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: 03/14/2025 Last Data Refresh: 03/13/2025 Report Generated from DOPPLER

District	Southwest			Type		Retail Station

County	Polk			Status		OPEN

ID	9802292			Latitude		28° 2' 7.4994

Name	KK FOOD MART 4275 NEW TAMPA HWY			Longitude		82° 1' 7.6809
	LAKELAND, FL 33815			LL Method		DPHO

Contact	MD MONIRUJJAMAN			LL Status		REVIEWED

Phone	(561) 425-0966			Status Date		09/18/2023

Account Owner Information

Name	ADIB PETROLEUM INC 4275 NEW TAMPA HWY LAKELAND, FL 33815			Effective Date		03/28/2024

Contact	MD MONIRUJJAMAN

Phone	(561) 425-0966

Email	JEWELSYL@GMAIL.COM
				Placard # / Date		702660 - 10/28/2024
Property Owner Information

Name	BD OIL ENTERPRISES LLC 4275 NEW TAMPA HWY LAKELAND, FL 33815			Effective Date		03/28/2024

Contact	MD HASAN AHMMED

Phone	(954) 330-6229

Email	HASANAHMMED@YAHOO.COM









Tank	Tank Size	Content		Installed	Placement	Status
2	12000	Unleaded Gas (B)		10/01/1999	UNDERGROUND	In Service (U)

Constructions			Pipings		Monitorings
(A) Ball check valve (F) Fiberglass clad steel (M) Spill containment bucket (N) Flow shut-Off (O) Tight fill (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 (H) Mechanical line leak detector (K) Monitor dbl wall pipe space


Tank	Tank Size	Content		Installed	Placement	Status
4	10000	Unleaded Gas (B)		05/01/2006	UNDERGROUND	In Service (U)

Constructions			Pipings		Monitorings
(A) Ball check valve (F) Fiberglass clad steel (M) Spill containment bucket (O) Tight fill (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 (H) Mechanical line leak detector (K) Monitor dbl wall pipe space


Tank	Tank Size	Content		Installed	Placement	Status
1	12000	Unleaded Gas (B)		10/01/1999	UNDERGROUND	Closed In Place (A)

Constructions			Pipings		Monitorings
(A) Ball check valve (F) Fiberglass clad steel (M) Spill containment bucket (O) Tight fill (R) Double wall - tank jacket			(C) Fiberglass (F) Double wall (J) Pressurized piping system (K) Dispenser liners		(1) Continuous electronic sensing (2) Visual inspect pipe sumps (4) Visual inspect dispenser liners (F) Monitor dbl wall tank space (G) Electronic line leak detector (K) Monitor dbl wall pipe space


Tank	Tank Size	Content		Installed	Placement	Status
3	10000	Vehicular Diesel (D)		10/01/1999	UNDERGROUND	Out of Service (T)

Constructions			Pipings		Monitorings
(A) Ball check valve (F) Fiberglass clad steel (M) Spill containment bucket (N) Flow shut-Off (O) Tight fill (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 (H) Mechanical line leak detector (K) Monitor dbl wall pipe space


Insurance Documents

FR Type			Effective Date	Expiration Date	Company Name
INSURANCE			02/26/2024	02/26/2025	ACE AMERICAN INSURANCE COMPANY
INSURANCE			04/21/2019	04/21/2020	ACE AMERICAN INSURANCE COMPANY
INSURANCE			04/21/2018	04/21/2019	ACE AMERICAN INSURANCE COMPANY
INSURANCE			04/21/2017	04/21/2018	ACE AMERICAN INSURANCE COMPANY
INSURANCE			04/21/2016	04/21/2017	ACE AMERICAN INSURANCE COMPANY
INSURANCE			04/21/2015	04/21/2016	ACE AMERICAN INSURANCE COMPANY
INSURANCE			04/21/2014	04/21/2015	ACE
INSURANCE			04/21/2011	04/21/2012	ACE
INSURANCE			04/22/2010	04/22/2011	ZURICH-AMERICAN
INSURANCE			12/17/2008	12/17/2009	AMERICAN INTERNATIONAL SPECIALTY LINES
INSURANCE			12/01/2000	04/30/2004	SOONER INSURANCE COMPANY
SELF-INSURANCE - LETTER FROM CHIEF FINANCIAL OFFICER			12/01/2000	12/01/2002
INSURANCE			03/01/2000	03/01/2001	GREAT AMERICAN


Legacy Compliance Activity Information

Activity Code	Date Initiated	Date Completed	Results		Inspector	AST/UST Count	Description
LTR	04/05/2006	04/06/2006			GONZALEZ_J	0/0	COMPLIANCE ASSURANCE

	Completion Notes NCLI FOLLOW UP LETTER.

CRDE	02/01/2006	02/01/2006			JENKINS_N	0/0	COMPLIANCE ASSURANCE

NCLI	01/27/2006	01/27/2006			GONZALEZ_J	0/3	COMPLIANCE ASSURANCE

IRFR	01/09/2006	01/10/2006			GONZALEZ_J	0/0	DISCHARGE PROJECT

	Completion Notes DISCOVERY: ? MONITORING: LIQUID DETECTOR. SUBSTANCE: GASOLINE. INVOLVES: RELEASE DETECTION EQUIP. PREMIUM INTERSTITIAL HAS WATER.

TCI	12/16/2005	01/27/2006	SIGNIFICANT OUT-OF-COMPLIANCE		GONZALEZ_J	0/3	COMPLIANCE ASSURANCE

	Completion Notes ONE PHOTO. PIPING: UNDERGROUND DOUBLE WALLED FIBERGLASS: AMERON; UNABLE TO IDENTIFY TYPE.

TCR	04/11/2005	05/03/2005	IN-COMPLIANCE		NEWBERG_D	0/3	COMPLIANCE ASSURANCE

	Completion Notes RESOLVES VIOLATION #1105.

CWOE	04/11/2005	05/03/2005			NEWBERG_D	0/0	COMPLIANCE ASSURANCE

TCQA	02/09/2005	05/12/2005	IN-COMPLIANCE		RANDOLPH_L	0/0	COMPLIANCE ASSURANCE

NCLI	01/10/2005	01/11/2005			NEWBERG_D	0/0	COMPLIANCE ASSURANCE

TCI	12/23/2004	01/11/2005	MINOR OUT-OF-COMPLIANCE		NEWBERG_D	0/3	COMPLIANCE ASSURANCE

	Completion Notes 1 PHOTO TAKEN. PIPING: DOUBLE-WALLED AMERON RED RIGID FIBERGLASS. RESOLVES VIOLATON #144 & 155.

CALL	09/28/2004	10/13/2004			CROWELL_M	0/0	COMPLIANCE ASSURANCE

	Completion Notes HURRICANE DAMAGE ASSESSMENT. FRAN FRANCONI STATED NO DAMAGE TO STORAGE TANKS SYTEM.

RRBD	08/26/2004	08/27/2004			COOK_J	0/0	DISCHARGE PROJECT

	Completion Notes 8/16/04 INCIDENT RESOLVED. PRIMARY LINE TESTED TIGHT. SECONDARY REPAIRED. NO DISCHARGE INDICATED.

IRFR	08/17/2004	08/27/2004			COOK_J	0/0	DISCHARGE PROJECT

	Completion Notes DISCOVERY: 8/16/04. MONITORING: VISUAL OBSERVATION. SUBSTANCE: GASOLINE. INVOLVES: PIPE SECONDARY. CAUSE: HAND DIGGING. LINE IS BEING REPAIRED. NO PRODUCT LEAK OR DISCHARGE OBSERVED.

RRBD	05/21/2004	06/21/2004			CROWELL_M	0/0	DISCHARGE PROJECT

	Completion Notes RECEIVED REQUESTED TEST RESULTS. RESOLVES VIOLATION #204.

RRBD	04/30/2004	06/21/2004			CROWELL_M	0/0	DISCHARGE PROJECT

	Completion Notes FORM RECEIVED. RESOLVES VIOLATION #9.

RRBD	03/12/2004	06/21/2004			CROWELL_M	0/0	DISCHARGE PROJECT

	Completion Notes RESOLVES VIOLATION #194.

CNLI	03/09/2004	03/09/2004			CROWELL_M	0/0	DISCHARGE PROJECT

TDI	02/18/2004	03/09/2004	MINOR OUT-OF-COMPLIANCE		CROWELL_M	0/3	DISCHARGE PROJECT

	Completion Notes 9 PHOTOS TAKEN.

DCCR	02/09/2004	03/15/2004			COOK_J	0/0	DISCHARGE PROJECT

	Completion Notes ANALYTICAL RESULTS SUBMITTED SHOWING GCTLS EXCEEDED (BENZENE, MTBE).

RRBD	01/05/2004	01/16/2004			CROWELL_M	0/0	DISCHARGE PROJECT

	Completion Notes RESOLVED-NO DISCHARGE TO ENVIRONMENT.

RRBD	01/05/2004	01/16/2004			CROWELL_M	0/0	COMPLIANCE ASSURANCE

	Completion Notes RESOLVES VIOLATION #87, #127, & #86. VIOLATION #86 CITED BY MISTAKE SHOULD HAVE BEEN #87.

RRBD	12/05/2003	01/16/2004			CROWELL_M	0/0	COMPLIANCE ASSURANCE

	Completion Notes MANIFEST RECEIVED. RESOLVES VIOLATION #155.

NCLI	12/05/2003	12/10/2003			CROWELL_M	0/0	COMPLIANCE ASSURANCE

RRBD	11/21/2003	01/16/2004			CROWELL_M	0/0	COMPLIANCE ASSURANCE

RRBD	11/21/2003	01/16/2004			CROWELL_M	0/0	COMPLIANCE ASSURANCE

	Completion Notes RECEIVED WORK ORDER. RESOLVES VIOLATION #81.

RRBD	11/06/2003	01/16/2004			CROWELL_M	0/0	COMPLIANCE ASSURANCE

	Completion Notes RECEIVED INF AND INVESTIGATION RESULTS. RESOLVES VIOLATION #9 & #197.

TCI	11/05/2003	12/10/2003	SIGNIFICANT OUT-OF-COMPLIANCE		CROWELL_M	0/3	COMPLIANCE ASSURANCE

	Completion Notes 7 PHOTOS TAKEN. RESOLVES VIOLATION #30. PIPING: DOUBLE-WALLED AMERON RED RIGID FIBERGLASS.

TXI	03/14/2003	12/10/2003	IN-COMPLIANCE		NEWBERG_D	0/3	COMPLIANCE ASSURANCE

RRBD	11/06/2002	12/10/2003			NEWBERG_D	0/0	COMPLIANCE ASSURANCE

	Completion Notes RESOLVES VIOLATION #209.

NCLI	10/30/2002	11/01/2002			NEWBERG_D	0/0	COMPLIANCE ASSURANCE

	Completion Notes RESOLVES VIOLATION #6

TIN	10/18/2002	11/01/2002	MINOR OUT-OF-COMPLIANCE		NEWBERG_D	0/3	COMPLIANCE ASSURANCE

NCLI	07/31/2002	08/01/2002			NEWBERG_D	0/0	COMPLIANCE ASSURANCE

RRBD	07/25/2002	07/25/2002			NEWBERG_D	0/0	DISCHARGE PROJECT

	Completion Notes WATER REMOVED, MANIFEST FROM AQUA CLEAN ENVIRONMENTAL RECEIVED

TCI	07/19/2002	08/01/2002	MINOR OUT-OF-COMPLIANCE		NEWBERG_D	0/3	COMPLIANCE ASSURANCE

CWOE	11/07/2001	01/07/2002			HUGHES	0/0	COMPLIANCE ASSURANCE

RRBD	11/07/2001	01/07/2002			HUGHES	0/0	COMPLIANCE ASSURANCE

	Completion Notes RECEIVED PAPERWORK REQUESTED

NCLI	11/02/2001	11/05/2001			HUGHES_J	0/0	COMPLIANCE ASSURANCE

TCI	10/25/2001	11/05/2001	MINOR OUT-OF-COMPLIANCE		HUGHES_J	0/3	COMPLIANCE ASSURANCE

CALL	10/18/2001	11/05/2001			HUGHES_J	0/0	COMPLIANCE ASSURANCE

	Completion Notes SCHEDULE TCI

TCI	04/27/2001	05/07/2001	IN-COMPLIANCE		RANDOLPH_L	0/3	COMPLIANCE ASSURANCE

TIN	03/07/2000	03/23/2000	IN-COMPLIANCE		RONEY_B	0/0	COMPLIANCE ASSURANCE



Compliance Activity Information

Activity Code		Date Completed	Results	Inspector	AST/UST Count	Description
Site Inspection		02/28/2025	Major Out of Compliance	GLENN_LE_1	0/2	Routine Compliance

Site Inspection		06/15/2022	Major Out of Compliance	GLENN_LE_1	0/3	Routine Compliance

Electronic Communication		06/08/2019	Satisfied	JARRETT_SE_1		Compliance Assistance

Site Inspection		06/08/2019	Major Out of Compliance	JARRETT_SE_1	0/3	Routine Compliance

Letter		06/08/2019	Satisfied	JARRETT_SE_1		Compliance Assistance

Electronic Communication		06/08/2019	Satisfied	JARRETT_SE_1		Routine Compliance

Phone Conversation		05/04/2019	Satisfied	JARRETT_SE_1		Routine Compliance

Phone Conversation		05/04/2019	Satisfied	JARRETT_SE_1		Routine Compliance

Electronic Communication		05/04/2019	Satisfied	JARRETT_SE_1		Routine Compliance

Document Management		07/20/2017	Satisfied	JARRETT_SE_1		Closure

Site Inspection		01/27/2017	In Compliance	CASSELS_CR_2	0/3	Non-Compliance

Electronic Communication		01/27/2017	Satisfied	CASSELS_CR_2		Non-Compliance

Record Document		01/26/2017	Satisfied	CASSELS_CR_2		Installation

Letter		11/22/2016	Satisfied	CASSELS_CR_2		Non-Compliance

Site Inspection		11/22/2016	Minor Out of Compliance	CASSELS_CR_2	0/2	Installation

Site Inspection		11/22/2016	Minor Out of Compliance	CASSELS_CR_2	0/2	Closure

Electronic Communication		11/22/2016	Satisfied	CASSELS_CR_2		Non-Compliance

Letter		11/22/2016	Satisfied	CASSELS_CR_2		Non-Compliance

Electronic Communication		10/24/2016	Satisfied	CASSELS_CR_2		Routine Compliance

Electronic Communication		10/24/2016	Satisfied	CASSELS_CR_2		Non-Compliance

Electronic Communication		10/24/2016	Satisfied	CASSELS_CR_2		Non-Compliance

Letter		10/24/2016	Satisfied	CASSELS_CR_2		Non-Compliance

Site Inspection		10/24/2016	Minor Out of Compliance	CASSELS_CR_2	0/3	Routine Compliance

Document Management		09/27/2016	Satisfied	CASSELS_CR_2		Routine Compliance

Electronic Communication		04/23/2014	Satisfied	WINN_JP_1		Routine Compliance

Site Inspection		04/23/2014	In Compliance	WINN_JP_1	0/3	Routine Compliance

Electronic Communication		12/19/2012	Satisfied	DERY_WC_1		Non-Compliance

Phone Conversation		12/19/2012	Satisfied	DERY_WC_1		Non-Compliance

Electronic Communication		12/19/2012	Satisfied	DERY_WC_1		Non-Compliance

Enforcement Tracking		05/10/2012	Closed With Enforcement	PEDIGO_L		Enforcement

Record Document		02/01/2012	Satisfied	NEWBERG_DR_1		Non-Compliance

Site Inspection		01/25/2012	Minor Out of Compliance	NEWBERG_DR_1	0/3	Routine Compliance

Letter		01/25/2012	Satisfied	NEWBERG_DR_1		Non-Compliance

Discharge Reporting		07/11/2011	Satisfied	CASSELS_CR_1		Discharge

Document Management		07/11/2011	Complete	CASSELS_CR_1		Discharge

Record Document		10/04/2010	Satisfied	SLAPPEY_WR_1		Non-Compliance

Letter		09/24/2010	Satisfied	SLAPPEY_WR_1		Non-Compliance

Meeting		09/21/2010	Satisfied	DERY_WC_1		Installation

Phone Conversation		09/07/2010	Satisfied	SLAPPEY_WR_1		Non-Compliance

Letter		07/30/2010	Satisfied	SLAPPEY_WR_1		Non-Compliance

Site Inspection		07/30/2010	Minor Out of Compliance	SLAPPEY_WR_1	0/3	Routine Compliance

Record Document		01/13/2010	Minor Out of Compliance	WINN_JP_1		Routine Compliance

Meeting		12/08/2009	Satisfied	PEDIGO_L		Enforcement

Letter		10/29/2009	Satisfied	WINN_JP_1		Non-Compliance

Phone Conversation		08/12/2009	Satisfied	WINN_JP_1		Routine Compliance

Letter		07/30/2009	Satisfied	WINN_JP_1		Non-Compliance

Site Inspection		07/30/2009	Minor Out of Compliance	WINN_JP_1	0/3	Routine Compliance

Enforcement Referral		06/11/2009	Accepted	PEDIGO_L		Enforcement

Record Document		09/09/2008	Satisfied	SLAPPEY_WR_1		Non-Compliance

Record Document		08/11/2008	Satisfied	SLAPPEY_WR_1		Non-Compliance

Site Inspection		07/22/2008	Minor Out of Compliance	SLAPPEY_WR_1	0/3	Routine Compliance

Site Inspection		07/22/2008	In Compliance	SLAPPEY_WR_1	0/4	Routine Compliance

Letter		07/22/2008	Satisfied	SLAPPEY_WR_1		Non-Compliance

Record Document		07/21/2008	Satisfied	SLAPPEY_WR_1		Non-Compliance

TCAR		02/29/2008	Satisfied	CASSELS_CR_1		Closure

Letter		02/19/2008	Satisfied	DERY_WC_1		Closure

TCAR		02/19/2008	Satisfied	DERY_WC_1		Closure

Letter		11/05/2007	Satisfied	DERY_WC_1		Closure

TCAR		11/05/2007	Complete	DERY_WC_1		Closure

Record Document		09/19/2007	Satisfied	SLAPPEY_WR_1		Non-Compliance

Record Document		09/12/2007	Satisfied	SLAPPEY_WR_1		Non-Compliance

Site Inspection		08/30/2007	In Compliance	SLAPPEY_WR_1	0/3	Routine Compliance

Site Inspection		04/17/2007	In Compliance	NEWBERG_DR_1	0/1	Closure

Site Inspection		04/17/2007	In Compliance	NEWBERG_DR_1	0/1	Installation

Record Document		04/04/2007	Satisfied	SLAPPEY_WR_1		Non-Compliance

Record Document		03/13/2007	Satisfied	DERY_WC_1		Non-Compliance

Emergency Preparedness Information		02/11/2007	Satisfied	DIXON_R		Routine Compliance

Record Document		01/30/2007	Satisfied	SLAPPEY_WR_1		Non-Compliance

Record Document		01/03/2007	Satisfied	DERY_WC_1		Routine Compliance

Record Document		12/22/2006	Satisfied	DERY_WC_1		Routine Compliance

Record Document		12/12/2006	Satisfied	SLAPPEY_WR_1		Routine Compliance

Emergency Preparedness Information		09/27/2006	Satisfied	CASSELS_CR_1		Routine Compliance

Record Document		08/01/2006	Satisfied	NEWBERG_DR_1		Non-Compliance

Record Document		07/31/2006	Satisfied	NEWBERG_DR_1		Non-Compliance

Meeting		07/11/2006	Satisfied	CROWELL_MP		Installation

Record Document		07/11/2006	Satisfied	CROWELL_MP		Closure

Meeting		06/26/2006	Satisfied	CROWELL_MP		Routine Compliance

Record Document		06/21/2006	Satisfied	SLAPPEY_WR_1		Non-Compliance

Letter		06/13/2006	Satisfied	NEWBERG_DR_1		Non-Compliance

Site Inspection		06/12/2006	Major Out of Compliance	SLAPPEY_WR_1	0/3	Installation

Letter		06/12/2006	Satisfied	SLAPPEY_WR_1		Non-Compliance

Site Inspection		06/12/2006	Major Out of Compliance	NEWBERG_DR_1	0/1	Closure

Meeting		06/01/2006	Satisfied	NEWBERG_DR_1		Installation

Meeting		05/31/2006	Satisfied	SLAPPEY_WR_1		Installation

Meeting		05/25/2006	Satisfied	CASSELS_CR_1		Installation

Phone Conversation		05/24/2006	Satisfied	CROWELL_MP		Closure



No Open AOCs Found


Open Violations

Insp Date	Vio #	Significance	Violation Text			Corrective Action
02/28/2025	6062	Minor	2.5 Release detection devices not tested annually.			Test records must be provided to the Department or testing must be performed immediately and a copy of the test results provided to the Department.

02/28/2025	6072	Minor	2.7 Integrity testing of secondary containment systems and interstitial spaces not performed per schedule.			Test records must be provided to the Department or testing must be performed immediately and a copy of the test results provided to the Department.

02/28/2025	6072	Minor	2.7 Integrity testing of secondary containment systems and interstitial spaces not performed per schedule.			Test records must be provided to the Department or testing must be performed immediately and a copy of the test results provided to the Department.

02/28/2025	6056	SNC-B	2.4 Release detection not tested or visually inspected once a month or problems found during the visual inspections not recorded.			03/2024 to present, monthly release detection monitoring records or the next two months (January & February) of inspections must be provided to the Department as they are performed.

02/28/2025	6062	Minor	2.5 Release detection devices not tested annually.			Test records must be provided to the Department or testing must be performed immediately and a copy of the test results provided to the Department.

02/28/2025	6062	Minor	2.5 Release detection devices not tested annually.			Test records must be provided to the Department or testing must be performed immediately and a copy of the test results provided to the Department.

02/28/2025	6073	Minor	4.9 Spill containment, dispenser liners, and piping sumps not accessible. Water or regulated substances not removed.			PCW must be removed and the Department notified.

02/28/2025	6053	Minor	4.7 Primary overfill protection not provided, registered, or tested as required.			Test records must be provided to the Department or testing must be performed immediately and a copy of the test results provided to the Department.

06/14/2022	6014	SNC-B	4.2 Incident investigation not initiated within 24-hours (or by next business day) to determine if discharge occurred.			Documentation must be provided or an investigation performed to determine the cause of the alarms with the results provided to the Department.

06/14/2022	6009	Minor	4.1 Incident Notification Form (INF) not received in a timely manner.			Documentation must be provided or an Incident Notification Form (INF) completed, and provided to the Department.

06/08/2019	4071	Minor	4.6 Integrity test not completed on repaired component before being placed into operation or service.			A breach of integrity test should have been performed on the regular UST prior to placing it back into service; if the test was performed, the test records must be submitted to the Department. - If the test was not performed, it must be performed immediately with the test results submitted to the Department.

06/08/2019	4071	Minor	4.6 Integrity test not completed on repaired component before being placed into operation or service.			Breach of integrity records must be submitted for the damaged system components; if the components have not been repaired, they must be tested and repaired immediately with appropriate documentation provided to the Department.

06/08/2019	4079	Minor	2.7 Records requiring 3 years documentation period not kept by facility.			Repair and test records must be submitted to the Department immediately for the damaged system components.

06/08/2019	4012	Minor	2.3 For an incident, notification not received in a timely manner.			Therefore, an INF must be completed and submitted to the Department.

06/08/2019	4016	SNC-B	2.5 Incident investigation not initiated within 24-hours of discovery.			Investigations must be completed with the investigation results, repair records, and breach of integrity test results submitted to the Department.

06/08/2019	4016	SNC-B	2.5 Incident investigation not initiated within 24-hours of discovery.			Therefore, an investigation (including hydrostatic test of the sump) must be performed, with the investigation results, repair and breach of integrity test records submitted to the Department.

06/08/2019	4006	Minor	2.5 Following owner change or discovery of unregistered facility, Registration Form not submitted.			A registration form must be completed to list the correct facility information with the form submitted to the Department.

06/08/2019	4069	SNC-B	4.4 Storage tank system not taken out of operation until repair is made.			Repair records must be submitted to the Department for the damaged components; if the components have not been repaired, they must be immediately taken out of service or isolated from the systems until such time as the systems have been repaired with the documentation submitted to the Department.

06/08/2019	4012	Minor	2.3 For an incident, notification not received in a timely manner.			An INF must be completed and submitted to the Department.

06/08/2019	4068	Minor	4.3 Storage tank system has a not repaired component which has or could cause a release or discharge.			Repair records for the regular UST must be provided to the Department.

06/08/2019	4016	SNC-B	2.5 Incident investigation not initiated within 24-hours of discovery.			An investigation must be performed to determine the cause of the alarm, with the investigation results, repair, and breach of integrity test records submitted to the Department.

06/08/2019	4070	Minor	4.5 Repair not made in accordance with manufacturer's specifications and applicable reference guidelines.			Repair and test records for the damaged components must be submitted to the Department.

06/08/2019	4068	Minor	4.3 Storage tank system has a not repaired component which has or could cause a release or discharge.			A plate to seal the conduit must be installed with appropriate documentation provided to the Department.

06/08/2019	4065	SNC-B	4.2 Storage tank release detection requirements not met.			Water must be removed, the sump cleaned and the Department contacted for inspection.

06/08/2019	4068	Minor	4.3 Storage tank system has a not repaired component which has or could cause a release or discharge.			Either records must be provided the damaged penetration fittings were repaired and tested or they must be repaired and tested immediately with the appropriate documentation provided to the Department.

06/08/2019	4077	Minor	4.12 Spill containment, sumps, and interstices not accessible. Water/regulated substances not timely removed. Petroleum contact water not properly managed.			Water must be removed with appropriate documentation provided to the Department and the Department contacted for inspection.

06/08/2019	4012	Minor	2.3 For an incident, notification not received in a timely manner.			INFs must be completed and submitted to the Department.

06/08/2019	4077	Minor	4.12 Spill containment, sumps, and interstices not accessible. Water/regulated substances not timely removed. Petroleum contact water not properly managed.			Water must be removed, the sump cleaned, and the Department contacted for inspection.

06/08/2019	4001	Minor	2.2 Operator certification requirements not met.			The Class C Operator training certification must be submitted to the Department.



Discharge Information

Discharge Date		Clean Up Status	Score	Eligibility Info		Site Manager	Phone
03/14/2007		COMPLETED	30

02/09/2004		COMPLETED	30