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: 05/09/2025 Last Data Refresh: 05/08/2025 Report Generated from DOPPLER

District	Central			Type		Retail Station

County	Osceola			Status		OPEN

ID	8944668			Latitude		28° 18' 27.9822

Name	SA4SA LLC 3302 W COLUMBIA AVE			Longitude		81° 26' 12.3223
	KISSIMMEE, FL 34741-2509			LL Method		DPHO

Contact	FIROZ SAHANI			LL Status		REVIEWED

Phone	(321) 223-4900			Status Date		02/21/2003

Account Owner Information

Name	SA4SA LLC 232 EDGEMERE WAY E NAPLES, FL 34105			Effective Date		05/03/2016

Contact	MANISHA JIVANI

Phone	(239) 645-5555

Email	JIVANIMANISHA@GMAIL.COM
				Placard # / Date		688546 - 06/18/2024
Property Owner Information

Name	CONVENIENCE CTR DEVELOPMENT ASSOC LLC 1303 PASS A GRILLE WAY ST PETERSBURG BEACH, FL 33706			Effective Date		03/25/2016

Contact	JOEL D BRONSTEIN

Phone	(727) 643-3636

Email	JOELB1303@GMAIL.COM









Tank	Tank Size	Content		Installed	Placement	Status
4	12000	Unleaded Gas (B)		04/01/2007	UNDERGROUND	In Service (U)

Constructions			Pipings		Monitorings
(A) Ball check valve (F) Fiberglass clad steel (I) Double wall (M) Spill containment bucket (O) Tight fill			(J) Pressurized piping system (K) Dispenser liners (M) Double wall - pipe jacket (N) Approved synthetic material		(1) Continuous electronic sensing (2) Visual inspect pipe sumps (3) Electronic monitor pipe sumps (4) Visual inspect dispenser liners (F) Monitor dbl wall tank space (H) Mechanical line leak detector (K) Monitor dbl wall pipe space (L) Automatic tank gauging - USTs


Tank	Tank Size	Content		Installed	Placement	Status
5	8000	Unleaded Gas (B)		04/01/2007	UNDERGROUND	In Service (U)

Constructions			Pipings		Monitorings
(A) Ball check valve (F) Fiberglass clad steel (I) Double wall (M) Spill containment bucket (O) Tight fill			(J) Pressurized piping system (K) Dispenser liners (M) Double wall - pipe jacket (N) Approved synthetic material		(1) Continuous electronic sensing (2) Visual inspect pipe sumps (3) Electronic monitor pipe sumps (4) Visual inspect dispenser liners (F) Monitor dbl wall tank space (H) Mechanical line leak detector (K) Monitor dbl wall pipe space (L) Automatic tank gauging - USTs


Tank	Tank Size	Content		Installed	Placement	Status
1	10000	Unleaded Gas (B)		05/01/1989	UNDERGROUND	Closed In Place (A)

Constructions			Pipings		Monitorings
(A) Ball check valve (F) Fiberglass clad steel (M) Spill containment bucket (O) Tight fill			(C) Fiberglass (J) Pressurized piping system (K) Dispenser liners		(2) Visual inspect pipe sumps (4) Visual inspect dispenser liners (H) Mechanical line leak detector (L) Automatic tank gauging - USTs (S) Statistical Inventory Reconcile


Tank	Tank Size	Content		Installed	Placement	Status
2	10000	Unleaded Gas (B)		05/01/1989	UNDERGROUND	Closed In Place (A)

Constructions			Pipings		Monitorings
(A) Ball check valve (F) Fiberglass clad steel (M) Spill containment bucket (O) Tight fill			(C) Fiberglass (J) Pressurized piping system (K) Dispenser liners		(2) Visual inspect pipe sumps (4) Visual inspect dispenser liners (H) Mechanical line leak detector (L) Automatic tank gauging - USTs (S) Statistical Inventory Reconcile


Tank	Tank Size	Content		Installed	Placement	Status
3	6000	Unleaded Gas (B)		05/01/1989	UNDERGROUND	Closed In Place (A)

Constructions			Pipings		Monitorings
(A) Ball check valve (F) Fiberglass clad steel (M) Spill containment bucket (O) Tight fill			(C) Fiberglass (J) Pressurized piping system (K) Dispenser liners		(2) Visual inspect pipe sumps (4) Visual inspect dispenser liners (H) Mechanical line leak detector (L) Automatic tank gauging - USTs (S) Statistical Inventory Reconcile


Insurance Documents

FR Type			Effective Date	Expiration Date	Company Name
SELF-INSURANCE - LETTER FROM CHIEF FINANCIAL OFFICER
INSURANCE			01/16/2023	01/16/2024	COMMERCE AND INDUSTRY INSURANCE COMPANY
INSURANCE			01/16/2019	01/16/2020	COMMERCE & INDUSTRY INSURANCE CO
INSURANCE			01/16/2016	01/16/2017	COMMERCE & INDUSTRY
INSURANCE			09/01/2013	09/01/2014	COMMERCE & INDUSTRY
INSURANCE			11/01/2012	11/01/2014	IRONSHORE SPECIALTY INSURANCE CO
INSURANCE			11/01/2011	11/01/2012	IRONSHORE SPECIALTY INSURANCE CO
INSURANCE			11/01/2010	11/01/2011	ENDURANCE AMERICAN SPECIALTY INS CO
INSURANCE			11/01/2009	11/01/2010	ENDURANCE AMERICAN SPECIALTY INS CO
INSURANCE			11/01/2008	11/01/2009	ENDURANCE AMERICAN SPECIALTY INS CO


Legacy Compliance Activity Information

Activity Code	Date Initiated	Date Completed	Results		Inspector	AST/UST Count	Description
TCR	12/28/2005	12/28/2005	IN-COMPLIANCE		MARK GILL	0/3	COMPLIANCE ASSURANCE

TCI	08/09/2005	08/10/2005	MINOR OUT-OF-COMPLIANCE		MARK GILL	0/3	COMPLIANCE ASSURANCE

	Completion Notes EXCESSIVE LIQUID IN SUMPS. DISPENSER 1/2 HAS ACTIVE LEAK FROM GASKET AND A HOSE THAT IS CRIMPED/CRACKED.

TCI	08/10/2004	08/11/2004	IN-COMPLIANCE		BILL BRADSHAW	0/3	COMPLIANCE ASSURANCE

	Completion Notes FACILITY APPEARS TO BE IN COMPLIANCE

TCI	08/18/2003	08/19/2003	IN-COMPLIANCE		BILL BRADSHAW	0/3	COMPLIANCE ASSURANCE

	Completion Notes FACILITY APPEARS TO BE IN COMPLIANCE

TCI	08/20/2002	08/21/2002	IN-COMPLIANCE		BILL BRADSHAW	0/3	COMPLIANCE ASSURANCE

	Completion Notes THIS FACILITY APPEARS TO BE IN COMPLIANCE

TCI	08/28/2001	08/29/2001	IN-COMPLIANCE		BILL BRADSHAW	0/3	COMPLIANCE ASSURANCE

	Completion Notes FACILITY IN OMPLIANCE

TCR	07/27/2000	07/28/2000	IN-COMPLIANCE		BILL BRADSHAW	0/3	COMPLIANCE ASSURANCE

	Completion Notes IN COMPLIANCE

TCI	07/12/2000	07/13/2000	MINOR OUT-OF-COMPLIANCE		BILL BRADSHAW	0/3	COMPLIANCE ASSURANCE

	Completion Notes EXCESSIVE LIQUID IN TANK SUMP (PUL)

TCI	11/11/1999	11/12/1999	IN-COMPLIANCE		BILL BRADSHAW	0/3	COMPLIANCE ASSURANCE

	Completion Notes IN COMPLIANCE

TCI	02/25/1999	04/05/1999	IN-COMPLIANCE		KALE	0/3	COMPLIANCE ASSURANCE

	Completion Notes NFPA30 ESO SIGN ON BLDG NEEDS REPLACING



Compliance Activity Information

Activity Code		Date Completed	Results	Inspector	AST/UST Count	Description
Electronic Communication		10/24/2024	Satisfied	PEZZINO_A		Enforcement

Document Management		02/23/2024	Satisfied	FARRELL_JE		Enforcement

Electronic Communication		11/20/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		11/20/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		11/20/2023	Satisfied	BOYLES_S		Enforcement

Document Management		10/12/2023	Satisfied	BOYLES_S		Incident

Electronic Communication		10/04/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		10/04/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		10/04/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		10/04/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		09/27/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		09/27/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		09/27/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		09/27/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		09/25/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		09/22/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		09/22/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		09/22/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		09/22/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		09/21/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		09/21/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		09/21/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		09/21/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		09/21/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		09/21/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		09/21/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		09/21/2023	Satisfied	BOYLES_S		Enforcement

Meeting		09/20/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		09/20/2023	Satisfied	BOYLES_S		Enforcement

Meeting		09/11/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		09/07/2023	Satisfied	BOYLES_S		Enforcement

Phone Conversation		09/06/2023	Satisfied	BOYLES_S		Enforcement

Letter		09/01/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		07/28/2023	Satisfied	BOYLES_S		Enforcement

Electronic Communication		06/27/2023	Satisfied	SAVOY_JA_1		Compliance Assistance

Electronic Communication		06/23/2023	Satisfied	SAVOY_JA_1		Compliance Assistance

Electronic Communication		06/23/2023	Satisfied	SAVOY_JA_1		Compliance Assistance

Electronic Communication		06/23/2023	Satisfied	SAVOY_JA_1		Compliance Assistance

Electronic Communication		06/23/2023	Satisfied	SAVOY_JA_1		Compliance Assistance

Site Inspection		05/15/2023	Minor Out of Compliance	SAVOY_JA_1	0/2	Routine Compliance

Enforcement Referral		04/07/2023	Accepted	GREGORY_JW_1		Enforcement

Electronic Communication		04/06/2023	Satisfied	SAVOY_JA_1		Compliance Assistance

Electronic Communication		04/06/2023	Satisfied	SAVOY_JA_1		Compliance Assistance

Electronic Communication		04/06/2023	Satisfied	SAVOY_JA_1		Compliance Assistance

Electronic Communication		03/31/2023	Satisfied	SAVOY_JA_1		Routine Compliance

Letter		03/29/2023	Satisfied	GREGORY_JW_1		Compliance Assistance

Enforcement Referral		02/28/2023	Rejected	GREGORY_JW_1		Enforcement

Electronic Communication		01/20/2023	Satisfied	SAVOY_JA_1		Compliance Assistance

Electronic Communication		02/04/2022	Satisfied	SAVOY_JA_1		Compliance Assistance

Electronic Communication		06/14/2021	Satisfied	SAVOY_JA_1		Compliance Assistance

Letter		04/22/2021	Satisfied	SAVOY_JA_1		Compliance Assistance

Site Inspection		04/09/2021	Minor Out of Compliance	SAVOY_JA_1	0/2	Routine Compliance

Phone Conversation		03/11/2021	Satisfied	SAVOY_JA_1		Routine Compliance

Phone Conversation		03/11/2021	Satisfied	SAVOY_JA_1		Routine Compliance

Electronic Communication		03/11/2021	Satisfied	SAVOY_JA_1		Routine Compliance

Electronic Communication		07/16/2019	Satisfied	RAINEY_A		Enforcement

Electronic Communication		07/16/2019	Satisfied	RAINEY_A		Enforcement

Electronic Communication		07/16/2019	Satisfied	RAINEY_A		Enforcement

Electronic Communication		07/16/2019	Satisfied	RAINEY_A		Enforcement

Electronic Communication		07/16/2019	Satisfied	RAINEY_A		Enforcement

Letter		07/16/2019	Satisfied	RAINEY_A		Enforcement

Electronic Communication		07/16/2019	Satisfied	RAINEY_A		Enforcement

Electronic Communication		07/16/2019	Satisfied	RAINEY_A		Enforcement

Electronic Communication		07/16/2019	Satisfied	RAINEY_A		Enforcement

Electronic Communication		07/16/2019	Satisfied	RAINEY_A		Enforcement

Phone Conversation		07/16/2019	Satisfied	RAINEY_A		Enforcement

Electronic Communication		07/16/2019	Satisfied	RAINEY_A		Enforcement

Electronic Communication		07/16/2019	Satisfied	RAINEY_A		Enforcement

Electronic Communication		07/16/2019	Satisfied	RAINEY_A		Enforcement

Enforcement Tracking		07/16/2019	Closed Without Enforcement	RAINEY_A		Enforcement

Electronic Communication		06/05/2019	Satisfied	RAUENZAHN_RA_1		Enforcement

Electronic Communication		02/04/2019	Satisfied	RAINEY_A		Enforcement

Phone Conversation		01/16/2019	Satisfied	RAINEY_A		Enforcement

Electronic Communication		01/16/2019	Satisfied	RAINEY_A		Enforcement

Phone Conversation		01/16/2019	Satisfied	RAINEY_A		Enforcement

Phone Conversation		01/16/2019	Satisfied	RAINEY_A		Enforcement

Electronic Communication		12/13/2018	Satisfied	RAINEY_A		Enforcement

Electronic Communication		11/27/2018	Satisfied	RAINEY_A		Enforcement

Phone Conversation		10/18/2018	Satisfied	RAINEY_A		Enforcement

Letter		10/01/2018	Satisfied	RAINEY_A		Enforcement

Enforcement Referral		09/24/2018	Accepted	RAUENZAHN_RA_1		Enforcement

Letter		08/30/2018	Satisfied	RAUENZAHN_RA_1		Compliance Assistance

Electronic Communication		08/29/2018	Satisfied	RAUENZAHN_RA_1		Compliance Assistance

Electronic Communication		08/28/2018	Satisfied	RAUENZAHN_RA_1		Compliance Assistance

Letter		06/27/2018	Satisfied	MOORHEAD_SB_1		Compliance Assistance

Letter		05/31/2018	Satisfied	MOORHEAD_SB_1		Compliance Assistance

Site Inspection		05/31/2018	Major Out of Compliance	MOORHEAD_SB_1	0/2	Routine Compliance

Electronic Communication		05/17/2018	Satisfied	MOORHEAD_SB_1		Routine Compliance

Electronic Communication		05/08/2018	Satisfied	MOORHEAD_SB_1		Routine Compliance

Electronic Communication		05/01/2018	Satisfied	MOORHEAD_SB_1		Routine Compliance

Electronic Communication		06/03/2016	Satisfied	JOWETT_JC_1		Non-Compliance

Site Inspection		04/15/2016	Major Out of Compliance	JOWETT_JC_1	0/2	Routine Compliance

Letter		04/15/2016	Satisfied	JOWETT_JC_1		Non-Compliance

Letter		08/18/2014	Satisfied	MOORHEAD_SB_1		Closure

Document Management		08/06/2014	Complete	RAUENZAHN_RA_1		Closure

TCAR		08/06/2014	Satisfied	RAUENZAHN_RA_1		Closure

Incident		06/24/2014	Has not led to Discharge	BECKER_GT_1		Incident

Letter		06/23/2014	Satisfied	BECKER_GT_1		Non-Compliance

Site Inspection		06/23/2014	Minor Out of Compliance	BECKER_GT_1	0/2	Closure

Site Inspection		06/23/2014	Minor Out of Compliance	BECKER_GT_1	0/2	Installation

Document Management		05/13/2014	Complete	BECKER_GT_1		Incident

Site Inspection		02/27/2014	In Compliance	BOWERS_M_2	0/2	Routine Compliance

Site Inspection		04/30/2012	In Compliance	JOHNSON_CJ	0/2	QA/QC

Emergency Preparedness Information		04/24/2012	Satisfied	COTTRELL_SA_1		Routine Compliance

Site Inspection		04/24/2012	In Compliance	COTTRELL_SA_1	0/2	Routine Compliance

Site Inspection		02/28/2011	In Compliance	GILL_MA_1	0/2	Routine Compliance

Emergency Preparedness Information		06/23/2010	Satisfied	COTTRELL_SA_1		Routine Compliance

Electronic Communication		12/01/2009	Satisfied	COTTRELL_SA_1		Non-Compliance

Site Inspection		11/23/2009	Minor Out of Compliance	COTTRELL_SA_1	0/2	Routine Compliance

Phone Conversation		10/22/2009	Satisfied	COTTRELL_SA_1		Routine Compliance

Site Inspection		01/21/2009	In Compliance	GILL_MA_1	0/2	Routine Compliance

Emergency Preparedness Information		01/21/2009	Satisfied	GILL_MA_1		Routine Compliance

Site Inspection		01/24/2008	In Compliance	GILL_MA_1	0/2	Routine Compliance

Emergency Preparedness Information		05/21/2007	Satisfied	GILL_MA_1		Routine Compliance

Emergency Preparedness Information		02/17/2007	Satisfied	GILL_MA_1		Routine Compliance

Site Inspection		11/16/2006	In Compliance	GILL_MA_1	0/3	Routine Compliance

Phone Conversation		10/26/2006	Satisfied	GILL_MA_1		Routine Compliance

Emergency Preparedness Information		09/27/2006	Satisfied	GILL_MA_1		Routine Compliance



No Open AOCs Found


Open Violations

Insp Date	Vio #	Significance	Violation Text			Corrective Action
09/11/2023	6014	SNC-B	4.2 Incident investigation not initiated within 24-hours (or by next business day) to determine if discharge occurred.			Facility must immediately submit an incident notification form and conduct an investigation into whether or not there was a discharge from any one of the UDC sumps. The investigation must include definitive proof that there was no discharge and may include the following: a) Hydrostatic testing of all of the UDC sumps, prior to the replacement of the torn boots. Comments must stat that the test is pre-repair of the torn boots. b) Documentation showing that there has not liquid above the level of the torn boots in all of the UDC sumps. These documents can include monthly visual inspections and/or liquid status reports. c) Sampling conducted within the requirements of, “Instructions for Conducting Sampling During Underground Storage Tank Closure, July 2019 Edition,” around all of the UDC sumps.

03/25/2021	4068	Minor	4.3 Storage tank system has a not repaired component which has or could cause a release or discharge.			repair damaged entry boots nd send documentation to Joseph.savoy@ocfl.net.



Discharge Information

Discharge Date		Clean Up Status	Score	Eligibility Info		Site Manager	Phone
01/18/1993		COMPLETED	10	PETROLEUM LIABILITY AND RESTORATION INSURANCE PROGRAM-ELIGIBLE