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

District: NWD Type: Retail Station
County: Jefferson Status: Open
Facility ID#: 8518838 Latitude: 30:33:41.1969
Name: S&M Food Mart Longitude: 83:52:11.4071
1546 N Jefferson St LL Method: DPHO
Monticello, FL 32344-9516 LL Status: REVIEWED
Contact: Roy Setliff Status Date: 07//02/2003
Phone: 850-997-0285

Account Owner Information
Name: Chaudhari Group Inc Effective Date: 04/01/2004
1546 N Jefferson St Placard#/Date: 586877 - 06/24/2020
Attn: Ramesh Chudhari
Monticello, FL 32344-9516
Phone: 850-997-0285

Tank Owner Information
Name: Norma Inc Effective Date: 08/04/2000
Po Box 1054
Monticello, FL 32345
Phone: 850-997-0285

Tank
#		 Size Content Installed Placement Status Const Pipe Monitor
5 15000 Unleaded Gas
07/01/2002
UNDER
U
A
R
L
M
C
O
J
K
N
F
2
H
L
F
K
4
1 8000 Unleaded Gas
06/01/1984
UNDER
B
2 6000 Unleaded Gas
06/01/1984
UNDER
B
3 6000 Vehicular Diesel
06/01/1984
UNDER
B
4 6000 Unleaded Gas
06/01/1984
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
01/31/2018
01/31/2019
  Liberty Surplus Insurance Corp
Insurance
03/28/2015
03/28/2017
  Crum & Forster Specialty Ins.
Insurance
03/28/2013
03/28/2015
  American Safety
Insurance
03/28/2013
03/28/2015
  American Safety
Insurance
03/28/2012
03/28/2013
  Zurich-American
Insurance
03/28/2010
03/28/2011
  Zurich-American
Insurance
03/28/2009
03/28/2010
  Zurich-American

Open Violations

Insp Date Viol # Sig
Level 		Violation Text
04/01/2005
 1003
N
 Registration Placard Is Not Displayed In Plain View


Discharge Information

Discharge
Date		 Cleanup
Status 		Score Eligibility Info Site Manager Phone
11/01/1988 Completed -
07/23/2002 Inactive 50 - Bristol_S (850)595-8360-1249


End of Data for Facility #: 8518838