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#: 8629141 Latitude: 28:02:00.0000
Name: 7-Eleven Store #35052 Longitude: 81:57:27.0000
851 S Florida Ave LL Method: DPHO
Lakeland, FL 33801 LL Status: REVIEWED
Contact: David Petersen Status Date: 06//19/2003
Phone: 407-405-2995

Account Owner Information
Name: 7-Eleven Inc - Gasoline Comp Dept 0148 Effective Date: 12/12/2012
Po Box 711 Placard#/Date: 585236 - 06/18/2020
Attn: Mgr-Fl Region Gas & Envirn Compl
Dallas, TX 75221-711
Phone: 407-403-2995

Tank Owner Information
Name: 7-Eleven Inc - Gasoline Comp Dept 0148 Effective Date: 12/12/2012
Po Box 711
Attn: Mgr-Fl Region Gas & Envirn Compl
Dallas, TX 75221-711
Phone: 407-403-2995

Tank
#		 Size Content Installed Placement Status Const Pipe Monitor
5 18000 Unleaded Gas
12/01/1995
UNDER
U
F
M
L
O
R
P
N
F
J
K
C
F
K
3
4
H
L
1
1 10000 Unleaded Gas
07/01/1976
UNDER
B
2 10000 Unleaded Gas
07/01/1976
UNDER
B
3 4000 Unleaded Gas
09/01/1983
UNDER
B
4 4000 Vehicular Diesel
09/01/1983
UNDER
B
6 550 Waste Oil
07/01/1961
UNDER
B
7 550 New/Lube Oil
07/01/1961
ABOVE
B
8 550 Kerosene
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
12/18/2019
12/18/2020
  Ironshore Specialty Insurance
Insurance
12/18/2018
12/18/2019
  Ironshore Specialty Insurance
Insurance
12/18/2015
12/18/2018
  Ironshore Specialty Insurance
Insurance
12/18/2015
12/18/2016
  Ironshore Specialty Insurance
Guarantee
12/18/2015
12/18/2016
  Ironshore Specialty Insurance
Insurance
12/18/2012
12/18/2013
  Ironshore Specialty Insurance
Insurance
12/18/2012
12/18/2013
  Ironshore Specialty Insurance
Insurance
09/14/2011
09/14/2012
  Commerce & Industry
Insurance
09/14/2010
09/14/2011
  Commerce & Industry
Insurance
11/25/2008
11/25/2009
  Commerce & Industry
Insurance
05/13/1999
05/13/2000
  Commerce & Industry

No OPEN violations found!

Discharge Information

Discharge
Date		 Cleanup
Status 		Score Eligibility Info Site Manager Phone
12/20/1988 Inactive 10 Early Detection Incentive-Eligible Fleming_A


End of Data for Facility #: 8629141