Information

JB Pritzker, Governor

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:	1006514
Status:	Closed
Facility Name:	Country Market Conv. Store, Inc.
Address:	1004 E. Church St. Sandwich, IL 60548
County:	De Kalb
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	N001461
Green Tag Issue Date:	11/13/2012
Green Tag Expiration Date:	12/31/2014

Owner Details

Owner Name:	Becky Lueken
Owner Address:	2597 N. 45th Rd. Leland, IL 60531
Owner Status:	Current Owner
Purchase Date:	1/1/1982
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	1/21/2015

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	11/13/2012	12/31/2014

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0037158	Lueken, Becky	Current Owner	1/1/1982
U0013408	Sandwich Country Market, Inc.	Former Owner

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
14-0920	8/26/2014	Removal Log	00756-2014REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
14-0920	Eligible	9/2/2014	10/24/2014	$5,000

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Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	10000	Gasoline	Removed	Federal		$0.00	08/26/2014 - REM
2	6000	Gasoline	Removed	Federal		$0.00	08/26/2014 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found