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: 02/02/2025 Last Data Refresh: 02/01/2025 Report Generated from DOPPLER

District	Southwest			Type		Retail Station

County	Polk			Status		OPEN

ID	8624000			Latitude		28° 2' 4.4079

Name	R S PETRO LAKE 825 S FLORIDA AVE			Longitude		81° 57' 26.8814
	LAKELAND, FL 33801-5234			LL Method		DPHO

Contact	SHAHID RAHMAN			LL Status		REVIEWED

Phone	(863) 816-3374			Status Date		02/12/2024

Account Owner Information

Name	PATEL, MAYUR 825 S FLORIDA AVE LAKELAND, FL 33801			Effective Date		04/13/2001

Contact	MAYUR PATEL

Phone	(863) 670-7801

Email
				Placard # / Date		699114 - 07/09/2024
Property Owner Information

Name	PATEL, MAYUR 825 S FLORIDA AVE LAKELAND, FL 33801			Effective Date		04/13/2001

Contact	MAYUR PATEL

Phone	(863) 670-7801

Email









Tank	Tank Size	Content		Installed	Placement	Status
7	20000	Unleaded Gas (B)		03/01/2009	UNDERGROUND	In Service (U)

Constructions			Pipings		Monitorings
(A) Ball check valve (C) Steel (L) Compartmented (M) Spill containment bucket (O) Tight fill (P) Level gauges/alarms (R) Double wall - tank jacket			(C) Fiberglass (F) Double wall (J) Pressurized piping system (K) Dispenser liners		(1) Continuous electronic sensing (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	15546	Unleaded Gas (B)		07/01/1960	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(A) Ball check valve			(B) Steel/galvanized metal		(8) Manually sampled wells


Tank	Tank Size	Content		Installed	Placement	Status
2	15546	Unleaded Gas (B)		07/01/1960	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(A) Ball check valve			(B) Steel/galvanized metal		(8) Manually sampled wells


Tank	Tank Size	Content		Installed	Placement	Status
3	9988	Unleaded Gas (B)		07/01/1960	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(A) Ball check valve			(B) Steel/galvanized metal		(8) Manually sampled wells


Tank	Tank Size	Content		Installed	Placement	Status
4	8000	Unleaded Gas (B)		02/01/1989	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(A) Ball check valve (E) Fiberglass (M) Spill containment bucket (O) Tight fill			(C) Fiberglass (J) Pressurized piping system		(2) Visual inspect pipe sumps (4) Visual inspect dispenser liners (H) Mechanical line leak detector (S) Statistical Inventory Reconcile


Tank	Tank Size	Content		Installed	Placement	Status
5	8000	Unleaded Gas (B)		02/01/1989	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(A) Ball check valve (E) Fiberglass (M) Spill containment bucket (O) Tight fill			(C) Fiberglass (J) Pressurized piping system		(2) Visual inspect pipe sumps (4) Visual inspect dispenser liners (H) Mechanical line leak detector (S) Statistical Inventory Reconcile


Tank	Tank Size	Content		Installed	Placement	Status
6	8000	Unleaded Gas (B)		02/01/1989	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(A) Ball check valve (E) Fiberglass (M) Spill containment bucket (O) Tight fill			(C) Fiberglass (J) Pressurized piping system		(2) Visual inspect pipe sumps (4) Visual inspect dispenser liners (H) Mechanical line leak detector (S) Statistical Inventory Reconcile


Insurance Documents

FR Type			Effective Date	Expiration Date	Company Name
INSURANCE			03/04/2021	03/04/2022	ACE AMERICAN INSURANCE COMPANY
INSURANCE			03/04/2020	03/04/2021	ACE AMERICAN INSURANCE COMPANY
INSURANCE			03/04/2019	03/04/2020	ACE AMERICAN INSURANCE COMPANY
INSURANCE			03/04/2018	03/04/2019	ACE AMERICAN INSURANCE COMPANY
INSURANCE			03/04/2018	03/04/2019	ACE
INSURANCE			03/04/2017	03/04/2018	ACE AMERICAN INSURANCE COMPANY
INSURANCE			03/04/2017	05/04/2018	ACE
INSURANCE			03/04/2016	03/04/2017	ACE
INSURANCE			02/04/2014	02/04/2015	NAUTILUS INSURANCE COMPANY
INSURANCE			02/04/2013	02/04/2014	NAUTILUS INSURANCE COMPANY
INSURANCE			07/22/2011	07/22/2012	ZURICH-AMERICAN
INSURANCE			07/22/2011	07/22/2012	ZURICH-AMERICAN
INSURANCE			07/22/2010	07/22/2011	ZURICH-AMERICAN
INSURANCE			07/22/2008	07/22/2009	ZURICH-AMERICAN
INSURANCE			07/29/2000	07/29/2001	ZURICH-AMERICAN
INSURANCE			01/26/1999	12/26/1999	COMMERCE & INDUSTRY


Legacy Compliance Activity Information

Activity Code	Date Initiated	Date Completed	Results		Inspector	AST/UST Count	Description
NCLI	06/21/2005	06/21/2005			CROWELL_M	0/0	COMPLIANCE ASSURANCE

RRBD	06/15/2005	08/18/2005			CROWELL_M	0/0	COMPLIANCE ASSURANCE

	Completion Notes RESOLVES VIOLATION #1077, 1103, 1122, 1123.

TCI	05/24/2005	06/21/2005	SIGNIFICANT OUT-OF-COMPLIANCE		CROWELL_M	0/3	COMPLIANCE ASSURANCE

	Completion Notes 1 PHOTO TAKEN.

TCI	04/29/2004	05/12/2004	IN-COMPLIANCE		HUGHES_J	0/3	COMPLIANCE ASSURANCE

	Completion Notes NO PHOTOS TAKEN. PIPING: SINGLE WALLED RIGID FIBERGLASS PIPING-UNABLE TO DETERMINE IF ABOVE GROUND OR UNDER GROUND OR WHAT MAKER. RESOLVES VIOLATION #87.

CWOE	04/29/2004	05/12/2004			HUGHES_J	0/0	COMPLIANCE ASSURANCE

RRBD	06/12/2003	06/16/2003			SACLARIDES_M	0/0	COMPLIANCE ASSURANCE

	Completion Notes RESOLVES VIOLATION #103.

RRBD	06/10/2003	06/16/2003			SACLARIDES_M	0/0	COMPLIANCE ASSURANCE

	Completion Notes RESOLVES VIOLATION #3.

RRBD	06/09/2003	06/16/2003			SACLARIDES_M	0/0	COMPLIANCE ASSURANCE

	Completion Notes RESOLVES VIOLATION #157, #110, & #142

RRBD	04/23/2003	06/16/2003			SACLARIDES_M	0/0	COMPLIANCE ASSURANCE

	Completion Notes RESOLVES VIOLATION #95.

NCLI	04/08/2003	04/10/2003			SACLARIDES_M	0/0	COMPLIANCE ASSURANCE

TCI	03/26/2003	04/10/2003	SIGNIFICANT OUT-OF-COMPLIANCE		SACLARIDES_M	0/3	COMPLIANCE ASSURANCE

	Completion Notes ONE PHOTO TAKEN

RRBD	06/24/2002	06/25/2002			PEGUES_M	0/0	COMPLIANCE ASSURANCE

TCI	04/17/2002	04/22/2002	MINOR OUT-OF-COMPLIANCE		PEGUES_M	0/3	COMPLIANCE ASSURANCE

NCLI	04/17/2002	04/22/2002			PEGUES_M	0/0	COMPLIANCE ASSURANCE

NCLI	03/09/2001	03/14/2001			MURRAY	0/0	COMPLIANCE ASSURANCE

TCI	03/01/2001	03/14/2001	MINOR OUT-OF-COMPLIANCE		SACLARIDES	0/3	COMPLIANCE ASSURANCE

TCI	11/30/1999	12/02/1999	IN-COMPLIANCE		HUGHES_J	0/3	COMPLIANCE ASSURANCE



Compliance Activity Information

Activity Code		Date Completed	Results	Inspector	AST/UST Count	Description
Phone Conversation		05/15/2024	Satisfied	CASSELS_CR_2		Routine Compliance

Electronic Communication		05/15/2024	Satisfied	CASSELS_CR_2		Routine Compliance

Phone Conversation		05/15/2024	Satisfied	CASSELS_CR_2		Routine Compliance

Electronic Communication		05/15/2024	Satisfied	CASSELS_CR_2		Routine Compliance

Phone Conversation		05/15/2024	Satisfied	CASSELS_CR_2		Routine Compliance

Electronic Communication		04/28/2021	Satisfied	CASSELS_CR_2		Compliance Assistance

Electronic Communication		04/27/2021	Satisfied	CASSELS_CR_2		Compliance Assistance

Electronic Communication		04/27/2021	Satisfied	CASSELS_CR_2		Routine Compliance

Site Inspection		04/27/2021	Major Out of Compliance	CASSELS_CR_2	0/1	Routine Compliance

Letter		04/27/2021	Satisfied	CASSELS_CR_2		Compliance Assistance

Electronic Communication		04/27/2021	Satisfied	CASSELS_CR_2		Routine Compliance

Electronic Communication		04/27/2021	Satisfied	CASSELS_CR_2		Routine Compliance

Electronic Communication		06/24/2019	Satisfied	CASSELS_CR_2		Compliance Assistance

Electronic Communication		06/24/2019	Satisfied	CASSELS_CR_2		Compliance Assistance

Electronic Communication		02/27/2019	Satisfied	CASSELS_CR_2		Routine Compliance

Letter		02/27/2019	Satisfied	CASSELS_CR_2		Compliance Assistance

Electronic Communication		02/27/2019	Satisfied	CASSELS_CR_2		Routine Compliance

Electronic Communication		02/27/2019	Satisfied	CASSELS_CR_2		Compliance Assistance

Site Inspection		02/27/2019	Major Out of Compliance	CASSELS_CR_2	0/1	Routine Compliance

Enforcement Tracking		05/11/2018	Closed Without Enforcement	BROWNLEE_S		Enforcement

Electronic Communication		05/10/2018	Satisfied	BROWNLEE_S		Enforcement

Electronic Communication		05/09/2018	Satisfied	WILLIAMSON_KE_1		Compliance Assistance

Letter		05/09/2018	Satisfied	WILLIAMSON_KE_1		Compliance Assistance

Site Inspection		05/09/2018	In Compliance	WILLIAMSON_KE_1	0/1	Compliance Assistance

Phone Conversation		02/23/2018	Satisfied	BROWNLEE_S		Enforcement

Phone Conversation		12/29/2017	Satisfied	WILLIAMSON_KE_1		Compliance Assistance

Electronic Communication		12/20/2017	Satisfied	BROWNLEE_S		Enforcement

Enforcement Referral		12/18/2017	Accepted	WILLIAMSON_KE_1		Enforcement

Electronic Communication		12/12/2017	Satisfied	WILLIAMSON_KE_1		Compliance Assistance

Letter		03/27/2017	Satisfied	WILLIAMSON_KE_1		Non-Compliance

Electronic Communication		03/27/2017	Satisfied	WILLIAMSON_KE_1		Non-Compliance

Electronic Communication		11/09/2016	Satisfied	WILLIAMSON_KE_1		Non-Compliance

Letter		10/25/2016	Satisfied	WILLIAMSON_KE_1		Non-Compliance

Site Inspection		10/25/2016	Minor Out of Compliance	WILLIAMSON_KE_1	0/1	Routine Compliance

Electronic Communication		10/25/2016	Satisfied	WILLIAMSON_KE_1		Non-Compliance

Electronic Communication		04/20/2015	Satisfied	MERRYMAN_DT_1		Non-Compliance

Phone Conversation		04/20/2015	Satisfied	MERRYMAN_DT_1		Non-Compliance

Electronic Communication		04/20/2015	Satisfied	MERRYMAN_DT_1		Non-Compliance

Phone Conversation		04/20/2015	Satisfied	MERRYMAN_DT_1		Non-Compliance

Record Document		04/20/2015	Satisfied	MERRYMAN_DT_1		Non-Compliance

Phone Conversation		04/20/2015	Satisfied	MERRYMAN_DT_1		Non-Compliance

Phone Conversation		04/17/2015	Satisfied	MERRYMAN_DT_1		Non-Compliance

Phone Conversation		04/15/2015	Satisfied	MERRYMAN_DT_1		Non-Compliance

Phone Conversation		04/15/2015	Satisfied	MERRYMAN_DT_1		Non-Compliance

Site Inspection		05/28/2014	Major Out of Compliance	NEWBERG_DR_1	0/1	Routine Compliance

Letter		05/28/2014	Satisfied	NEWBERG_DR_1		Non-Compliance

Electronic Communication		05/28/2014	Satisfied	NEWBERG_DR_1		Routine Compliance

Site Inspection		04/30/2013	Minor Out of Compliance	WINN_JP_1	0/1	Routine Compliance

Letter		04/30/2013	Satisfied	WINN_JP_1		Non-Compliance

Site Inspection		03/26/2012	In Compliance	CASSELS_CR_1	0/1	Non-Compliance

Phone Conversation		03/20/2012	Satisfied	CASSELS_CR_1		Non-Compliance

Electronic Communication		03/13/2012	Satisfied	CASSELS_CR_1		Non-Compliance

Phone Conversation		03/13/2012	Satisfied	CASSELS_CR_1		Non-Compliance

Phone Conversation		03/13/2012	Satisfied	CASSELS_CR_1		Non-Compliance

Phone Conversation		03/13/2012	Satisfied	CASSELS_CR_1		Non-Compliance

Site Inspection		02/10/2012	Major Out of Compliance	CASSELS_CR_1	0/1	Routine Compliance

Letter		02/10/2012	Satisfied	CASSELS_CR_1		Non-Compliance

TCAR		12/07/2011	Satisfied	BELL_JM_1		Closure

Letter		12/07/2011	Satisfied	BELL_JM_1		Discharge

TCAR		12/07/2011	Incomplete	BELL_JM_1		Closure

Site Inspection		09/09/2011	In Compliance	WINN_JP_1	0/1	Installation

Site Inspection		09/09/2011	In Compliance	WINN_JP_1	0/1	Closure

Meeting		08/29/2011	Satisfied	WINN_JP_1		Non-Compliance

Phone Conversation		08/23/2011	Satisfied	DERY_WC_1		Non-Compliance

Phone Conversation		08/23/2011	Satisfied	DERY_WC_1		Non-Compliance

Phone Conversation		08/09/2011	Satisfied	DERY_WC_1		Non-Compliance

Phone Conversation		07/25/2011	Satisfied	BELL_JM_1		Non-Compliance

Letter		07/15/2011	Satisfied	BELL_JM_1		Non-Compliance

Letter		07/14/2011	Satisfied	BELL_JM_1		Non-Compliance

Phone Conversation		06/20/2011	Satisfied	BELL_JM_1		Non-Compliance

Letter		05/19/2011	Satisfied	BELL_JM_1		Non-Compliance

Site Inspection		05/19/2011	Major Out of Compliance	BELL_JM_1	0/1	Routine Compliance

Letter		06/23/2009	Satisfied	CASSELS_CR_1		Closure

TCAR		06/23/2009	Satisfied	CASSELS_CR_1		Closure

Letter		05/13/2009	Satisfied	BELL_JM_1		Non-Compliance

Site Inspection		05/07/2009	In Compliance	CASSELS_CR_1	0/1	Installation

Site Inspection		03/17/2009	In Compliance	BELL_JM_1	0/4	Closure

Record Document		02/26/2009	Satisfied	BELL_JM_1		Installation

Phone Conversation		02/26/2009	Satisfied	BELL_JM_1		Installation

Phone Conversation		02/26/2009	Satisfied	BELL_JM_1		Installation

Phone Conversation		01/08/2009	Satisfied	CASSELS_CR_1		Installation

Phone Conversation		01/08/2009	Satisfied	CASSELS_CR_1		Routine Compliance

Phone Conversation		01/08/2009	Satisfied	CASSELS_CR_1		Closure

Site Inspection		01/22/2008	In Compliance	SLAPPEY_WR_1	0/3	Routine Compliance

Site Inspection		05/01/2007	In Compliance	RANDOLPH_L	0/3	QA/QC

Issue Document		05/01/2007	Satisfied	RANDOLPH_L		QA/QC

Record Document		03/23/2007	Satisfied	NEWBERG_DR_1		Non-Compliance

Letter		02/21/2007	Satisfied	NEWBERG_DR_1		Non-Compliance

Site Inspection		02/21/2007	Major Out of Compliance	NEWBERG_DR_1	0/3	Non-Compliance

Record Document		02/21/2007	Satisfied	NEWBERG_DR_1		Non-Compliance

Emergency Preparedness Information		02/12/2007	Satisfied	NEWBERG_DR_1		Routine Compliance

Site Inspection		12/19/2006	Major Out of Compliance	NEWBERG_DR_1	0/3	Routine Compliance

Letter		12/19/2006	Satisfied	NEWBERG_DR_1		Non-Compliance

Phone Conversation		12/14/2006	Satisfied	NEWBERG_DR_1		Routine Compliance

Emergency Preparedness Information		09/19/2006	Satisfied	CASSELS_CR_1		Routine Compliance



No Open AOCs Found


Open Violations

Insp Date	Vio #	Significance	Violation Text			Corrective Action
05/16/2024	6062	Minor	2.5 Release detection devices not tested annually.			The spill bucket interstitial gauge test records must be submitted to the Department. If the tests have not been completed, they must be completed immediately with a copy of the report submitted to the Department.

05/16/2024	6062	Minor	2.5 Release detection devices not tested annually.			The line leak detector test records must be submitted to the Department. If the tests have not been completed, they must be completed immediately with a copy of the report submitted to the Department.

05/15/2024	6006	Minor	2.5 Placard not displayed (or available upon request).			A current Storage Tank Registration Placard must be posted at all times. The current Placard must be printed and posted with a copy also submitted to the Department.

05/15/2024	6053	Minor	4.7 Primary overfill protection not provided, registered, or tested as required.			The overfill protection equipment test records must be submitted to the Department. If the tests have not been completed, they must be completed immediately with a copy of the report submitted to the Department.

05/15/2024	6062	Minor	2.5 Release detection devices not tested annually.			The Veeder-Root electronic monitor test records must be submitted to the Department. If the test has not been completed, it must be completed immediately with a copy of the report submitted to the Department.

05/15/2024	6043	Minor	4.13 Fillbox covers not marked according to requirements.			The diesel spill bucket cover must be properly marked yellow, and the two gasoline vapor port covers must be properly marked orange, per API RP 1637, and the Department notified.

05/15/2024	6073	Minor	4.9 Spill containment, dispenser liners, and piping sumps not accessible. Water or regulated substances not removed.			Access must be provided to all tank components. The Owner/Operator or contractor is responsible for setting up all protective cones, caution tape, flags, and/or barricades around all equipment for the duration of the inspection. The facility owner or operator shall provide an authorized facility representative to unlock and open any covers, manways, and release detection equipment associated with the storage tank system. When proper access can be provided, including all safety cones to block vehicle access, the Department must be notified.

05/15/2024	6013	Minor	2.10 Appropriate paperwork for financial responsibility improperly completed or maintained.			The 2022-2023 and 2023-2024 Financial Responsibility documentation must be submitted to the Department. was submitted to the Department after the inspection.

04/27/2021	4015	Minor	2.10 Incomplete documentation demonstrating financial responsibility.			A DEP Certification of Financial Responsibility (CFR) Form Part P must be completed for each policy period of the pollution liability insurance, with a copy of each submitted to the Department.

04/27/2021	4059	SNC-B	4.1 Release detection, including visual inspections not being conducted monthly (not to exceed 35 days.) For electronically monitored sumps, visual inspections not conducted every 6 months. This violation may lead to Placard Revocation and Delivery Prohibition.			The monthly visual inspections must be completed once per month and not more than 35 days in between. Copies of the next two months of visual inspections must be submitted to the Department as each one is completed.

04/27/2021	4051	Minor	4.26 Dispenser sumps not installed to allow for release detection.			The dispenser liner footprint must be large enough to encompass all dispenser mechanisms above it, in case of leakage, or a device must be installed to divert any leaking product into the liner, and the Department notified.

04/27/2021	4001	Minor	2.2 Operator certification requirements not met.			The required Class C Operator Training & Certification program must be completed for the appropriate facility personnel immediately, and a copy of the Certificate submitted to the Department.

02/27/2019	4076	Minor	4.11 Failure to conduct required periodic containment and interstitial integrity testing.			Have the STP sumps and dispenser liners integrity tested immediately and send a copy of the test report to the Department.

02/27/2019	4062	SNC-B	4.6 Electronic release detection devices not inspected monthly.			Send copies of all (any) electronic monitoring records (Veeder Root tapes) from Nov & Dec 2016, all of 2017, Nov & Dec 2018, and Jan 2019 to the Department, if available. Send copies of the next two months electronic monitoring records to the Department.

02/27/2019	4076	Minor	4.11 Failure to conduct required periodic containment and interstitial integrity testing.			Have the double-walled spill containment buckets integrity tested immediately and send a copy of the test report to the Department.



Discharge Information

Discharge Date		Clean Up Status	Score	Eligibility Info		Site Manager	Phone
08/25/2011		INACTIVE	9