DEP Logo 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 Northeast   Type    Fuel user/Non-retail
 
County Columbia   Status    OPEN
 
ID 9816893   Latitude    30° 10' 20.8596
 
Name Lake Montgomery Health and Rehabilitation Center
1270 SW MAIN BLVD
Longitude    82° 38' 26.5632
  LAKE CITY, FL 32025 LL Method    DPHO
 
Contact BRIAN C POLLETT   LL Status    REVIEWED
 
Phone (386) 752-7900   Status Date    03/18/2019
 
Account Owner Information
 
Name LAKE CITY FL OPCO LLC
1270 SW MAIN BLVD
LAKE CITY, FL 32055-6684
Effective Date    01/31/2024
 
Contact BRIAN C POLLETT
 
Phone (386) 752-7900
 
Email BPOLLETT@LAKEMONTGOMERYHRC.COM
  Placard # / Date    693545 - 06/24/2024
Property Owner Information
 
Name LAKE CITY FL OPCO LLC
1270 SW MAIN BLVD
LAKE CITY, FL 32055-6684
Effective Date    01/31/2024
 
Contact BRIAN C POLLETT
 
Phone (386) 752-7900
 
Email BPOLLETT@LAKEMONTGOMERYHRC.COM
 
 
 
 
 
 
 
 
 
Tank Tank Size Content Installed Placement Status
39744 2000 Emerg Generator Diesel (G) 04/01/2019 ABOVEGROUND In Service (U)
 
Constructions   Pipings Monitorings
(C) Steel
(M) Spill containment bucket
(N) Flow shut-Off
(P) Level gauges/alarms
(R) Double wall - tank jacket
(W) Built on supports
  (A) Abv, no soil contact
(B) Steel/galvanized metal
(D) External protective coating
(F) Monitor dbl wall tank space
(Q) Visual inspection of ASTs
(R) Monitor tank bottom space
 
 
Tank Tank Size Content Installed Placement Status
95010 1000 Emerg Generator Diesel (G) 04/01/2019 ABOVEGROUND In Service (U)
 
Constructions   Pipings Monitorings
(C) Steel
(I) Double wall
(M) Spill containment bucket
(P) Level gauges/alarms
  (A) Abv, no soil contact
(N) Approved synthetic material
(1) Continuous electronic sensing
(F) Monitor dbl wall tank space
(Q) Visual inspection of ASTs
 
 
Insurance Documents
 
FR Type   Effective Date Expiration Date Company Name
INSURANCE   08/09/2024 08/09/2025 ACE AMERICAN INSURANCE COMPANY
INSURANCE   08/09/2023 08/09/2024 ACE AMERICAN INSURANCE COMPANY
INSURANCE   08/09/2020 08/09/2021 ACE AMERICAN INSURANCE COMPANY
INSURANCE   08/09/2019 08/09/2020 ACE AMERICAN INSURANCE COMPANY
 
 
No Legacy Data Found
 
 
Compliance Activity Information
 
Activity
Code
Date
Completed
Results Inspector AST/UST
Count
Description
Enforcement Tracking 05/01/2025 Closed Without Enforcement PAUL_JK Enforcement
 
Letter 05/01/2025 Satisfied PAUL_JK Enforcement
 
Electronic Communication 04/22/2025 Satisfied ZIMMERMAN_RA_2 Compliance Assistance
 
Site Inspection 04/22/2025 In Compliance ZIMMERMAN_RA_2 2/0 Routine Compliance
 
Phone Conversation 03/28/2025 Satisfied ZIMMERMAN_RA_2 Compliance Assistance
 
Enforcement Referral 05/03/2024 Accepted ZIMMERMAN_RA_2 Enforcement
 
Electronic Communication 01/19/2023 Satisfied ZIMMERMAN_RA_2 Compliance Assistance
 
Letter 03/24/2021 Satisfied ZIMMERMAN_RA_2 Compliance Assistance
 
Electronic Communication 03/24/2021 Satisfied ZIMMERMAN_RA_2 Compliance Assistance
 
Site Inspection 03/24/2021 Major Out of Compliance ZIMMERMAN_RA_2 2/0 Routine Compliance
 
Phone Conversation 03/01/2021 Satisfied ZIMMERMAN_RA_2 Compliance Assistance
 
Record Document 09/13/2019 Satisfied ZIMMERMAN_RA_2 Installation
 
Site Inspection 09/13/2019 In Compliance ZIMMERMAN_RA_2 2/0 Installation
 
Electronic Communication 09/13/2019 Satisfied ZIMMERMAN_RA_2 Installation
 
Phone Conversation 06/20/2019 Satisfied ZIMMERMAN_RA_2 Installation
 
Electronic Communication 04/29/2019 Satisfied ZIMMERMAN_RA_2 Installation
 
 
 
No Open AOCs Found
 
 
No Open Violations Found
 
 
No Discharges Found