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: 03/20/2025 Last Data Refresh: 03/19/2025 Report Generated from DOPPLER

District	Northeast			Type		Retail Station

County	Duval			Status		OPEN

ID	9103649			Latitude		30° 14' 52.106

Name	JACKSONVILLE 76 PETROLEUM LLC 103RD 7890 103RD ST			Longitude		81° 46' 38.9113
	JACKSONVILLE, FL 32210-6346			LL Method		DPHO

Contact	HANI BASKARON			LL Status		REVIEWED

Phone	(714) 794-7630			Status Date		12/01/2003

Account Owner Information

Name	JACKSONVILLE 76 PETROLEUM LLC 780 E RAMSEY ST BANNING, CA 92220			Effective Date		12/15/2020

Contact	HANI BASKARON

Phone	(714) 794-7630

Email	HSBPETRO@YAHOO.COM
				Placard # / Date		694760 - 06/25/2024
Property Owner Information

Name	FIELDS OF BUTTER 1401 S BRENTWOOD BLVD #650 ST LOUIS, MO 63144			Effective Date		12/03/2021

Contact	JASON SIMON / ABBY TERHUNE

Phone	(314) 563-2206

Email	JSIMON@WESTWOODNETLEASE.COM









Tank	Tank Size	Content		Installed	Placement	Status
1	10000	Unleaded Gas (B)		12/01/1991	UNDERGROUND	In Service (U)

Constructions			Pipings		Monitorings
(A) Ball check valve (E) Fiberglass (I) Double wall (M) Spill containment bucket (N) Flow shut-Off (O) Tight fill			(C) Fiberglass (F) Double wall (J) Pressurized piping system (K) Dispenser liners		(1) Continuous electronic sensing (2) Visual inspect pipe sumps (3) Electronic monitor pipe sumps (4) Visual inspect dispenser liners (5) Electronic monitor dispenser liners (H) Mechanical line leak detector (K) Monitor dbl wall pipe space (L) Automatic tank gauging - USTs


Tank	Tank Size	Content		Installed	Placement	Status
2	10000	Unleaded Gas (B)		12/01/1991	UNDERGROUND	In Service (U)

Constructions			Pipings		Monitorings
(A) Ball check valve (E) Fiberglass (I) Double wall (M) Spill containment bucket (N) Flow shut-Off (O) Tight fill			(C) Fiberglass (F) Double wall (J) Pressurized piping system (K) Dispenser liners		(1) Continuous electronic sensing (3) Electronic monitor pipe sumps (4) Visual inspect dispenser liners (5) Electronic monitor dispenser liners (H) Mechanical line leak detector (K) Monitor dbl wall pipe space (L) Automatic tank gauging - USTs


Tank	Tank Size	Content		Installed	Placement	Status
3	10000	Unleaded Gas (B)		12/01/1991	UNDERGROUND	In Service (U)

Constructions			Pipings		Monitorings
(A) Ball check valve (E) Fiberglass (I) Double wall (M) Spill containment bucket (N) Flow shut-Off (O) Tight fill			(C) Fiberglass (F) Double wall (J) Pressurized piping system (K) Dispenser liners		(1) Continuous electronic sensing (3) Electronic monitor pipe sumps (4) Visual inspect dispenser liners (5) Electronic monitor dispenser liners (H) Mechanical line leak detector (K) Monitor dbl wall pipe space (L) Automatic tank gauging - USTs


Insurance Documents

FR Type			Effective Date	Expiration Date	Company Name
INSURANCE			11/13/2022	11/13/2023	NAUTILUS INSURANCE COMPANY
INSURANCE			11/13/2021	11/13/2022	NAUTILUS INSURANCE COMPANY
INSURANCE			11/13/2020	11/13/2021	NAUTILUS INSURANCE COMPANY
INSURANCE			08/29/2020	08/29/2021	CRUM & FORSTER SPECIALTY INS. CO.
INSURANCE			08/29/2019	08/29/2020	CRUM & FORSTER SPECIALTY INS. CO.
INSURANCE			08/17/2019	08/17/2020	CRUM & FORSTER SPECIALTY INS. CO.
INSURANCE			08/17/2018	08/17/2019	CRUM & FORSTER SPECIALTY INS. CO.
INSURANCE			12/12/2017	12/12/2018	TOKIO MARINE SPECIALTY INSURANCE COMPANY
INSURANCE			12/12/2016	12/12/2017	ACE AMERICAN INSURANCE COMPANY
INSURANCE			04/23/2014	04/23/2016	CRUM & FORSTER INDEMNITY
INSURANCE			04/23/2013	04/23/2014	AMERICAN SAFETY
INSURANCE			04/02/2012	04/02/2013	LIBERTY SURPLUS INSURANCE CORP
INSURANCE			04/02/2011	04/02/2012	LIBERTY SURPLUS INSURANCE CORP
INSURANCE			04/02/2010	04/02/2011	LIBERTY SURPLUS INSURANCE CORP
INSURANCE			04/02/2009	04/02/2010	LIBERTY SURPLUS INSURANCE CORP


Legacy Compliance Activity Information

Activity Code	Date Initiated	Date Completed	Results		Inspector	AST/UST Count	Description
TCI	10/18/2005	10/19/2005	IN-COMPLIANCE		BORISADE	0/3	COMPLIANCE ASSURANCE

TCI	04/01/2005	04/04/2005	IN-COMPLIANCE		BORISADE	0/3	COMPLIANCE ASSURANCE

TCI	04/20/2004	04/25/2004	IN-COMPLIANCE		HOLLOWAY	0/3	COMPLIANCE ASSURANCE

	Completion Notes LLD & ATG TEST DUE 8/25/04

TCI	12/12/2002	12/16/2002	IN-COMPLIANCE		HOLLOWAY_R	0/3	COMPLIANCE ASSURANCE

TCI	08/31/2001	09/04/2001	IN-COMPLIANCE		TOWNSEND_C	0/3	COMPLIANCE ASSURANCE

TCI	12/19/2000	01/04/2001	IN-COMPLIANCE		MACK_B	0/3	COMPLIANCE ASSURANCE

TCI	11/23/1999	12/14/1999	IN-COMPLIANCE		TORSANKO_G	0/3	COMPLIANCE ASSURANCE

TCI	01/06/1999	03/01/1999	IN-COMPLIANCE		TORSANKO_G	0/3	COMPLIANCE ASSURANCE



Compliance Activity Information

Activity Code		Date Completed	Results	Inspector	AST/UST Count	Description
Letter		01/31/2024	Satisfied	MILLS_MM		Enforcement

Enforcement Referral		11/17/2023	Accepted	GAINEY_H_1		Enforcement

Document Management		11/13/2023	Satisfied	CHRISTIAN_ED_1		Incident

Document Management		11/13/2023	Satisfied	CHRISTIAN_ED_1		Incident

Electronic Communication		11/01/2023	Satisfied	CHRISTIAN_ED_1		Compliance Assistance

Electronic Communication		10/30/2023	Satisfied	CHRISTIAN_ED_1		Compliance Assistance

Electronic Communication		10/13/2023	Satisfied	CHRISTIAN_ED_1		Compliance Assistance

Electronic Communication		09/12/2023	Satisfied	CHRISTIAN_ED_1		Compliance Assistance

Site Inspection		08/14/2023	Major Out of Compliance	CHRISTIAN_ED_1	0/3	Routine Compliance

Letter		08/14/2023	Satisfied	CHRISTIAN_ED_1		Compliance Assistance

Electronic Communication		08/14/2023	Satisfied	CHRISTIAN_ED_1		Compliance Assistance

Electronic Communication		07/21/2023	Satisfied	CHRISTIAN_ED_1		Compliance Assistance

Electronic Communication		07/21/2023	Satisfied	CHRISTIAN_ED_1		Compliance Assistance

Enforcement Tracking		02/16/2022	Closed Without Enforcement	HARRIS_SB		Enforcement

Letter		02/15/2022	Satisfied	HARRIS_SB		Enforcement

Document Management		01/05/2022	Satisfied	HARRIS_SB		Incident

Incident		01/05/2022	Has not led to Discharge	VALENZUELA_S_1		Incident

Site Inspection		11/30/2021	Major Out of Compliance	VALENZUELA_S_1	0/3	Compliance Assistance

Letter		11/30/2021	Satisfied	VALENZUELA_S_1		Compliance Assistance

Enforcement Referral		11/22/2021	Accepted	GAINEY_H_1		Enforcement

Electronic Communication		11/09/2021	Satisfied	VALENZUELA_S_1		Compliance Assistance

Electronic Communication		11/05/2021	Satisfied	VALENZUELA_S_1		Compliance Assistance

Electronic Communication		09/20/2021	Satisfied	VALENZUELA_S_1		Compliance Assistance

Site Inspection		08/25/2021	Minor Out of Compliance	VALENZUELA_S_1	0/3	Routine Compliance

Letter		08/25/2021	Satisfied	VALENZUELA_S_1		Compliance Assistance

Electronic Communication		08/20/2021	Satisfied	VALENZUELA_S_1		Routine Compliance

Letter		10/04/2019	Satisfied	OBRIEN_S		Enforcement

Enforcement Tracking		10/04/2019	Closed Without Enforcement	OBRIEN_S		Enforcement

Letter		08/30/2019	Satisfied	MONDO_PW_1		Compliance Assistance

Site Inspection		08/20/2019	Minor Out of Compliance	MONDO_PW_1	0/3	Routine Compliance

Letter		08/20/2019	Satisfied	MONDO_PW_1		Compliance Assistance

TCAR		06/10/2019	Satisfied	GREGORY_HM_1		Closure

Letter		06/10/2019	Satisfied	GREGORY_HM_1		Closure

Enforcement Referral		05/09/2019	Accepted	GREGORY_HM_1		Enforcement

Electronic Communication		04/12/2019	Satisfied	GREGORY_HM_1		Compliance Assistance

Electronic Communication		02/21/2019	Satisfied	GREGORY_HM_1		Compliance Assistance

Letter		02/21/2019	Satisfied	GREGORY_HM_1		Compliance Assistance

Site Inspection		02/20/2019	Minor Out of Compliance	GREGORY_HM_1	0/3	Compliance Assistance

Electronic Communication		09/18/2017	Satisfied	GREGORY_HM_1		Compliance Assistance

Electronic Communication		09/18/2017	Satisfied	GREGORY_HM_1		Compliance Assistance

Electronic Communication		03/20/2017	Satisfied	GREGORY_HM_1		Routine Compliance

Letter		03/16/2017	Satisfied	GREGORY_HM_1		Non-Compliance

Site Inspection		03/15/2017	Minor Out of Compliance	GREGORY_HM_1	0/3	Routine Compliance

Electronic Communication		03/14/2017	Satisfied	GREGORY_HM_1		Routine Compliance

Incident		08/26/2015	Has not led to Discharge	RICHARDS_JE_1		Incident

Letter		08/20/2015	Satisfied	RICHARDS_JE_1		Closure

TCAR		08/20/2015	Satisfied	RICHARDS_JE_1		Closure

Electronic Communication		07/08/2015	Satisfied	HAYES_CJ_1		Installation

Electronic Communication		07/08/2015	Satisfied	HAYES_CJ_1		Closure

Site Inspection		07/08/2015	In Compliance	HAYES_CJ_1	0/3	Installation

Electronic Communication		07/08/2015	Satisfied	HAYES_CJ_1		Installation

Site Inspection		07/08/2015	In Compliance	HAYES_CJ_1	0/3	Closure

Electronic Communication		06/29/2015	Satisfied	HILL_KL_1		Non-Compliance

Letter		05/08/2015	Satisfied	MAYOR_AK_1		Non-Compliance

Electronic Communication		05/07/2015	Satisfied	MAYOR_AK_1		Routine Compliance

Site Inspection		05/07/2015	Minor Out of Compliance	MAYOR_AK_1	0/3	Routine Compliance

Electronic Communication		08/30/2013	Satisfied	WILLIAMS_AK_1		Routine Compliance

Emergency Preparedness Information		08/30/2013	Satisfied	WILLIAMS_AK_1		Routine Compliance

Site Inspection		08/30/2013	In Compliance	WILLIAMS_AK_1	0/3	Routine Compliance

Electronic Communication		12/07/2011	Satisfied	CAIN_M_1		Non-Compliance

Electronic Communication		12/07/2011	Satisfied	CAIN_M_1		Non-Compliance

Electronic Communication		12/07/2011	Satisfied	CAIN_M_1		Non-Compliance

Letter		10/24/2011	Satisfied	CAIN_M_1		Non-Compliance

Site Inspection		10/21/2011	Minor Out of Compliance	CAIN_M_1	0/3	Routine Compliance

Emergency Preparedness Information		10/21/2011	Satisfied	CAIN_M_1		Routine Compliance

Site Inspection		10/27/2010	In Compliance	LUNN_RJ_1	0/3	Closure

Letter		10/13/2010	Satisfied	HOLLOWAY_RW_1		Closure

TCAR		10/13/2010	Satisfied	HOLLOWAY_RW_1		Closure

Electronic Communication		09/21/2010	Satisfied	GRIFFIN_TW_1		Closure

Electronic Communication		09/21/2010	Satisfied	GRIFFIN_TW_1		Installation

Site Inspection		08/30/2010	In Compliance	BORISADE_KA_1	0/3	Routine Compliance

Record Document		10/12/2009	Satisfied	PARISH_KM_1		Non-Compliance

Record Document		10/02/2009	Satisfied	GRIFFIN_TW_1		Non-Compliance

Letter		09/15/2009	Satisfied	PARISH_KM_1		Non-Compliance

Site Inspection		07/28/2009	In Compliance	PARISH_KM_1	0/3	Routine Compliance

Site Inspection		07/16/2008	In Compliance	WILLIAMS_AK_1	0/3	Routine Compliance

Emergency Preparedness Information		07/13/2008	Satisfied	WILLIAMS_AK_1		Routine Compliance

Emergency Preparedness Information		01/09/2008	Satisfied	BORISADE_KA_1		Routine Compliance

Emergency Preparedness Information		01/09/2008	Satisfied	BORISADE_KA_1		Routine Compliance

Site Inspection		09/05/2007	In Compliance	BORISADE_KA_1	0/3	Routine Compliance

Emergency Preparedness Information		02/13/2007	Satisfied	BORISADE_KA_1		Routine Compliance

Site Inspection		10/16/2006	In Compliance	BORISADE_KA_1	0/3	Routine Compliance

Emergency Preparedness Information		09/26/2006	Satisfied	TORSANKO_G		Routine Compliance



No Open AOCs Found


No Open Violations Found


Discharge Information

Discharge Date		Clean Up Status	Score	Eligibility Info		Site Manager	Phone
10/15/1993		COMPLETED	76	PETROLEUM LIABILITY AND RESTORATION INSURANCE PROGRAM-ELIGIBLE