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

District: SWD Type: Retail Station
County: Citrus Status: Open
Facility ID#: 8518725 Latitude: 28:55:08.0721
Name: Bobs Food Store Longitude: 82:28:05.8632
3795 N Lecanto Hwy LL Method: DPHO
Beverly Hills, FL 34465 LL Status: REVIEWED
Contact: Bob Patel Status Date: 02//07/2003
Phone: 352-613-7606

Account Owner Information
Name: Jay Harsiddhy Inc Effective Date: 10/17/2005
2432 W Elm Blossom St Placard#/Date: 579758 - 06/09/2020
Beverly Hills, FL 34465
Phone: 352-613-7606

Tank Owner Information
Name: Jay Harsiddhy Inc Effective Date: 10/17/2005
2432 W Elm Blossom St
Beverly Hills, FL 34465
Phone: 352-613-7606

Tank
#		 Size Content Installed Placement Status Const Pipe Monitor
5 8000 Unleaded Gas
02/01/1996
UNDER
U
A
E
I
M
O
C
F
K
J
4
3
H
K
F
6 8000 Unleaded Gas
02/01/1996
UNDER
U
A
E
I
M
O
C
F
K
J
4
H
K
F
3
1 4000 Unleaded Gas
07/01/1980
UNDER
B
2 4000 Unleaded Gas
07/01/1980
UNDER
B
3 4000 Unleaded Gas
07/01/1980
UNDER
B
4 4000 Unleaded Gas
07/01/1980
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
10/13/2018
10/13/2019
  Crum & Forster Specialty Ins.
Insurance
10/13/2017
10/13/2018
  Crum & Forster Specialty Ins.
Insurance
10/13/2016
10/13/2017
  Crum & Forster Specialty Ins.
Insurance
10/13/2015
10/13/2016
  Crum & Forster Specialty Ins.
Insurance
10/13/2014
10/13/2015
  Nautilus Insurance Company
Insurance
10/13/2013
10/13/2014
  Nautilus Insurance Company
Insurance
10/13/2012
10/13/2013
  Nautilus Insurance Company
Insurance
10/13/2011
10/13/2012
  Nautilus Insurance Company
Insurance
10/13/2010
10/13/2011
  Zurich-American
Insurance
10/13/2008
10/13/2009
  Zurich-American

Open Violations

Insp Date Viol # Sig
Level 		Violation Text
01/10/2006
 1003
N
 Registration Placard Is Not Displayed In Plain View
01/10/2006
 1025
N
 Not Installed According To Manufacturer'S Instructions
01/10/2006
 1117
N
 Release Detection Devices Not Tested Annually


Discharge Information

Discharge
Date		 Cleanup
Status 		Score Eligibility Info Site Manager Phone
12/23/1987 Inactive 76 Early Detection Incentive-Eligible Gonsiewski_R (352)540-3881
03/31/1993 Inactive 76 Petroleum Liability And Restoration Insurance Program-Partial Gonsiewski_R (352)540-3881
01/20/1994 Completed 102 - Courtney_J


End of Data for Facility #: 8518725