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

District: NWD Type: Retail Station
County: Okaloosa Status: Open
Facility ID#: 9101973 Latitude: 30:26:30.4440
Name: Qv Store Longitude: 86:38:17.7790
757 N Beal Pkwy LL Method: DGPS
Fort Walton Beach, FL 32547-3113 LL Status: REVIEWED
Contact: Abu Status Date: 11//19/2003
Phone: 850-862-4241

Account Owner Information
Name: Mountain Express Oil Company Se Effective Date: 12/06/2017
5333 Bells Ferry Rd ,Su#201 Placard#/Date: 586176 - 06/19/2020
Acworth, GA 30102
Phone: 615-207-7728

No Tank Owner information found!

Tank
#		 Size Content Installed Placement Status Const Pipe Monitor
1R1 30000 Unleaded Gas
09/01/2009
UNDER
U
F
A
M
L
I
O
P
C
F
J
K
F
G
K
L
1
2
3
4
1 10000 Unleaded Gas
02/01/1991
UNDER
B
2 10000 Unleaded Gas
02/01/1991
UNDER
B
3 10000 Unleaded Gas
02/01/1991
UNDER
B
4 6000 Unleaded Gas
02/01/1991
UNDER
B
5 6000 Vehicular Diesel
02/01/1991
UNDER
B
6 4000 Kerosene
02/01/1991
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
01/22/2020
01/22/2021
  Commerce & Industry Insurance
Insurance
01/22/2017
01/22/2018
  Commerce & Industry
Insurance
01/22/2015
01/22/2016
  Commerce & Industry
Insurance
01/22/2013
01/22/2014
  Commerce & Industry
Insurance
01/22/2011
01/22/2012
  Commerce & Industry
Insurance
05/12/2006
05/12/2007
  Zurich-American

Open Violations

Insp Date Viol # Sig
Level 		Violation Text
11/29/2005
 1004
B
 No Financial Responsibility
11/29/2005
 1032
N
 Fillbox Covers Not Marked According To Api Rp 1637, Or Equivalent Method
11/29/2005
 1064
B
 Site Suitability Determination Not Performed By 12/31/1998
11/29/2005
 1069
N
 Monitoring Wells No Longer Used For Release Detection Not Closed
11/29/2005
 1072
N
 Monitoring Wells Not Meeting 62-761.640(2) By 12/31/1998
11/29/2005
 1082
N
 No Release Detection Response Level Described In Writing
11/29/2005
 1091
N
 Problems Found During Visual Inspections Not Noted
11/29/2005
 1103
N
 Ust Line Leak Detector Cannot Detect 3.0 Gph Discharge, Not Tested Annually
11/29/2005
 1112
N
 Not Inspected 6 Months After Installation Or Repair And Annually/3 Years
11/29/2005
 1113
N
 Impressed Current System Not Inspected Every Two Months
11/29/2005
 1117
N
 Release Detection Devices Not Tested Annually
11/29/2005
 1122
N
 Permanent Records Not Available Within 5 Working Days Notice; No Reasonable Facility Access


Discharge Information

Discharge
Date		 Cleanup
Status 		Score Eligibility Info Site Manager Phone
07/19/2007 Completed - Hunt_T


End of Data for Facility #: 9101973