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James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
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Division of Petroleum & Chemical Safety

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Facility Details

Facility Number:	1005146
Status:	Closed
Facility Name:	Estate of David J. Adrian, Sr.
Address:	362 3rd Street La Salle, IL 61301
County:	LaSalle
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	L001593
Green Tag Issue Date:	1/25/2011
Green Tag Expiration Date:	12/31/2012

Owner Details

Owner Name:	Estate of David Adrian
Owner Address:	816 Amhurst Drive Sycamore, IL 60178
Owner Status:	Current Owner
Purchase Date:	1/1/1986
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	1/25/2011	12/31/2012

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0037572	Estate of David Adrian	Current Owner	1/1/1986
U0000228	David J. Adrian,	Former Owner	1/1/1986
U0018805	Amoco Corporation	Former Owner	12/31/1967

Permits (Unexpired)

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No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
14-1081	10/29/2014	Removal Log	00908-2014REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
14-1081	Eligible	11/6/2014	12/31/2014	$5,000

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	4000	Gasoline	Removed	Federal		$0.00	10/29/2014 - REM
2	4000	Gasoline	Removed	Exempt			01/01/1985 - REM
3	8000	Gasoline	Removed	Federal		$0.00	10/29/2014 - REM
4	99	Used Oil	Removed	Exempt			01/01/1985 - REM
5	500	Used Oil	Removed	Federal		$0.00	10/29/2014 - REM
6	6000	Gasoline	Removed	Federal		$0.00	10/29/2014 - REM
7	1000	Gasoline	Removed	Federal		$0.00	10/29/2014 - REM
8	2000	Gasoline	Removed	Federal		$0.00	10/29/2014 - REM
9	1000	Gasoline	Removed	Federal		$0.00	10/29/2014 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found