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

District: NED Type: Fuel User/Non-Retail
County: Duval Status: Open
Facility ID#: 9100280 Latitude: 30:18:27.9108
Name: St Vincents Medical Center Longitude: 81:41:26.7684
1 Shircliff Way LL Method: DPHO
Jacksonville, FL 32204-4704 LL Status: REVIEWED
Contact: Mark Stevens Status Date: 08//26/2013
Phone: 904-308-8550

Account Owner Information
Name: St Vincents Medical Ctr - Medxcel Fac Effective Date: 02/13/1991
1 Shircliff Way Placard#/Date: 605565 - 06/07/2021
Attn: Storage Tank Regis
Jacksonville, FL 32204-4704
Phone: 904-308-8292

Tank Owner Information
Name: St Vincents Medical Ctr - Medxcel Fac Effective Date: 02/13/1991
1 Shircliff Way
Attn: Storage Tank Regis
Jacksonville, FL 32204-4704
Phone: 904-308-8292

Tank
#		 Size Content Installed Placement Status Const Pipe Monitor
3 15000 Emerg Generator Diesel
04/01/1993
UNDER
U
E
I
M
O
P
A
I
M
B
I
F
D
K
1
V
4 15000 Emerg Generator Diesel
04/01/1993
UNDER
U
A
E
I
M
O
P
F
C
I
B
F
L
D
I
K
3
1
5 1000 Emerg Generator Diesel
01/01/2005
UNDER
U
E
I
M
N
P
O
A
C
F
I
B
F
K
3
L
1
D
I
1 8000 Emerg Generator Diesel
07/01/1968
UNDER
B
2 8000 Emerg Generator Diesel
07/01/1968
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
07/01/2021
07/01/2022
  Ironshore Specialty Insurance
Insurance
07/01/2020
07/01/2021
  Ironshore Specialty Insurance
Insurance
07/01/2019
07/01/2020
  Ironshore Specialty Insurance
Self-Insurance - Letter From Chief Financial Officer
07/01/2015
07/01/2016
  
Self-Insurance - Letter From Chief Financial Officer
07/01/2014
07/01/2015
  
Self-Insurance - Letter From Chief Financial Officer
07/01/2013
07/01/2014
  
Self-Insurance - Letter From Chief Financial Officer
07/01/2012
07/01/2013
  
Self-Insurance - Letter From Chief Financial Officer
07/01/2011
11/01/2012
  
Self-Insurance - Letter From Chief Financial Officer
09/17/2010
09/17/2011
  
Self-Insurance - Letter From Chief Financial Officer
09/16/2009
09/16/2010
  
Self-Insurance - Letter From Chief Financial Officer
09/16/2008
09/16/2009
  

Other Financial Responsibility Mechanisms on File
FR Type Effective
Date 		Expiration
Date
Self-Insurance - Letter From Chief Financial Officer
11-01-2016
10-31-2017

No OPEN violations found!

Discharge Information

Discharge
Date		 Cleanup
Status 		Score Eligibility Info Site Manager Phone
09/21/2012 Completed 5 - Maihack_Gr


End of Data for Facility #: 9100280