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: 05/11/2025 Last Data Refresh: 05/10/2025 Report Generated from DOPPLER

District	Northwest			Type		Retail Station

County	Walton			Status		OPEN

ID	8840841			Latitude		30° 44' 33.2168

Name	MOSSY HEAD GENERAL 12526 US HWY 90 W			Longitude		86° 19' 8.5021
	MOSSY HEAD, FL 32434-9346			LL Method		DPHO

Contact	GAURAV SHARMA			LL Status		REVIEWED

Phone	(850) 892-2633			Status Date		09/21/2023

Account Owner Information

Name	MOSSY HEAD GENERAL 12526 US HWY 90 W MOSSY HEAD, FL 32434			Effective Date		02/10/2020

Contact	GAURAV SHARMA & SHAILLEY SHARMA

Phone	(676) 773-4657

Email	SHARMAGAURAVUSA@AOL.COM
				Placard # / Date		701387 - 09/12/2024
Property Owner Information

Name	MOSSY HEAD GENERAL 12526 US HWY 90 W MOSSY HEAD, FL 32434			Effective Date		02/10/2020

Contact	GAURAV SHARMA & SHAILLEY SHARMA

Phone	(676) 773-4657

Email	SHARMAGAURAVUSA@AOL.COM









Tank	Tank Size	Content		Installed	Placement	Status
9	20000	Vehicular Diesel (D)		11/01/2009	UNDERGROUND	In Service (U)

Constructions			Pipings		Monitorings
(F) Fiberglass clad steel (L) Compartmented (M) Spill containment bucket (N) Flow shut-Off (O) Tight fill (P) Level gauges/alarms (R) Double wall - tank jacket			(D) External protective coating (F) Double wall (J) Pressurized piping system (K) Dispenser liners (N) Approved synthetic material (P) Internal pipe/internal sump riser		(2) Visual inspect pipe sumps (4) Visual inspect dispenser liners (E) Monitor UST/liner space (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	2000	Unleaded Gas (B)		08/01/1984	UNDERGROUND	Removed from Site (B)

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


Tank	Tank Size	Content		Installed	Placement	Status
2	4000	Unleaded Gas (B)		08/01/1984	UNDERGROUND	Removed from Site (B)

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


Tank	Tank Size	Content		Installed	Placement	Status
3	4000	Unleaded Gas (B)		08/01/1984	UNDERGROUND	Removed from Site (B)

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


Tank	Tank Size	Content		Installed	Placement	Status
4	4000	Vehicular Diesel (D)		08/01/1984	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(F) Fiberglass clad steel			(C) Fiberglass		(8) Manually sampled wells


Tank	Tank Size	Content		Installed	Placement	Status
5	8000	Vehicular Diesel (D)		12/01/1991	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(A) Ball check valve (C) Steel (G) Sacrificial anode CP (M) Spill containment bucket (O) Tight fill			(C) Fiberglass (G) Pipe trench liner (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 (H) Mechanical line leak detector (K) Monitor dbl wall pipe space (S) Statistical Inventory Reconcile


Tank	Tank Size	Content		Installed	Placement	Status
6	8000	Unleaded Gas (B)		12/01/1991	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(A) Ball check valve (C) Steel (G) Sacrificial anode CP (M) Spill containment bucket (O) Tight fill			(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 (H) Mechanical line leak detector (K) Monitor dbl wall pipe space (S) Statistical Inventory Reconcile


Tank	Tank Size	Content		Installed	Placement	Status
7	8000	Gasohol (C)		12/01/1991	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(A) Ball check valve (C) Steel (G) Sacrificial anode CP (M) Spill containment bucket (O) Tight fill			(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 (H) Mechanical line leak detector (K) Monitor dbl wall pipe space (S) Statistical Inventory Reconcile


Tank	Tank Size	Content		Installed	Placement	Status
8	4000	Gasohol (C)		12/01/1991	UNDERGROUND	Removed from Site (B)

Constructions			Pipings		Monitorings
(A) Ball check valve (C) Steel (G) Sacrificial anode CP (M) Spill containment bucket (O) Tight fill			(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 (H) Mechanical line leak detector (K) Monitor dbl wall pipe space (S) Statistical Inventory Reconcile


Insurance Documents

FR Type			Effective Date	Expiration Date	Company Name
INSURANCE			08/10/2022	08/10/2023	ACE AMERICAN INSURANCE COMPANY
INSURANCE			07/30/2017	07/30/2018	ADMIRAL INSURANCE COMPANY
INSURANCE			07/30/2016	07/30/2017	ADMIRAL INSURANCE COMPANY
INSURANCE			08/23/2014	08/23/2015	ADMIRAL INSURANCE COMPANY
INSURANCE			08/23/2013	08/23/2014	ENDURANCE AMERICAN SPECIALTY INS CO
INSURANCE			09/30/2011	09/30/2012	ILLINOIS UNION
INSURANCE			11/20/2010	11/02/2011	ZURICH-AMERICAN
INSURANCE			11/07/2009	11/07/2010	ZURICH-AMERICAN
INSURANCE			11/07/2009	11/07/2010	ZURICH-AMERICAN
INSURANCE			11/07/2009	11/07/2010	ZURICH-AMERICAN
INSURANCE			11/07/2009	11/07/2010	ZURICH-AMERICAN
INSURANCE			11/07/2009	11/07/2010	ZURICH-AMERICAN
INSURANCE			11/07/2007	11/07/2008	ZURICH-AMERICAN


Legacy Compliance Activity Information

Activity Code	Date Initiated	Date Completed	Results		Inspector	AST/UST Count	Description
TCI	10/12/2005	10/21/2005	IN-COMPLIANCE		J. SCOTT HALE	0/4	COMPLIANCE ASSURANCE

RRBD	12/02/2004	12/07/2004					COMPLIANCE ASSURANCE

TCI	10/14/2004	10/18/2004	MINOR OUT-OF-COMPLIANCE		J. SCOTT HALE	0/4	COMPLIANCE ASSURANCE

RRBD	12/09/2003	12/11/2003					COMPLIANCE ASSURANCE

TCI	11/17/2003	11/24/2003	MINOR OUT-OF-COMPLIANCE		J. SCOTT HALE	0/4	COMPLIANCE ASSURANCE

RRBD	10/24/2002	12/04/2002					COMPLIANCE ASSURANCE

TCI	09/17/2002	09/23/2002	MINOR OUT-OF-COMPLIANCE		JOHN S. STEVENSON	0/4	COMPLIANCE ASSURANCE

TCR	11/08/2001	12/12/2001	IN-COMPLIANCE				COMPLIANCE ASSURANCE

TCI	08/27/2001	09/15/2001	MINOR OUT-OF-COMPLIANCE		STEVENSON_JS	0/4	COMPLIANCE ASSURANCE

TCI	07/18/2000	08/09/2000	IN-COMPLIANCE		HUTCHERSON_VP	0/4	COMPLIANCE ASSURANCE

TCI	07/13/1999	08/03/1999	IN-COMPLIANCE		HUTCHERSON_VP	0/4	COMPLIANCE ASSURANCE

CWOE	06/30/1999	08/20/1999			METZLER_SC	0/0	COMPLIANCE ASSURANCE

TIN	05/28/1999	06/09/1999	MINOR OUT-OF-COMPLIANCE		METZLER_S	0/4	COMPLIANCE ASSURANCE

UTCI	08/15/1997	08/27/1997	MINOR OUT-OF-COMPLIANCE				COMPLIANCE ASSURANCE



Compliance Activity Information

Activity Code		Date Completed	Results	Inspector	AST/UST Count	Description
Enforcement Referral		05/07/2025	Accepted	VOLK_MP_1		Enforcement

Letter		02/07/2025	Satisfied	GARTIN_D		Compliance Assistance

Electronic Communication		01/31/2025	Satisfied	VOLK_MP_1		Routine Compliance

Electronic Communication		01/31/2025	Satisfied	VOLK_MP_1		Routine Compliance

Site Inspection		01/31/2025	Minor Out of Compliance	VOLK_MP_1	0/1	Routine Compliance

Enforcement Tracking		08/04/2023	Closed Without Enforcement	MERRITT_S		Enforcement

Letter		08/04/2023	Satisfied	MERRITT_S		Enforcement

Document Management		06/15/2023	Satisfied	MERRITT_S		Enforcement

Document Management		06/15/2023	Satisfied	MERRITT_S		Enforcement

Enforcement Referral		06/09/2023	Accepted	GARTIN_D		Enforcement

Electronic Communication		06/01/2023	Satisfied	GARTIN_D		Compliance Assistance

Record Document		06/01/2023	Satisfied	GARTIN_D		Compliance Assistance

Record Document		05/25/2023	Satisfied	GARTIN_D		Compliance Assistance

Record Document		05/12/2023	Satisfied	GARTIN_D		Compliance Assistance

Document Management		04/25/2023	Satisfied	MERRITT_S		Enforcement

Enforcement Tracking		04/25/2023	Closed With Enforcement	TESSIER_A		Enforcement

Electronic Communication		04/14/2023	Satisfied	GARTIN_D		Compliance Assistance

Letter		03/14/2023	Satisfied	WILSON_ML_1		Compliance Assistance

Site Inspection		03/10/2023	Major Out of Compliance	GARTIN_D	0/1	Routine Compliance

Electronic Communication		03/10/2023	Satisfied	GARTIN_D		Routine Compliance

Electronic Communication		02/14/2023	Satisfied	MERRITT_S		Enforcement

Document Management		02/08/2023	Satisfied	MERRITT_S		Enforcement

Electronic Communication		02/08/2023	Satisfied	MERRITT_S		Enforcement

Issue Document		10/31/2022	Satisfied	MERRITT_S		Enforcement

Issue Document		10/31/2022	Satisfied	MERRITT_S		Enforcement

Document Management		08/18/2022	Satisfied	MERRITT_S		Enforcement

Document Management		04/28/2022	Satisfied	MERRITT_S		Enforcement

Electronic Communication		12/08/2021	Satisfied	MERRITT_S		Enforcement

Electronic Communication		12/08/2021	Satisfied	MERRITT_S		Enforcement

Electronic Communication		10/07/2021	Satisfied	TESSIER_A		Enforcement

Phone Conversation		09/13/2021	Satisfied	TESSIER_A		Enforcement

Electronic Communication		08/20/2021	Satisfied	TESSIER_A		Enforcement

Electronic Communication		08/20/2021	Satisfied	TESSIER_A		Enforcement

Letter		08/17/2021	Satisfied	TESSIER_A		Enforcement

Enforcement Referral		08/04/2021	Accepted	PANGAHAS_RL_1		Enforcement

Electronic Communication		07/28/2021	Satisfied	PANGAHAS_RL_1		Compliance Assistance

Issue Document		05/07/2021	Satisfied	WILSON_ML_1		Compliance Assistance

Letter		05/07/2021	Satisfied	WILSON_ML_1		Compliance Assistance

Electronic Communication		05/06/2021	Satisfied	PANGAHAS_RL_1		Routine Compliance

Electronic Communication		05/06/2021	Satisfied	PANGAHAS_RL_1		Routine Compliance

Record Document		05/06/2021	Satisfied	PANGAHAS_RL_1		Routine Compliance

Site Inspection		05/06/2021	Major Out of Compliance	PANGAHAS_RL_1	0/1	Routine Compliance

Phone Conversation		05/06/2021	Satisfied	PANGAHAS_RL_1		Routine Compliance

Letter		09/27/2019	Satisfied	MERRITT_S		Enforcement

Enforcement Tracking		09/27/2019	Closed Without Enforcement	GILLMAN_M		Enforcement

Enforcement Referral		05/22/2019	Accepted	PANGAHAS_RL_1		Enforcement

Phone Conversation		07/18/2018	Satisfied	PANGAHAS_RL_1		Routine Compliance

Issue Document		07/18/2018	Satisfied	WILSON_ML_1		Compliance Assistance

Site Inspection		07/18/2018	Minor Out of Compliance	PANGAHAS_RL_1	0/1	Routine Compliance

Letter		07/18/2018	Satisfied	WILSON_ML_1		Compliance Assistance

Enforcement Tracking		01/16/2018	Closed Without Enforcement	PANGAHAS_RL_1		Enforcement

Site Inspection		08/25/2016	In Compliance	MERRITT_S	0/1	Enforcement

Letter		07/18/2016	Satisfied	MERRITT_S		Non-Compliance

Enforcement Referral		06/29/2016	Accepted	BRAZILE_DO_1		Enforcement

Letter		02/08/2016	Satisfied	WILSON_ML_1		Non-Compliance

Letter		01/08/2016	Satisfied	WILSON_ML_1		Non-Compliance

Site Inspection		01/07/2016	Minor Out of Compliance	BRAZILE_DO_1	0/1	Routine Compliance

Enforcement Tracking		08/15/2014	Closed Without Enforcement	MERRITT_S		Enforcement

Site Inspection		08/15/2014	In Compliance	MERRITT_S	0/1	Enforcement

Site Inspection		08/09/2014	In Compliance	BRAZILE_DO_1	0/1	Non-Compliance

Enforcement Referral		07/22/2014	Accepted	MERRITT_S		Enforcement

Record Document		07/07/2014	Satisfied	BRAZILE_DO_1		Non-Compliance

Letter		01/17/2014	Satisfied	DAURIA_KL_1		Non-Compliance

Site Inspection		01/14/2014	Minor Out of Compliance	BRAZILE_DO_1	0/1	Routine Compliance

Site Inspection		05/04/2012	In Compliance	BRAZILE_DO_1	0/1	Non-Compliance

Emergency Preparedness Information		09/14/2011	Satisfied	BRAZILE_DO_1		Routine Compliance

Letter		09/13/2011	Satisfied	CLEMONS_AM_1		Non-Compliance

Site Inspection		09/12/2011	Minor Out of Compliance	BRAZILE_DO_1	0/1	Routine Compliance

Site Inspection		05/12/2011	In Compliance	HALE_JS_1	0/1	Routine Compliance

Emergency Preparedness Information		02/09/2011	Satisfied	HALE_JS_1		Routine Compliance

Site Inspection		02/09/2011	In Compliance	HALE_JS_1	0/1	Routine Compliance

Site Inspection		03/10/2010	In Compliance	TISSINGTON_AB_1	0/4	Routine Compliance

Emergency Preparedness Information		03/08/2010	Satisfied	TISSINGTON_AB_1		Routine Compliance

Letter		01/25/2010	Satisfied	PIERCE_LL_1		Closure

Emergency Preparedness Information		11/25/2009	Satisfied	HALE_JS_1		Installation

Site Inspection		11/25/2009	In Compliance	HALE_JS_1	0/4	Installation

Emergency Preparedness Information		11/25/2009	Satisfied	HALE_JS_1		Routine Compliance

Site Inspection		11/25/2009	In Compliance	HALE_JS_1	0/4	Routine Compliance

Site Inspection		09/29/2008	In Compliance	HALE_JS_1	0/8	Routine Compliance

Emergency Preparedness Information		09/19/2008	Satisfied	HALE_JS_1		Routine Compliance

Site Inspection		08/29/2007	In Compliance	HALE_JS_1	0/4	Routine Compliance

Emergency Preparedness Information		02/15/2007	Satisfied	TISSINGTON_AB_1		Routine Compliance

Emergency Preparedness Information		09/29/2006	Satisfied	TISSINGTON_AB_1		Routine Compliance

Site Inspection		09/14/2006	In Compliance	HALE_JS_1	0/3	Routine Compliance



No Open AOCs Found


Open Violations

Insp Date	Vio #	Significance	Violation Text			Corrective Action
01/31/2025	6003	Minor	2.2 Registration Form not submitted for a new system, change in service, closure, owner change, or discovery of unregistered facility.			A completed Registration Form should be submitted to the Department at Michael.Volk@flhealth.gov

01/29/2025	6001	Minor	2.1 No reasonable access provided.			Coordinate with the inspector to schedule a re-inspection and ensure that a facility representative will be at the facility on the date of scheduled inspection and the Dispenser Sumps are able to be accessible. Please provide associated facility records.Email: Michael.volk@flhealth.gov



Discharge Information

Discharge Date		Clean Up Status	Score	Eligibility Info		Site Manager	Phone
07/30/1986		COMPLETED	6	EARLY DETECTION INCENTIVE-ELIGIBLE