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Florida Department of Environmental Protection Bob Martinez Center 2600 Blair Stone Road Tallahassee, Florida 32399-2400 |
Storage Tanks & Contamination Monitoring Information |
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| Cover Page Report | |||||||||||
| Report Run Date: 05/09/2025 Last Data Refresh: 05/08/2025 Report Generated from DOPPLER | |||||||||||
| District | Northeast | Type | Fuel user/Non-retail | ||||||||
| County | Columbia | Status | OPEN | ||||||||
| ID | 8629238 | Latitude | 30° 11' 35.9537 | ||||||||
| Name |
LAKE SHORE HOSPITAL BUILDING 368 NE FRANKLIN ST |
Longitude | 82° 37' 54.3779 | ||||||||
| LAKE CITY, FL 32055-3000 | LL Method | DPHO | |||||||||
| Contact | DENDY HERNDON | LL Status | REVIEWED | ||||||||
| Phone | (386) 292-8165 | Status Date | 09/22/2003 | ||||||||
| Account Owner Information | |||||||||||
| Name | LAKE SHORE HOSPITAL AUTHORITY 259 NE FRANKLIN ST #102 LAKE CITY, FL 32055 |
Effective Date | 10/07/2020 | ||||||||
| Contact | DENDY HERNDON | ||||||||||
| Phone | (386) 755-1090 | ||||||||||
| DENDY@LAKESHOREHA.ORG | |||||||||||
| Placard # / Date | 694051 - 06/25/2024 | ||||||||||
| Property Owner Information | |||||||||||
| Name | LAKE SHORE HOSPITAL AUTHORITY 259 NE FRANKLIN ST #102 LAKE CITY, FL 32055 |
Effective Date | 10/07/2020 | ||||||||
| Contact | DENDY HERNDON | ||||||||||
| Phone | (386) 755-1090 | ||||||||||
| DENDY@LAKESHOREHA.ORG | |||||||||||
| Tank | Tank Size | Content | Installed | Placement | Status | ||||||
| 4 | 4000 | Emerg Generator Diesel (G) | 08/01/1997 | UNDERGROUND | In Service (U) | ||||||
| Constructions | Pipings | Monitorings | |||||||||
| (E) Fiberglass (I) Double wall (M) Spill containment bucket |
(M) Double wall - pipe jacket (N) Approved synthetic material |
(1) Continuous electronic sensing (2) Visual inspect pipe sumps (4) Visual inspect dispenser liners (E) Monitor UST/liner space (F) Monitor dbl wall tank space (J) Monitor piping/liner space |
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| Tank | Tank Size | Content | Installed | Placement | Status | ||||||
| 1 | 1000 | Leaded Gas (A) | 10/01/1983 | UNDERGROUND | Removed from Site (B) | ||||||
| Constructions | Pipings | Monitorings | |||||||||
| (A) Ball check valve (C) Steel |
(C) Fiberglass (D) External protective coating |
(8) Manually sampled wells | |||||||||
| Tank | Tank Size | Content | Installed | Placement | Status | ||||||
| 2 | 6000 | Emerg Generator Diesel (G) | 02/01/1984 | UNDERGROUND | Removed from Site (B) | ||||||
| Constructions | Pipings | Monitorings | |||||||||
| (A) Ball check valve (C) Steel |
(C) Fiberglass (D) External protective coating |
(8) Manually sampled wells | |||||||||
| Tank | Tank Size | Content | Installed | Placement | Status | ||||||
| 3 | 2000 | Emerg Generator Diesel (G) | 12/01/1992 | ABOVEGROUND | Removed from Site (B) | ||||||
| Constructions | Pipings | Monitorings | |||||||||
| (A) Ball check valve (C) Steel (I) Double wall (K) AST containment (M) Spill containment bucket (O) Tight fill (P) Level gauges/alarms |
(A) Abv, no soil contact (B) Steel/galvanized metal (D) External protective coating (I) Suction piping system |
(D) SPCC Plan (F) Monitor dbl wall tank space (L) Automatic tank gauging - USTs |
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| Insurance Documents | |||||||||||
| FR Type | Effective Date | Expiration Date | Company Name | ||||||||
| INSURANCE | 11/05/2023 | 11/05/2024 | COMMERCE AND INDUSTRY INSURANCE COMPANY | ||||||||
| INSURANCE | 11/05/2022 | 11/05/2023 | COMMERCE AND INDUSTRY INSURANCE COMPANY | ||||||||
| INSURANCE | 11/05/2020 | 11/05/2021 | COMMERCE & INDUSTRY INSURANCE CO | ||||||||
| INSURANCE | 10/01/2019 | 10/01/2020 | ALLIED WORLD ASSURACE COMPANY (U.S.) INC | ||||||||
| INSURANCE | 10/01/2018 | 10/01/2019 | ALLIED WORLD ASSURANCE CO INC | ||||||||
| INSURANCE | 10/01/2017 | 10/01/2018 | ALLIED WORLD ASSURANCE CO INC | ||||||||
| INSURANCE | 10/01/2016 | 10/01/2017 | AIG SPECIALTY INSURANCE COMPANY | ||||||||
| INSURANCE | 10/01/2014 | 10/01/2015 | AIG | ||||||||
| INSURANCE | 10/01/2013 | 10/01/2014 | LIBERTY SURPLUS INSURANCE CORP | ||||||||
| INSURANCE | 10/01/2012 | 10/01/2013 | LIBERTY SURPLUS INSURANCE CORP | ||||||||
| INSURANCE | 10/01/2011 | 10/01/2012 | LIBERTY SURPLUS INSURANCE CORP | ||||||||
| INSURANCE | 10/01/2010 | 10/01/2011 | LIBERTY SURPLUS INSURANCE CORP | ||||||||
| INSURANCE | 07/01/2009 | 07/01/2010 | COMMERCE & INDUSTRY | ||||||||
| INSURANCE | 07/01/2008 | 07/01/2009 | COMMERCE & INDUSTRY | ||||||||
| Legacy Compliance Activity Information | |||||||||||
| Activity Code |
Date Initiated |
Date Completed |
Results | Inspector | AST/UST Count |
Description | |||||
| TCI | 12/19/2005 | 01/13/2006 | IN-COMPLIANCE | KASSEES_R | 0/1 | COMPLIANCE ASSURANCE | |||||
| RRBD | 04/21/2005 | 05/10/2005 | IN-COMPLIANCE | KASSEES_R | 0/1 | COMPLIANCE ASSURANCE | |||||
| TCI | 12/30/2004 | 01/19/2005 | MINOR OUT-OF-COMPLIANCE | KASSEES_R | 0/1 | COMPLIANCE ASSURANCE | |||||
| TCI | 02/05/2004 | 03/12/2004 | IN-COMPLIANCE | KASSEES_R | 0/1 | COMPLIANCE ASSURANCE | |||||
| PDNE | 05/02/2003 | 05/16/2003 | KASSEES_R | 1/0 | COMPLIANCE ASSURANCE | ||||||
| TCI | 04/30/2003 | 05/16/2003 | MINOR OUT-OF-COMPLIANCE | KASSEES_R | 0/1 | COMPLIANCE ASSURANCE | |||||
| Completion Notes THE AST WAS REMOVED OFF SITE WITHOUT ANY NOTIFICATION OR CLOSURE INSPECTION BY OUR DEPARTMENT. AS THIS WAS A DOUBLEWALL AST WITH NO RELEASE, SPILLAGE OR DISCHARGE HISTORY NO CLOURE ASSESSMENT IS REQUIRED. | |||||||||||
| TCI | 04/02/2002 | 05/17/2002 | IN-COMPLIANCE | KASSEES_R | 1/1 | COMPLIANCE ASSURANCE | |||||
| TCI | 01/30/2001 | 02/15/2001 | IN-COMPLIANCE | KASSEES_R | 1/1 | COMPLIANCE ASSURANCE | |||||
| TCI | 04/18/2000 | 05/11/2000 | IN-COMPLIANCE | KASSEES_R | 1/1 | COMPLIANCE ASSURANCE | |||||
| Compliance Activity Information | |||||||||||
| Activity Code |
Date Completed |
Results | Inspector | AST/UST Count |
Description | ||||||
| Enforcement Referral | 03/11/2024 | Accepted | RAMSEY_TH_1 | Enforcement | |||||||
| Letter | 02/06/2024 | Satisfied | ZIMMERMAN_RA_2 | Routine Compliance | |||||||
| Site Inspection | 02/06/2024 | In Compliance | ZIMMERMAN_RA_2 | 0/1 | Routine Compliance | ||||||
| Electronic Communication | 02/06/2024 | Satisfied | ZIMMERMAN_RA_2 | Routine Compliance | |||||||
| Phone Conversation | 01/22/2024 | Satisfied | ZIMMERMAN_RA_2 | Compliance Assistance | |||||||
| Electronic Communication | 12/14/2022 | Satisfied | RAMSEY_TH_1 | Compliance Assistance | |||||||
| Site Inspection | 10/01/2021 | Major Out of Compliance | ZIMMERMAN_RA_2 | 0/1 | Routine Compliance | ||||||
| Electronic Communication | 10/01/2021 | Satisfied | ZIMMERMAN_RA_2 | Compliance Assistance | |||||||
| Letter | 10/01/2021 | Satisfied | ZIMMERMAN_RA_2 | Compliance Assistance | |||||||
| Phone Conversation | 09/10/2021 | Satisfied | ZIMMERMAN_RA_2 | Compliance Assistance | |||||||
| Electronic Communication | 09/09/2019 | Satisfied | ZIMMERMAN_RA_2 | Routine Compliance | |||||||
| Site Inspection | 09/09/2019 | In Compliance | ZIMMERMAN_RA_2 | 0/1 | Routine Compliance | ||||||
| Letter | 09/09/2019 | Satisfied | ZIMMERMAN_RA_2 | Routine Compliance | |||||||
| Phone Conversation | 09/04/2019 | Satisfied | ZIMMERMAN_RA_2 | Compliance Assistance | |||||||
| Electronic Communication | 08/01/2017 | Satisfied | ZIMMERMAN_RA_2 | Routine Compliance | |||||||
| Record Document | 07/30/2017 | Satisfied | ZIMMERMAN_RA_2 | Routine Compliance | |||||||
| Site Inspection | 07/30/2017 | In Compliance | ZIMMERMAN_RA_2 | 0/1 | Routine Compliance | ||||||
| Phone Conversation | 07/17/2017 | Satisfied | ZIMMERMAN_RA_2 | Routine Compliance | |||||||
| Record Document | 11/24/2015 | Satisfied | SHULAW_BJ_1 | Non-Compliance | |||||||
| Site Inspection | 08/31/2015 | In Compliance | SHULAW_BJ_1 | 0/1 | Routine Compliance | ||||||
| TCAR | 02/05/2015 | Satisfied | KASSEES_RP_1 | Closure | |||||||
| Letter | 02/05/2015 | Satisfied | KASSEES_RP_1 | Closure | |||||||
| Site Inspection | 09/19/2014 | In Compliance | SHULAW_BJ_1 | 0/1 | Installation | ||||||
| Site Inspection | 09/18/2014 | In Compliance | SHULAW_BJ_1 | 0/1 | Closure | ||||||
| Issue Document | 03/03/2014 | Satisfied | PEREA_AO_1 | Routine Compliance | |||||||
| Site Inspection | 02/27/2014 | In Compliance | KASSEES_RP_1 | 0/1 | Routine Compliance | ||||||
| Record Document | 03/01/2012 | Satisfied | SHULAW_BJ_1 | Non-Compliance | |||||||
| Letter | 02/10/2012 | Satisfied | SHULAW_BJ_1 | Non-Compliance | |||||||
| Site Inspection | 02/10/2012 | Minor Out of Compliance | SHULAW_BJ_1 | 0/1 | Routine Compliance | ||||||
| Letter | 01/17/2011 | Satisfied | SHULAW_BJ_1 | Non-Compliance | |||||||
| Site Inspection | 01/17/2011 | Minor Out of Compliance | SHULAW_BJ_1 | 0/1 | Routine Compliance | ||||||
| Site Inspection | 02/17/2010 | In Compliance | SHULAW_BJ_1 | 0/1 | Routine Compliance | ||||||
| Site Inspection | 11/12/2008 | In Compliance | SHULAW_BJ_1 | 0/1 | Routine Compliance | ||||||
| Site Inspection | 09/27/2007 | In Compliance | OYMAYAN_AJ_1 | 0/1 | Routine Compliance | ||||||
| Site Inspection | 03/28/2007 | In Compliance | OYMAYAN_AJ_1 | 0/1 | Routine Compliance | ||||||
| No Open AOCs Found | |||||||||||
| No Open Violations Found | |||||||||||
| No Discharges Found | |||||||||||