WILLIAMSON_KE_1	0/1	Closure

Electronic Communication		12/12/2016	Satisfied	WILLIAMSON_KE_1		Installation

Site Inspection		12/12/2016	In Compliance	WILLIAMSON_KE_1	0/1	Installation

Electronic Communication		08/10/2016	Satisfied	WILLIAMSON_KE_1		Routine Compliance

Letter		08/10/2016	Satisfied	WILLIAMSON_KE_1		Non-Compliance

Site Inspection		08/10/2016	Minor Out of Compliance	WILLIAMSON_KE_1	0/1	Routine Compliance

Electronic Communication		07/26/2016	Satisfied	WILLIAMSON_KE_1		Routine Compliance

Record Document		07/08/2015	Satisfied	WILLIAMSON_KE_1		Non-Compliance

Site Inspection		06/16/2015	Minor Out of Compliance	WILLIAMSON_KE_1	0/1	Routine Compliance

Letter		06/16/2015	Satisfied	WILLIAMSON_KE_1		Non-Compliance

Issue Document		06/16/2015	Satisfied	WILLIAMSON_KE_1		Non-Compliance

Letter		04/25/2013	Satisfied	WINN_JP_1		Non-Compliance

Site Inspection		04/25/2013	Minor Out of Compliance	WINN_JP_1	0/1	Routine Compliance

Record Document		01/10/2012	Satisfied	DERY_WC_1		Non-Compliance

Letter		12/19/2011	Satisfied	DERY_WC_1		Non-Compliance

Letter		11/02/2011	Satisfied	DERY_WC_1		Non-Compliance

Record Document		11/01/2011	Satisfied	DERY_WC_1		Non-Compliance

Letter		09/14/2011	Satisfied	DERY_WC_1		Non-Compliance

Site Inspection		09/14/2011	Minor Out of Compliance	DERY_WC_1	0/1	Non-Compliance

Phone Conversation		09/07/2011	Satisfied	DERY_WC_1		Non-Compliance

Letter		08/10/2011	Satisfied	DERY_WC_1		Non-Compliance

Letter		07/20/2011	Satisfied	DERY_WC_1		Non-Compliance

Site Inspection		07/20/2011	Major Out of Compliance	DERY_WC_1	0/1	Routine Compliance

Site Inspection		07/28/2010	In Compliance	DERY_WC_1	0/1	Routine Compliance

Phone Conversation		07/08/2010	Satisfied	DERY_WC_1		Non-Compliance

Letter		06/24/2010	Satisfied	DERY_WC_1		Non-Compliance

Phone Conversation		06/24/2010	Satisfied	DERY_WC_1		Non-Compliance

Letter		03/22/2010	Satisfied	DERY_WC_1		Non-Compliance

Site Inspection		03/22/2010	Major Out of Compliance	DERY_WC_1	0/1	Routine Compliance

Phone Conversation		03/17/2010	Satisfied	DERY_WC_1		Routine Compliance

Phone Conversation		09/22/2009	Satisfied	DERY_WC_1		Routine Compliance

Record Document		06/01/2009	Satisfied	BELL_JM_1		Non-Compliance

Site Inspection		05/28/2009	Minor Out of Compliance	BELL_JM_1	0/1	Non-Compliance

Letter		05/28/2009	Satisfied	BELL_JM_1		Non-Compliance

Letter		05/13/2009	Satisfied	BELL_JM_1		Non-Compliance

Issue Document		03/13/2009	Satisfied	MEETZE_A		Enforcement

Enforcement Tracking		03/13/2009	Closed With Enforcement	MEETZE_A		Enforcement

Phone Conversation		02/24/2009	Satisfied	BELL_JM_1		Routine Compliance

Letter		12/09/2008	Satisfied	BELL_JM_1		Non-Compliance

Record Document		12/09/2008	Satisfied	BELL_JM_1		Non-Compliance

Site Inspection		12/09/2008	Minor Out of Compliance	BELL_JM_1	0/1	Routine Compliance

Letter		06/23/2008	Satisfied	DERY_WC_1		Non-Compliance

Site Inspection		06/23/2008	Major Out of Compliance	SLAPPEY_WR_1	0/1	Installation

TCAR		06/16/2008	Satisfied	CASSELS_CR_1		Closure

Letter		06/16/2008	Satisfied	CASSELS_CR_1		Closure

Meeting		06/03/2008	Satisfied	MEETZE_A		Enforcement

Record Document		05/19/2008	Satisfied	MEETZE_A		Enforcement

Meeting		04/16/2008	Satisfied	MEETZE_A		Enforcement

Issue Document		03/12/2008	Satisfied	DERY_WC_1		Non-Compliance

Enforcement Referral		03/03/2008	Accepted	MEETZE_A		Enforcement

Issue Document		02/05/2008	Satisfied	DERY_WC_1		Non-Compliance

Phone Conversation		12/24/2007	Satisfied	DERY_WC_1		Non-Compliance

Record Document		12/24/2007	Satisfied	DERY_WC_1		Non-Compliance

Issue Document		12/11/2007	Satisfied	COOK_JH_1		Non-Compliance

Letter		12/06/2007	Satisfied	DERY_WC_1		Non-Compliance

Site Inspection		12/06/2007	Major Out of Compliance	DERY_WC_1	0/1	Closure

Letter		11/06/2007	Satisfied	DERY_WC_1		Non-Compliance

Site Inspection		11/06/2007	Major Out of Compliance	DERY_WC_1	0/1	Routine Compliance

Record Document		08/14/2007	Satisfied	NEWBERG_DR_1		Non-Compliance

Emergency Preparedness Information		05/22/2007	Satisfied	COOK_JH_1		Routine Compliance

Record Document		04/09/2007	Satisfied	NEWBERG_DR_1		Non-Compliance

Record Document		03/22/2007	Satisfied	NEWBERG_DR_1		Non-Compliance

Record Document		03/15/2007	Satisfied	NEWBERG_DR_1		Non-Compliance

Emergency Preparedness Information		02/14/2007	Satisfied	COOK_JH_1		Routine Compliance

Record Document		01/26/2007	Satisfied	NEWBERG_DR_1		Non-Compliance

Site Inspection		01/26/2007	Major Out of Compliance	NEWBERG_DR_1	0/1	Routine Compliance

Phone Conversation		01/26/2007	Satisfied	NEWBERG_DR_1		Routine Compliance

Letter		01/26/2007	Satisfied	NEWBERG_DR_1		Non-Compliance

Record Document		10/24/2006	Satisfied	NEWBERG_DR_1		Non-Compliance

Emergency Preparedness Information		09/28/2006	Satisfied	COOK_JH_1		Routine Compliance

Site Inspection		08/08/2006	Major Out of Compliance	NEWBERG_DR_1	0/1	Routine Compliance

Letter		08/08/2006	Satisfied	NEWBERG_DR_1		Non-Compliance

Phone Conversation		07/31/2006	Satisfied	NEWBERG_DR_1		Routine Compliance



No Open AOCs Found


Open Violations

Insp Date	Vio #	Significance	Violation Text			Corrective Action
02/27/2024	6073	Minor	4.9 Spill containment, dispenser liners, and piping sumps not accessible. Water or regulated substances not removed.			Liners must be cleaned and the Department notified.

02/27/2024	6072	Minor	2.7 Integrity testing of secondary containment systems and interstitial spaces not performed per schedule.			2022 testing records or a written and signed statement stating testing was not performed in 2022 must be provided to the department.

06/03/2021	4016	SNC-B	2.5 Incident investigation not initiated within 24-hours of discovery.			An investigation must be performed to determine if a discharge has occurred, with the results provided to the Department.

06/03/2021	4005	Minor	2.4 For Closure, Certified Contractors Form not submitted.			Form must be completed by Adams Tank & Lift, Inc., with a copy provided to the Department.

06/03/2021	4067	Minor	4.2 Release detection devices not tested annually.			Per direction from the Florida Department of Environmental Protection – Southwest District Office, this violation will be included in the ongoing enforcement case.

06/03/2021	4057	Minor	4.31 Overfill protection devices not registered or tested annually.			Per direction from the Florida Department of Environmental Protection – Southwest District Office, this violation will be included in the ongoing enforcement case.

06/03/2021	4016	SNC-B	2.5 Incident investigation not initiated within 24-hours of discovery.			An investigation must be performed to determine if a discharge has occurred, with the results provided to the Department.

06/03/2021	4067	Minor	4.2 Release detection devices not tested annually.			Testing must be performed immediately with a copy of the results provided to the Department.

06/03/2021	4001	Minor	2.2 Operator certification requirements not met.			The class A, B, and C operator certifications are overdue and must be obtained immediately with copies of the certificates provided to this office.

06/03/2021	4076	Minor	4.11 Failure to conduct required periodic containment and interstitial integrity testing.			Per direction from the Florida Department of Environmental Protection – Southwest District Office, this violation will be included in the ongoing enforcement case.

06/03/2021	4077	Minor	4.12 Spill containment, sumps, and interstices not accessible. Water/regulated substances not timely removed. Petroleum contact water not properly managed.			Liquid must be removed and the Department notified.

07/30/2018	4046	Minor	4.23 Fillbox covers not marked according to requirements.			Regular and Premium fill covers must be painted white (Regular) and red (Premium) and the Department notified.

07/30/2018	4077	Minor	4.12 Spill containment, sumps, and interstices not accessible. Water/regulated substances not timely removed. Petroleum contact water not properly managed.			PCW must be removed from dispenser liner #1/2 and disposed of properly and the Department notified.

07/30/2018	4077	Minor	4.12 Spill containment, sumps, and interstices not accessible. Water/regulated substances not timely removed. Petroleum contact water not properly managed.			Access to the tank interstice must be provided to the Department.



Discharge Information

Discharge Date		Clean Up Status	Score	Eligibility Info		Site Manager	Phone
08/07/1996		COMPLETED	50	PETROLEUM LIABILITY AND RESTORATION INSURANCE PROGRAM-ELIGIBLE