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

District: NED Type: Retail Station
County: Duval Status: Open
Facility ID#: 9801832 Latitude: 30:21:53.4140
Name: M & A Food Mart Longitude: 81:40:43.8163
4211 Moncrief Rd LL Method: DGPS
Jacksonville, FL 32209-3937 LL Status: REVIEWED
Contact: Hitesh Patel Status Date: 12//12/2003
Phone: 904-764-1406

Account Owner Information
Name: M & A Food Mart Effective Date: 06/26/2008
4211 Moncrief Rd Placard#/Date: 589990 - 06/26/2020
Attn: Hitesh Patel
Jacksonville, FL 32209
Phone: 904-764-1406

Tank Owner Information
Name: M & A Food Mart Effective Date: 12/15/2011
4211 Moncrief Rd
Attn: Hitesh Patel
Jacksonville, FL 32209
Phone: 904-764-1406

Tank
#		 Size Content Installed Placement Status Const Pipe Monitor
1 12000 Unleaded Gas
09/01/1999
UNDER
U
F
A
O
I
M
N
F
J
K
H
L
K
2
4
F
2 12000 Unleaded Gas
09/01/1999
UNDER
U
F
A
O
I
L
M
N
F
J
K
H
L
K
2
4
F

***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
01/29/2019
01/29/2020
  Crum & Forster Specialty Ins.
Insurance
06/02/2017
06/02/2018
  Ace
Insurance
04/21/2016
04/21/2017
  Ace
Insurance
02/26/2014
02/26/2015
  Ace
Insurance
02/21/2013
02/21/2014
  Ace
Insurance
06/29/2011
06/29/2012
  Zurich-American
Insurance
06/29/2010
06/29/2011
  Ace
Insurance
06/26/2009
06/26/2010
  Zurich-American
Insurance
11/20/2008
11/20/2009
  Commerce & Industry

No OPEN violations found!

Discharge Information

Discharge
Date		 Cleanup
Status 		Score Eligibility Info Site Manager Phone
09/17/2019 Inactive - Thomas_Vl (904)255-7143


End of Data for Facility #: 9801832