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	Southeast			Type		Retail Station

County	Palm Beach			Status		OPEN

ID	8735164			Latitude		26° 37' 9.199

Name	FARM STORE #3803 5248 LAKE WORTH RD			Longitude		80° 7' 32.0256
	LAKE WORTH, FL 33463-3357			LL Method		DPHO

Contact	MANICHAN RAI			LL Status		REVIEWED

Phone	(561) 507-8345			Status Date		02/14/2024

Account Owner Information

Name	NASIDSHA PROPERTY LLC 7210 PIONEER LAKES CIR WEST PALM BEACH, FL 33413			Effective Date		09/27/2007

Contact	ASIF SHARFI

Phone	(561) 758-7143

Email	DMRDISTRIBUTORS@GMAIL.COM
				Placard # / Date		695522 - 06/26/2024
Property Owner Information

Name	NASIDSHA PROPERTY LLC 7210 PIONEER LAKES CIR WEST PALM BEACH, FL 33413			Effective Date		09/27/2007

Contact	ASIF SHARFI

Phone	(561) 758-7143

Email	DMRDISTRIBUTORS@GMAIL.COM









Tank	Tank Size	Content		Installed	Placement	Status
1R1	10000	Unleaded Gas (B)		07/01/1996	UNDERGROUND	In Service (U)

Constructions			Pipings		Monitorings
(C) Steel (M) Spill containment bucket (N) Flow shut-Off (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 (K) Monitor dbl wall pipe space


Tank	Tank Size	Content		Installed	Placement	Status
2R2	10000	Unleaded Gas (B)		07/01/1996	UNDERGROUND	In Service (U)

Constructions			Pipings		Monitorings
(C) Steel (M) Spill containment bucket (N) Flow shut-Off (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 (K) Monitor dbl wall pipe space


Tank	Tank Size	Content		Installed	Placement	Status
1	4000	Unleaded Gas (B)		10/01/1977	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(C) Steel			(B) Steel/galvanized metal		(8) Manually sampled wells


Tank	Tank Size	Content		Installed	Placement	Status
2	4000	Unleaded Gas (B)		10/01/1977	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(C) Steel			(B) Steel/galvanized metal		(8) Manually sampled wells


Tank	Tank Size	Content		Installed	Placement	Status
3	4000	Unleaded Gas (B)		10/01/1977	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(C) Steel			(B) Steel/galvanized metal		(8) Manually sampled wells


Tank	Tank Size	Content		Installed	Placement	Status
4	4000	Unleaded Gas (B)		10/01/1977	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(C) Steel			(B) Steel/galvanized metal		(8) Manually sampled wells


Insurance Documents

FR Type			Effective Date	Expiration Date	Company Name
INSURANCE			04/26/2023	04/26/2024	CRUM & FORSTER SPECIALTY INSURANCE COMPANY
INSURANCE			01/05/2017	01/05/2018	CRUM & FORSTER SPECIALTY INS. CO.
INSURANCE			01/02/2016	01/02/2017	CRUM & FORSTER SPECIALTY INS. CO.
INSURANCE			09/25/2012	09/25/2013	COMMERCE & INDUSTRY
INSURANCE			09/25/2010	09/25/2011	COMMERCE & INDUSTRY
INSURANCE			09/25/2009	09/25/2010	COMMERCE & INDUSTRY
INSURANCE			09/25/2008	09/25/2009	COMMERCE & INDUSTRY


Legacy Compliance Activity Information

Activity Code	Date Initiated	Date Completed	Results		Inspector	AST/UST Count	Description
TCI	03/23/2006	04/04/2006	MINOR OUT-OF-COMPLIANCE		GREEN	0/2	COMPLIANCE ASSURANCE

CALL	09/01/2005	09/21/2005			WILLE	0/0	COMPLIANCE ASSURANCE

TCI	06/16/2005	06/22/2005	SIGNIFICANT OUT-OF-COMPLIANCE		MORRISON	0/2	COMPLIANCE ASSURANCE

RRBD	05/04/2004	05/14/2004			CORR	0/1	COMPLIANCE ASSURANCE

TCI	04/19/2004	05/04/2004	SIGNIFICANT OUT-OF-COMPLIANCE		CORR	0/2	COMPLIANCE ASSURANCE

RRBD	07/01/2003	07/10/2003			CORR	0/2	COMPLIANCE ASSURANCE

TCR	03/31/2003	04/01/2003	SIGNIFICANT OUT-OF-COMPLIANCE		CORR	0/2	COMPLIANCE ASSURANCE

TCI	12/16/2002	12/17/2002	SIGNIFICANT OUT-OF-COMPLIANCE		CORR	0/2	COMPLIANCE ASSURANCE

TCI	10/17/2001	10/25/2001	IN-COMPLIANCE		CORR	0/2	COMPLIANCE ASSURANCE

CALL	09/08/2000	10/05/2000			WILLE	0/0	COMPLIANCE ASSURANCE

TCI	09/07/2000	09/21/2000	MINOR OUT-OF-COMPLIANCE		GREEN	0/2	COMPLIANCE ASSURANCE

TCI	10/15/1999	10/27/1999	IN-COMPLIANCE		GREEN	0/2	COMPLIANCE ASSURANCE

TCR	06/04/1999	06/21/1999	MINOR OUT-OF-COMPLIANCE		GREEN	0/2	COMPLIANCE ASSURANCE

UTCI	12/07/1998	12/22/1998	SIGNIFICANT OUT-OF-COMPLIANCE				COMPLIANCE ASSURANCE



Compliance Activity Information

Activity Code		Date Completed	Results	Inspector	AST/UST Count	Description
Letter		02/11/2025	Satisfied	FIORITO_AM_1		Compliance Assistance

Site Inspection		02/10/2025	Major Out of Compliance	FIORITO_AM_1	0/2	Routine Compliance

Letter		02/04/2025	Satisfied	FIORITO_AM_1		Compliance Assistance

Enforcement Tracking		01/31/2025	Closed Without Enforcement	DUSKY_RL_2		Enforcement

Electronic Communication		01/31/2025	Satisfied	FIORITO_AM_1		Compliance Assistance

Electronic Communication		07/17/2024	Satisfied	FIORITO_AM_1		Compliance Assistance

Electronic Communication		07/09/2024	Satisfied	FIORITO_AM_1		Compliance Assistance

Electronic Communication		03/04/2024	Satisfied	FIORITO_AM_1		Compliance Assistance

Electronic Communication		12/29/2023	Satisfied	FIORITO_AM_1		Compliance Assistance

Enforcement Referral		08/29/2023	Accepted	DUSKY_RL_2		Enforcement

Electronic Communication		08/07/2023	Satisfied	FIORITO_AM_1		Compliance Assistance

Electronic Communication		06/13/2023	Satisfied	MORRISON_AM_1		Compliance Assistance

Electronic Communication		06/08/2023	Satisfied	FIORITO_AM_1		Compliance Assistance

Electronic Communication		05/25/2023	Satisfied	MORRISON_AM_1		Compliance Assistance

Letter		05/24/2023	Satisfied	ESAU_KL_1		Compliance Assistance

Site Inspection		05/23/2023	Minor Out of Compliance	MORRISON_AM_1	0/2	Routine Compliance

Electronic Communication		04/25/2022	Satisfied	HALL_B_8		Compliance Assistance

Enforcement Tracking		07/07/2021	Closed Without Enforcement	DUSKY_RL_2		Enforcement

Electronic Communication		04/26/2021	Satisfied	HALL_B_8		Routine Compliance

Letter		04/15/2021	Satisfied	HALL_B_8		Compliance Assistance

Phone Conversation		04/14/2021	Satisfied	HALL_B_8		Routine Compliance

Site Inspection		04/14/2021	Major Out of Compliance	HALL_B_8	0/2	Routine Compliance

Phone Conversation		04/24/2020	Satisfied	MORRISON_CY_1		Routine Compliance

Letter		05/01/2019	Satisfied	ESAU_KL_1		Compliance Assistance

Electronic Communication		04/29/2019	Satisfied	COFFIELD_LX_1		Compliance Assistance

Electronic Communication		04/29/2019	Satisfied	COFFIELD_LX_1		Compliance Assistance

Enforcement Referral		02/25/2019	Accepted	DUSKY_RL_2		Enforcement

Letter		12/07/2018	Satisfied	COFFIELD_LX_1		Compliance Assistance

Site Inspection		11/16/2018	Major Out of Compliance	COFFIELD_LX_1	0/2	Routine Compliance

Letter		02/12/2018	Satisfied	ESAU_KL_1		Compliance Assistance

Site Inspection		11/16/2017	In Compliance	COFFIELD_LX_1	0/2	Compliance Assistance

Letter		08/28/2017	Satisfied	ESAU_KL_1		Compliance Assistance

Site Inspection		08/22/2017	Minor Out of Compliance	COFFIELD_LX_1	0/2	Compliance Assistance

Letter		02/08/2017	Satisfied	COFFIELD_LX_1		Non-Compliance

Site Inspection		01/19/2017	Minor Out of Compliance	COFFIELD_LX_1	0/2	Routine Compliance

Site Inspection		06/02/2016	In Compliance	ARDELEAN_AR_1	0/2	Non-Compliance

Record Document		08/20/2015	Satisfied	ARLINE_JD_1		Non-Compliance

Letter		03/16/2015	Satisfied	ARLINE_JD_1		Non-Compliance

Site Inspection		02/25/2015	Minor Out of Compliance	ARLINE_JD_1	0/2	Routine Compliance

Emergency Preparedness Information		02/18/2015	Satisfied	ARLINE_JD_1		Routine Compliance

Site Inspection		11/08/2012	In Compliance	MORRISON_CY_1	0/2	Routine Compliance

Letter		10/07/2011	Satisfied	MORRISON_CY_1		Non-Compliance

Site Inspection		09/16/2011	Minor Out of Compliance	MORRISON_CY_1	0/2	Routine Compliance

Letter		06/23/2011	Satisfied	MORRISON_CY_1		Non-Compliance

Site Inspection		06/21/2011	Minor Out of Compliance	MORRISON_CY_1	0/2	Non-Compliance

Letter		08/25/2010	Satisfied	MORRISON_CY_1		Non-Compliance

Site Inspection		08/04/2010	Minor Out of Compliance	MORRISON_CY_1	0/2	Routine Compliance

Emergency Preparedness Information		07/13/2010	Satisfied	MORRISON_CY_1		Routine Compliance

Site Inspection		07/08/2009	In Compliance	ILYAS_M_1	0/2	Routine Compliance

Record Document		07/08/2009	Satisfied	MORRISON_CY_1		Routine Compliance

Site Inspection		07/08/2009	In Compliance	MORRISON_CY_1	0/2	Installation

Site Inspection		12/10/2008	In Compliance	MORRISON_CY_1	0/2	Routine Compliance

Letter		02/28/2008	Satisfied	MORRISON_CY_1		Non-Compliance

Site Inspection		02/07/2008	Minor Out of Compliance	MORRISON_CY_1	0/6	Routine Compliance

Record Document		11/16/2007	Satisfied	MORRISON_CY_1		Routine Compliance

Letter		06/19/2007	Satisfied	MORRISON_CY_1		Non-Compliance

Record Document		06/15/2007	Satisfied	MORRISON_CY_1		Routine Compliance

Site Inspection		05/25/2007	Major Out of Compliance	MORRISON_CY_1	0/6	Non-Compliance

Letter		04/25/2007	Satisfied	MORRISON_CY_1		Non-Compliance

Site Inspection		04/06/2007	Major Out of Compliance	MORRISON_CY_1	0/6	Routine Compliance

Emergency Preparedness Information		10/26/2006	Satisfied	WILLE_PC_1		Routine Compliance



No Open AOCs Found


Open Violations

Insp Date	Vio #	Significance	Violation Text			Corrective Action
02/10/2025	6011	SNC-B	2.8 No financial responsibility instrument or expired instrument for < 180 days.			Please send current insurance documents forms Part P and Part C or D to Ainsley Fiorito AFiorito@pbc.gov.

02/07/2025	6072	Minor	2.7 Integrity testing of secondary containment systems and interstitial spaces not performed per schedule.			Have the Dispenser Sump and STP Sump integrity tests performed and email documentation of completed test results to Ainsley Fiorito at AFiorito@pbc.gov.



Discharge Information

Discharge Date		Clean Up Status	Score	Eligibility Info		Site Manager	Phone
06/26/1992		COMPLETED	61	PETROLEUM LIABILITY AND RESTORATION INSURANCE PROGRAM-ELIGIBLE

12/19/1988		COMPLETED	60