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

District: SWD Type: Fuel User/Non-Retail
County: Polk Status: Open
Facility ID#: 9813349 Latitude: 28:03:48.6000
Name: Watson Clinic Llp-1430 Longitude: 81:57:13.3200
1430 Lakeland Hills Blvd LL Method: DPHO
Lakeland, FL 33805 LL Status: REVIEWED
Contact: Tim Mercier Status Date: 10//22/2012
Phone: 863-680-7346

Account Owner Information
Name: Watson Clinic Llp Effective Date: 09/07/2012
1430 Lakeland Hills Blvd Placard#/Date: 593050 - 08/11/2020
Lakeland, FL 33805
Phone: 863-608-7007

Tank Owner Information
Name: Watson Clinic Llp Effective Date: 09/07/2012
1430 Lakeland Hills Blvd
Lakeland, FL 33805
Phone: 863-608-7007

Tank
#		 Size Content Installed Placement Status Const Pipe Monitor
1 600 Generator/Pump Diesel
07/01/1997
ABOVE
U
C
I
M
P
N
I
A
F
1
Q

***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
09/01/2019
09/01/2020
  Ace American Insurance Company
Insurance
09/01/2018
09/01/2019
  Liberty Surplus Insurance Corp
Insurance
09/01/2017
09/01/2018
  Liberty Surplus Insurance Corp
Insurance
09/01/2016
09/01/2017
  Liberty Surplus Insurance Corp
Insurance
09/01/2014
09/01/2015
  Chubb
Insurance
09/01/2012
09/01/2013
  Chubb

No OPEN violations found!

No Discharge Information Found!


End of Data for Facility #: 9813349