Florida Department of Environmental Protection
Bureau of Petroleum Storage Systems
Facility Inspection Cover Page
Facility Information

District: NWD Type: Retail Station
County: Santa Rosa Status: Open
Facility ID#: 8516436 Latitude: 30:27:09.5713
Name: Underwood Food Mart Longitude: 86:54:28.9046
4081 Highway 87 S LL Method: DPHO
Navarre, FL 32566-9531 LL Status: REVIEWED
Contact: Mohammed Rahman Status Date: 06//29/2015
Phone: 407-491-7854

Account Owner Information
Name: Underwood Food Mart Effective Date: 07/13/2015
4781 N 9th Ave Placard#/Date: 590322 - 06/29/2020
Pensacola, FL 32503
Phone: 407-491-7854

Tank Owner Information
Name: Tolbert Property Effective Date: 08/11/2014
4081 Hwy 87 S
Navarre, FL 32566
Phone: 850-939-2105

Tank
#		 Size Content Installed Placement Status Const Pipe Monitor
1R1 15000 Unleaded Gas
10/01/2006
UNDER
U
A
F
M
O
P
L
I
J
K
N
F
F
K
L
1
3
5
2R2 8000 Vehicular Diesel
03/01/2017
UNDER
U
F
P
A
I
L
M
O
J
N
K
F
3
N
F
5
1
K
1 8000 Unleaded Gas
05/01/1979
UNDER
B
2 8000 Unleaded Gas
05/01/1979
UNDER
B

***Note:   Construction, Piping, and Monitoring Info not shown
                   for CLOSED tanks (Status of A or B).

Most Recent Insurance Document
FR Type Effective
Date 		Expiration
Date 		Company Name
Insurance
08/29/2019
08/29/2020
  Ace American Insurance Company
Insurance
08/29/2018
08/29/2019
  Ace American Insurance Company
Insurance
08/29/2017
08/29/2018
  Ace American Insurance Company
Insurance
08/29/2016
08/29/2017
  Ace American Insurance Company
Insurance
05/13/2015
05/13/2016
  Ace American Insurance Company
Insurance
05/01/2013
05/01/2014
  Illinois Union
Insurance
05/01/2011
05/01/2012
  Illinois Union
Insurance
05/01/2010
05/01/2011
  Illinois Union
Insurance
05/01/2009
05/01/2010
  Illinois Union
Insurance
05/01/2007
05/01/2009
  Illinois Union

No OPEN violations found!

Discharge Information

Discharge
Date		 Cleanup
Status 		Score Eligibility Info Site Manager Phone
08/20/1986 Inactive 7 Early Detection Incentive-Eligible Tarver_D (850)222-6446-5026


End of Data for Facility #: 8516436