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

District: SWD Type: Fuel User/Non-Retail
County: Polk Status: Open
Facility ID#: 8628538 Latitude: 28:01:41.7457
Name: Winter Haven Hospital Inc Longitude: 81:43:28.6690
200 Ave F Ne LL Method: DPHO
Winter Haven, FL 33887 LL Status: REVIEWED
Contact: David Robertson Status Date: 06//11/2020
Phone: 863-297-1889

Account Owner Information
Name: Baycare Health System Inc Effective Date: 04/20/2020
2985 Drew St Placard#/Date: 581149 - 06/09/2020
Attn: Storage Tank Regis
Clearwater, FL 33759
Phone: 863-293-1121

Tank Owner Information
Name: Winter Haven Hospital Dev Foundation Effective Date: 11/14/1986
200 Avenue
Attn: Engineering Dept
Winter Haven, FL 33881-4131
Phone: 863-297-1889

Tank
#		 Size Content Installed Placement Status Const Pipe Monitor
10 1000 Emerg Generator Diesel
02/01/2000
ABOVE
U
C
I
M
P
A
B
I
F
Q
11 15000 Emerg Generator Diesel
11/01/2007
ABOVE
U
C
M
P
O
I
B
A
J
Q
F
1
12 15000 Emerg Generator Diesel
04/01/2020
ABOVE
U
C
P
I
O
M
A
B
J
Q
F
1
2 180 Generator/Pump Diesel
05/01/1982
ABOVE
B
3 550 Emerg Generator Diesel
09/01/1975
UNDER
B
4 550 Emerg Generator Diesel
09/01/1975
UNDER
B
5 550 Emerg Generator Diesel
09/01/1975
UNDER
B
6 1000 Emerg Generator Diesel
07/01/1971
UNDER
B
7 500 Kerosene
UNDER
B
8 1500 Emerg Generator Diesel
03/01/1998
ABOVE
B
9 15000 Emerg Generator Diesel
03/01/1998
ABOVE
B
1 1500 Emerg Generator Diesel
07/01/1966
UNDER
A

***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
08/01/2019
10/01/2020
  Liberty Surplus Insurance Corp
Insurance
10/01/2018
10/01/2020
  Ironshore Specialty Insurance
Insurance
10/01/2016
10/01/2018
  Ironshore Specialty Insurance
Insurance
10/01/2014
10/01/2016
  Ironshore Specialty Insurance
Insurance
10/01/2013
10/01/2014
  Chubb
Insurance
08/01/2010
08/01/2013
  Ironshore Specialty Insurance
Insurance
06/01/2009
06/01/2010
  Commerce & Industry
Insurance
06/01/2008
06/01/2009
  Commerce & Industry
Insurance
06/01/2001
06/01/2002
  Commerce & Industry
Insurance
11/22/1991
11/22/1998
  Fplipa

No OPEN violations found!

Discharge Information

Discharge
Date		 Cleanup
Status 		Score Eligibility Info Site Manager Phone
07/13/2020 Active -


End of Data for Facility #: 8628538