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

District: SWD Type: Fuel User/Non-Retail
County: Pasco Status: Open
Facility ID#: 8630286 Latitude: 28:20:53.6485
Name: Adventhealth Dade City Longitude: 82:12:04.5415
13100 Fort King Rd LL Method: DGPS
Dade City, FL 33525-5294 LL Status: REVIEWED
Contact: Tim Moreira, Manager Of Faciliti Status Date: 10//01/2003
Phone: 352-521-1124

Account Owner Information
Name: Florida Hospital Dade City Inc Effective Date: 05/01/2018
13100 Fort King Rd Placard#/Date: 576846 - 06/03/2020
Attn: Helen Ford
Dade City, FL 33525
Phone: 352-518-1006

Tank Owner Information
Name: Adventhealth Dade City Effective Date: 01/28/2019
13100 Fort King Rd
Dade City, FL 33525-5294
Phone: 352-518-1006

Tank
#		 Size Content Installed Placement Status Const Pipe Monitor
338498 4297 Emerg Generator Diesel
06/01/2011
ABOVE
U
I
P
1
2 2500 Emerg Generator Diesel
02/01/1993
UNDER
B
1 5000 Emerg Generator Diesel
07/01/1973
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
11/01/2020
11/01/2021
  Commerce & Industry Insurance
Insurance
11/01/2019
11/01/2020
  Commerce & Industry Insurance
Insurance
11/01/2018
11/01/2019
  Commerce & Industry
Insurance
10/01/2016
10/01/2017
  Aig Specialty Insurance Compan
Insurance
10/01/2014
10/01/2016
  Ironshore Specialty Insurance
Insurance
10/01/2012
10/01/2013
  Liberty Surplus Insurance Corp
Insurance
10/01/2012
10/01/2013
  Chartis Specialty Insurance Co
Insurance
10/01/2011
10/01/2012
  Liberty Surplus Insurance Corp
Insurance
10/01/2010
10/01/2011
  Liberty Surplus Insurance Corp
Insurance
10/01/2009
10/01/2010
  Liberty Surplus Insurance Corp
Insurance
10/01/2009
10/01/2010
  Zurich-American
Insurance
10/01/2008
10/01/2009
  Zurich-American

No OPEN violations found!

No Discharge Information Found!


End of Data for Facility #: 8630286