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	Manatee			Status		OPEN

ID	8624080			Latitude		27° 34' 35.0116

Name	C&A COUNTRY STORE 12205 US HWY 301 N			Longitude		82° 25' 30.3451
	PARRISH, FL 34219			LL Method		DPHO

Contact	RYAN REGAL			LL Status		REVIEWED

Phone	(941) 730-2680			Status Date		10/13/2003

Account Owner Information

Name	HMS CORP OF PARRISH 10114 DEERCLIFF DR TAMPA, FL 33647			Effective Date		08/15/2022

Contact	MOHAMMED A MASUD

Phone	(813) 809-0871

Email	MASUDNOORI5870@YAHOO.COM
				Placard # / Date		697000 - 06/27/2024
Property Owner Information

Name	HMS CORP OF PARRISH 10114 DEERCLIFF DR TAMPA, FL 33647			Effective Date		08/15/2022

Contact	MOHAMMED A MASUD

Phone	(813) 809-0871

Email	MASUDNOORI5870@YAHOO.COM









Tank	Tank Size	Content		Installed	Placement	Status
7	6000	Unleaded Gas (B)		09/01/1990	UNDERGROUND	In Service (U)

Constructions			Pipings		Monitorings
(F) Fiberglass clad steel (L) Compartmented (M) Spill containment bucket (N) Flow shut-Off (O) Tight fill (R) Double wall - tank jacket			(C) Fiberglass (F) Double wall (I) Suction piping system (K) Dispenser liners		(2) Visual inspect pipe sumps (4) Visual inspect dispenser liners (F) Monitor dbl wall tank space (K) Monitor dbl wall pipe space (V) Suction pump check valve


Tank	Tank Size	Content		Installed	Placement	Status
8	5200	Unleaded Gas (B)		09/01/1990	UNDERGROUND	In Service (U)

Constructions			Pipings		Monitorings
(F) Fiberglass clad steel (M) Spill containment bucket (N) Flow shut-Off (O) Tight fill (R) Double wall - tank jacket			(C) Fiberglass (F) Double wall (J) Pressurized piping system (K) Dispenser liners		(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	3000	Unleaded Gas (B)		07/01/1972	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(A) Ball check valve (C) Steel			(C) Fiberglass		(8) Manually sampled wells


Tank	Tank Size	Content		Installed	Placement	Status
2	3000	Unleaded Gas (B)		07/01/1972	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(A) Ball check valve (C) Steel			(C) Fiberglass		(8) Manually sampled wells


Tank	Tank Size	Content		Installed	Placement	Status
3	3000	Unleaded Gas (B)		04/01/1968	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(A) Ball check valve (C) Steel			(C) Fiberglass		(8) Manually sampled wells


Tank	Tank Size	Content		Installed	Placement	Status
4	3000	Unleaded Gas (B)		04/01/1968	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(A) Ball check valve (C) Steel			(C) Fiberglass		(8) Manually sampled wells


Tank	Tank Size	Content		Installed	Placement	Status
5	5100	Vehicular Diesel (D)		04/01/1977	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(C) Steel			(B) Steel/galvanized metal (I) Suction piping system		(8) Manually sampled wells


Tank	Tank Size	Content		Installed	Placement	Status
6	280	Other Non Regulated (Z)			UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(C) Steel			(C) Fiberglass		(I) Not required


Insurance Documents

FR Type			Effective Date	Expiration Date	Company Name
INSURANCE			07/06/2022	07/06/2023	CRUM & FORSTER INDEMNITY
INSURANCE			05/22/2021	05/22/2022	CRUM & FORSTER SPECIALTY INS. CO.
INSURANCE			05/22/2020	05/22/2021	CRUM & FORSTER SPECIALTY INS. CO.
INSURANCE			05/22/2019	05/22/2020	CRUM & FORSTER SPECIALTY INS. CO.
INSURANCE			05/22/2018	05/22/2019	CRUM & FORSTER SPECIALTY INS. CO.
INSURANCE			05/22/2017	05/22/2018	COMMERCE & INDUSTRY INSURANCE CO
INSURANCE			05/22/2016	05/22/2017	COMMERCE & INDUSTRY
INSURANCE			05/22/2015	05/22/2016	COMMERCE & INDUSTRY
INSURANCE			05/22/2014	05/22/2015	COMMERCE & INDUSTRY
INSURANCE			05/22/2013	05/22/2014	COMMERCE & INDUSTRY
INSURANCE			05/22/2012	05/22/2013	COMMERCE & INDUSTRY
INSURANCE			05/05/2011	05/05/2012
INSURANCE			05/22/2010	05/22/2011	COMMERCE & INDUSTRY
INSURANCE			05/22/2009	05/22/2010	COMMERCE & INDUSTRY
INSURANCE			05/22/2008	05/22/2009	COMMERCE & INDUSTRY


Legacy Compliance Activity Information

Activity Code	Date Initiated	Date Completed	Results		Inspector	AST/UST Count	Description
RRBD	12/06/2005	12/06/2005					COMPLIANCE ASSURANCE

TCI	11/02/2005	11/17/2005	SIGNIFICANT OUT-OF-COMPLIANCE		MARK TRETHEWEY	0/2	COMPLIANCE ASSURANCE

RRBD	04/20/2005	04/20/2005					COMPLIANCE ASSURANCE

RRBD	12/20/2004	04/20/2005					COMPLIANCE ASSURANCE

TCI	08/04/2004	08/06/2004	MINOR OUT-OF-COMPLIANCE		SEGO	0/2	COMPLIANCE ASSURANCE

TCI	08/04/2003	08/19/2003	IN-COMPLIANCE		SEGO	0/2	COMPLIANCE ASSURANCE

TCI	05/30/2003	06/04/2003	IN-COMPLIANCE		SEGO	0/2	COMPLIANCE ASSURANCE

TCI	05/14/2002	05/31/2002	IN-COMPLIANCE		FIELDS	0/2	COMPLIANCE ASSURANCE

RRBD	07/20/1999	04/11/2003					COMPLIANCE ASSURANCE

TCI	07/13/1999	08/04/1999	MINOR OUT-OF-COMPLIANCE		BROWNING	0/2	COMPLIANCE ASSURANCE

TIN	03/31/1999	04/12/1999	IN-COMPLIANCE		POUSO	0/2	COMPLIANCE ASSURANCE



Compliance Activity Information

Activity Code		Date Completed	Results	Inspector	AST/UST Count	Description
Enforcement Tracking		03/29/2024	Closed Without Enforcement	BROCK_J		Enforcement

Issue Document		03/29/2024	Satisfied	REIS_A		Enforcement

Letter		03/27/2024	Satisfied	TRETHEWEY_MB_1		Compliance Assistance

Issue Document		03/27/2024	Satisfied	TRETHEWEY_MB_1		Routine Compliance

Site Inspection		03/27/2024	Major Out of Compliance	TRETHEWEY_MB_1	0/2	Routine Compliance

Letter		05/25/2023	Satisfied	TRETHEWEY_MB_1		Compliance Assistance

Record Document		05/25/2023	Satisfied	TRETHEWEY_MB_1		Compliance Assistance

Electronic Communication		07/27/2022	Satisfied	WILKERSON_P		Enforcement

Letter		07/20/2022	Satisfied	WILKERSON_P		Enforcement

Enforcement Referral		07/19/2022	Accepted	TRETHEWEY_MB_1		Enforcement

Electronic Communication		06/30/2022	Satisfied	TRETHEWEY_MB_1		Compliance Assistance

Electronic Communication		06/30/2022	Satisfied	TRETHEWEY_MB_1		Compliance Assistance

Electronic Communication		06/30/2022	Satisfied	TRETHEWEY_MB_1		Compliance Assistance

Electronic Communication		06/30/2022	Satisfied	TRETHEWEY_MB_1		Compliance Assistance

Electronic Communication		06/30/2022	Satisfied	TRETHEWEY_MB_1		Compliance Assistance

Letter		03/28/2022	Satisfied	TRETHEWEY_MB_1		Compliance Assistance

Site Inspection		03/28/2022	Major Out of Compliance	TRETHEWEY_MB_1	0/2	Routine Compliance

Issue Document		03/28/2022	Satisfied	TRETHEWEY_MB_1		Routine Compliance

Record Document		04/16/2020	Satisfied	TRETHEWEY_MB_1		Compliance Assistance

Issue Document		04/16/2020	Satisfied	TRETHEWEY_MB_1		Compliance Assistance

Letter		03/25/2020	Satisfied	TRETHEWEY_MB_1		Compliance Assistance

Issue Document		03/25/2020	Satisfied	TRETHEWEY_MB_1		Routine Compliance

Site Inspection		03/25/2020	Minor Out of Compliance	TRETHEWEY_MB_1	0/2	Routine Compliance

Record Document		06/15/2017	Satisfied	TRETHEWEY_MB_1		Non-Compliance

Site Inspection		04/28/2017	Minor Out of Compliance	TRETHEWEY_MB_1	0/2	Routine Compliance

Issue Document		04/28/2017	Satisfied	TRETHEWEY_MB_1		Routine Compliance

Letter		04/28/2017	Satisfied	TRETHEWEY_MB_1		Non-Compliance

Record Document		06/05/2015	Satisfied	TRETHEWEY_MB_1		Non-Compliance

Letter		05/27/2015	Satisfied	TRETHEWEY_MB_1		Non-Compliance

Site Inspection		05/27/2015	Minor Out of Compliance	TRETHEWEY_MB_1	0/2	Routine Compliance

Site Inspection		04/04/2013	In Compliance	TRETHEWEY_MB_1	0/2	Routine Compliance

Record Document		11/22/2011	Satisfied	MASON_RS_1		Non-Compliance

Letter		11/07/2011	Satisfied	MASON_RS_1		Non-Compliance

Site Inspection		11/07/2011	Minor Out of Compliance	MASON_RS_1	0/2	Routine Compliance

Site Inspection		01/06/2011	In Compliance	TRETHEWEY_MB_1	0/2	Routine Compliance

Record Document		04/22/2010	Satisfied	REEDER_JH_1		Installation

Document Management		03/30/2010	Complete	REEDER_JH_1		Closure

Letter		03/29/2010	Satisfied	TRETHEWEY_MB_1		Non-Compliance

Site Inspection		03/22/2010	In Compliance	REEDER_JH_1	0/2	Closure

Site Inspection		03/22/2010	In Compliance	REEDER_JH_1	0/2	Installation

TCAR		03/22/2010	Satisfied	REEDER_JH_1		Closure

Site Inspection		01/07/2010	Minor Out of Compliance	TRETHEWEY_MB_1	0/2	Routine Compliance

Record Document		01/07/2009	Satisfied	TRETHEWEY_MB_1		Non-Compliance

Site Inspection		12/05/2008	In Compliance	TRETHEWEY_MB_1	0/2	Routine Compliance

Letter		12/05/2007	Satisfied	TRETHEWEY_MB_1		Non-Compliance

Site Inspection		12/05/2007	Minor Out of Compliance	TRETHEWEY_MB_1	0/2	Routine Compliance

Emergency Preparedness Information		02/09/2007	Satisfied	REEDER_JH_1		Routine Compliance

Record Document		02/08/2007	Satisfied	REEDER_JH_1		Non-Compliance

Site Inspection		12/04/2006	Major Out of Compliance	TRETHEWEY_MB_1	0/2	Routine Compliance

Letter		12/04/2006	Satisfied	TRETHEWEY_MB_1		Non-Compliance

Emergency Preparedness Information		09/22/2006	Satisfied	REEDER_JH_1		Routine Compliance



No Open AOCs Found


Open Violations

Insp Date	Vio #	Significance	Violation Text			Corrective Action
03/27/2024	6024	Minor	2.2 Integrity test not performed on storage tank, integral piping, single-walled spill containment system, double-walled spill containment system, or doubled-walled sump prior to placing into service.			Provide Manatee County NRD with copies of the required tests.

03/27/2024	6062	Minor	2.5 Release detection devices not tested annually.			Provide Manatee County NRD with copies of the required tests.

03/27/2024	6053	Minor	4.7 Primary overfill protection not provided, registered, or tested as required.			Provide Manatee County NRD with copies of the required tests.

03/27/2024	6061	SNC-B	4.12 Release detection devices for integral piping do not meet general standards.			Provide Manatee County NRD with copies of the required tests.

03/27/2024	6074	Minor	2.8 Improper maintenance of records. Records requiring to be maintained for 3 years or for the life of the system not kept by facility. Records not provided within 5 business days.			Provide Manatee County NRD with copies of the required records and documents.



Discharge Information

Discharge Date		Clean Up Status	Score	Eligibility Info		Site Manager	Phone
11/27/1990		ACTIVE	45	PETROLEUM LIABILITY AND RESTORATION INSURANCE PROGRAM-ELIGIBLE