FDEP Storage Tank Inspection Cover Page for: 8945035

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#:	8945035	Latitude:	28:02:55.3632
Name:	Bp #610 Twin Brothers Food Mart	Longitude:	81:43:25.1472
	2433 Lucerne Park Rd	LL Method:	DPHO
	Winter Haven, FL 33881-1665	LL Status:	REVIEWED
Contact:	Subhadruben Patel	Status Date:	09//28/2009
Phone:	863-297-9248

Account Owner Information

Name: Patel, Pravin & Subhadraben Effective Date: 03/11/2008

2433 Lucerne Park Rd Placard#/Date: 577635 - 06/04/2020

Winter Haven, FL 33881-1665

Phone: 863-297-9248

Tank Owner Information

Name: Patel, Pravin & Subhadraben Effective Date: 03/11/2008

2433 Lucerne Park Rd

Winter Haven, FL 33881-1665

Phone: 863-297-9248

Tank
# Size Content Installed Placement Status Const Pipe Monitor

4 20000 Vehicular Diesel 12/01/2007 UNDER U O
M
R
L
C
N
C
F
J
K
F
1
4
3
K
H

1 4000 Unleaded Gas 05/01/1989 UNDER B
2 4000 Unleaded Gas 05/01/1989 UNDER B
3 4000 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 02/08/2019 02/08/2021 Crum & Forster Specialty Ins.

Insurance 02/08/2017 02/08/2019 Crum & Forster Specialty Ins.

Insurance 02/08/2015 02/08/2017 Crum & Forster Specialty Ins.

Insurance 02/08/2013 02/08/2015 American Safety

Insurance 02/08/2013 02/08/2015 American Safety

Insurance 02/11/2011 02/11/2012 Zurich-American

Insurance 02/11/2010 02/11/2011 Zurich-American

Insurance 02/11/2008 02/11/2010 Zurich-American

No OPEN violations found!

Discharge Information

Discharge
Date Cleanup
Status Score Eligibility Info Site Manager Phone

03/09/2006 Completed 30 - Arnold_Db

End of Data for Facility #: 8945035

Name:	Patel, Pravin & Subhadraben	Effective Date:	03/11/2008
	2433 Lucerne Park Rd	Placard#/Date:	577635 - 06/04/2020

	Winter Haven, FL 33881-1665
Phone:	863-297-9248

Tank #	Size	Content	Installed	Placement	Status	Const	Pipe	Monitor
4	20000	Vehicular Diesel	12/01/2007	UNDER	U	O M R L C N	C F J K	F 1 4 3 K H
1	4000	Unleaded Gas	05/01/1989	UNDER	B
2	4000	Unleaded Gas	05/01/1989	UNDER	B
3	4000	Unleaded Gas	05/01/1989	UNDER	B

FR Type	Effective Date	Expiration Date	Company Name
Insurance	02/08/2019	02/08/2021	Crum & Forster Specialty Ins.
Insurance	02/08/2017	02/08/2019	Crum & Forster Specialty Ins.
Insurance	02/08/2015	02/08/2017	Crum & Forster Specialty Ins.
Insurance	02/08/2013	02/08/2015	American Safety
Insurance	02/08/2013	02/08/2015	American Safety
Insurance	02/11/2011	02/11/2012	Zurich-American
Insurance	02/11/2010	02/11/2011	Zurich-American
Insurance	02/11/2008	02/11/2010	Zurich-American

Discharge Date	Cleanup Status	Score	Eligibility Info	Site Manager	Phone
03/09/2006	Completed	30	-	Arnold_Db