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

District: NWD Type: Retail Station
County: Escambia Status: Closed
Facility ID#: 9201263 Latitude: 30:42:02.3712
Name: Kelleys Kwik Shop Longitude: 87:21:02.7852
5531 Hwy 29 N LL Method: DPHO
Molino, FL 32577 LL Status: REVIEWED
Contact: Kersh, Mary Status Date: 06//26/2015
Phone: 850-587-5308

Account Owner Information
Name: Kersh, Mary Effective Date: 09/16/1998
2020 Chance Rd Placard#/Date: -
Molino, FL 32577
Phone: 850-587-3911

Tank Owner Information
Name: Kersh, Mary Effective Date: 09/16/1998
2020 Chance Rd
Molino, FL 32577
Phone: 850-587-3911

Tank
#		 Size Content Installed Placement Status Const Pipe Monitor
1 8000 Unleaded Gas
07/01/1974
UNDER
B
2 8000 Unleaded Gas
07/01/1974
UNDER
B
3 3000 Vehicular Diesel
07/01/1979
UNDER
B
4 6000 Unleaded Gas
07/01/1989
UNDER
B
5 8000 Unleaded Gas
02/01/1994
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
01/07/2001
01/07/2002
  Fplipa
Insurance
06/16/1995
09/16/1998
  Fplipa

No OPEN violations found!

Discharge Information

Discharge
Date		 Cleanup
Status 		Score Eligibility Info Site Manager Phone
04/20/2001 Inactive 26 - Bristol_S (850)595-8360-1249


End of Data for Facility #: 9201263