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

District: SWD Type: Retail Station
County: Polk Status: Open
Facility ID#: 8623406 Latitude: 28:03:31.6522
Name: Avi Food Mart Longitude: 81:57:10.9118
1205 Lakeland Hills Blvd LL Method: DPHO
Lakeland, FL 33805-4657 LL Status: REVIEWED
Contact: Ken Patel Status Date: 06//19/2003
Phone: 863-688-0824

Account Owner Information
Name: Avi Food Mart Effective Date: 10/01/2008
1205 Lakeland Hills Blvd Placard#/Date: 592118 - 07/09/2020
Lakeland, FL 33805
Phone: 863-688-0824

Tank Owner Information
Name: Jordan Market Inc Effective Date: 11/29/2004
1205 Lakeland Hills Blvd
Attn: Sonny Patel
Lakeland, FL 33805
Phone: 863-682-4390

Tank
#		 Size Content Installed Placement Status Const Pipe Monitor
4 16000 Unleaded Gas
07/01/2008
UNDER
U
M
O
R
L
A
C
C
F
J
K
H
3
4
F
K
1
1 10000 Leaded Gas
07/01/1960
UNDER
B
1R1 8000 Unleaded Gas
05/01/1989
UNDER
B
2 10000 Unleaded Gas
07/01/1960
UNDER
B
2R1 8000 Unleaded Gas
05/01/1989
UNDER
B
3 4000 Unleaded Gas
07/01/1960
UNDER
B
3R1 8000 Unleaded Gas
05/01/1989
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
10/01/2019
10/01/2020
  Commerce & Industry Insurance
Insurance
10/01/2018
10/01/2019
  Commerce & Industry Insurance
Insurance
10/01/2017
10/01/2018
  Commerce & Industry
Insurance
10/01/2016
10/01/2017
  Commerce & Industry
Insurance
10/01/2015
10/01/2016
  Commerce & Industry
Insurance
10/01/2014
10/01/2015
  Commerce & Industry
Insurance
10/01/2012
10/01/2013
  Zurich-American
Insurance
10/01/2011
10/01/2012
  Zurich-American
Insurance
10/01/2010
10/01/2011
  Zurich-American
Insurance
10/01/2008
10/01/2009
  Zurich-American
Insurance
07/29/2000
07/29/2004
  Zurich-American
Insurance
01/26/1999
12/26/1999
  Commerce & Industry

No OPEN violations found!

Discharge Information

Discharge
Date		 Cleanup
Status 		Score Eligibility Info Site Manager Phone
06/28/1991 Inactive 10 Petroleum Liability And Restoration Insurance Program-Eligible Knable_C (850)222-6446-5016


End of Data for Facility #: 8623406