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

Facility Details

Facility Number:	1008259
Status:	Closed
Facility Name:	Michael Bouxsein (Mike's Shop)
Address:	Old Route 26 & North Fourth Street Hennepin, IL 61327
County:	Putnam
Property Parcel:
Facility Type:	Full Service Station
Owner Type:	Private
Green Tag Decal:	I001656
Green Tag Issue Date:	3/1/2007
Green Tag Expiration Date:	12/31/2009

Owner Details

Owner Name:	Michael Bouxsein
Owner Address:	127 South 9th Street Hennepin, IL 61327
Owner Status:	Current Owner
Purchase Date:	7/1/1985
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	11/5/2010

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0001838	Bouxsein, Michael	Current Owner	7/1/1985

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	12000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/14/2010
OSFM First Notify Date:	4/28/1986		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	9/22/1984		Red Tag Issue Date:
Last Used Date:	10/27/2009		Fee Due:	$0.00
Product Date:	7/1/1985

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	12000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/14/2010
OSFM First Notify Date:	4/28/1986		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	9/22/1984		Red Tag Issue Date:
Last Used Date:	10/27/2009		Fee Due:	$0.00
Product Date:	7/1/1985

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	12000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/14/2010
OSFM First Notify Date:	4/28/1986		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	9/22/1984		Red Tag Issue Date:
Last Used Date:	10/27/2009		Fee Due:	$0.00
Product Date:	7/1/1985

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	2000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/1/1999
OSFM First Notify Date:	4/28/1986		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:	8/12/1977		Red Tag Issue Date:
Last Used Date:	12/1/1998		Fee Due:	$0.00
Product Date:	11/1/1977

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	250		Petroleum Use:
Product:	Used Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	7/20/1987
OSFM First Notify Date:	4/28/1986		Abandoned Material:
Current Age:	4		Abandoned Date:
Install Date:	5/7/1983		Red Tag Issue Date:
Last Used Date:	4/15/1987		Fee Due:
Product Date:	5/18/1983

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found