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:	1008470
Status:	Active
Facility Name:	Circle K #1412
Address:	101 East Everett Dixon, IL 61021
County:	Lee
Property Parcel:	07-02-32-411-014
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z001837
Green Tag Issue Date:	5/13/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Mac's Convenience Stores, LLC
Owner Address:	1100 Situs Court, Suite 100 Raleigh, NC 27606
Owner Status:	Current Owner
Purchase Date:	10/10/2014
Type of Financial Responsibility:	Guarantee
Financial Responsibility Reporting Due Date:	10/27/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	5/13/2024	12/31/2026

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0030949	Mac's Convenience Stores, LLC	Current Owner	10/10/2014
U0013268	Tri-Star Marketing, Inc.	Former Owner	9/11/1992
U0004641	Eldon Spencer Inc	Former Owner	12/31/1967

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
92-3547	12/14/1992	Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
92-3547	Eligible	12/11/2014	12/15/2014	$15,000
92-3547	Eligible	5/11/2015	6/4/2015	$15,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	12/14/1992
OSFM First Notify Date:	4/25/1986		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

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:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	12/14/1992
OSFM First Notify Date:	4/25/1986		Abandoned Material:
Current Age:	23		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

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:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	12/14/1992
OSFM First Notify Date:	4/25/1986		Abandoned Material:
Current Age:	23		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

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:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	12/14/1992
OSFM First Notify Date:	4/25/1986		Abandoned Material:
Current Age:	25		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

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:	1000		Petroleum Use:
Product:	Used Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/31/1993
OSFM First Notify Date:	1/12/1993		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 6

Capacity:	20000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/11/1994		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	4/4/1994		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	4/4/1994

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	3/18/2024	3/18/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	3/18/2024	3/18/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	3/18/2024	3/18/2025
Overfill Prev Device	Overfill Drop Tube Valve	3/18/2024	3/18/2027
Piping	Composite Chase	N/A	N/A
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/21/2022	4/21/2025
Leak Detect - Piping	Non-Discriminating Sump Sensor	5/20/2021	5/20/2022
Leak Detect - Piping	Sump Sensor with positive shutdown	3/18/2024	3/18/2025
Spill Contain Device	Double Wall Spill Bucket	3/18/2024	3/18/2027
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Composite Chase	Precision Test	Pass	3/18/2024
Piping	Fiberglass Double Wall	Precision Test	Pass	6/1/2020
Piping	Flexible Double Wall OPW Flexworks	Precision Test	Pass	3/18/2024
Tank	Fiberglass Double Wall	Precision Test (Tank)	Pass	9/2/2020

Tank Number 7

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/11/1994		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	4/4/1994		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	4/4/1994

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	3/18/2024	3/18/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	3/18/2024	3/18/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	4/1/2024	4/1/2025
Overfill Prev Device	Overfill Drop Tube Valve	3/18/2024	3/18/2027
Piping	Composite Chase	N/A	N/A
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/21/2022	4/21/2025
Leak Detect - Piping	Non-Discriminating Sump Sensor	5/20/2021	5/20/2022
Leak Detect - Piping	Sump Sensor with positive shutdown	3/18/2024	3/18/2025
Spill Contain Device	Double Wall Spill Bucket	3/18/2024	3/18/2027
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Composite Chase	Precision Test	Pass	3/18/2024
Piping	Fiberglass Double Wall	Precision Test	Pass	6/1/2020
Piping	Flexible Double Wall OPW Flexworks	Precision Test	Pass	3/18/2024
Tank	Fiberglass Double Wall	Precision Test (Tank)	Pass	9/2/2020

Tank Number 8

Capacity:	12000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/11/1994		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	4/4/1994		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	4/4/1994

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	3/18/2024	3/18/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	3/18/2024	3/18/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	3/18/2024	3/18/2025
Overfill Prev Device	Overfill Drop Tube Valve	3/18/2024	3/18/2027
Piping	Composite Chase	N/A	N/A
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/21/2022	4/21/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	3/18/2024	3/18/2025
Spill Contain Device	Double Wall Spill Bucket	3/18/2024	3/18/2027
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Composite Chase	Precision Test	Pass	3/18/2024
Piping	Fiberglass Double Wall	Precision Test	Pass	6/1/2020
Piping	Flexible Double Wall OPW Flexworks	Precision Test	Pass	3/18/2024
Tank	Fiberglass Double Wall	Precision Test (Tank)	Pass	9/2/2020

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/21/2022	4/21/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	3/18/2024	3/18/2025

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/21/2022	4/21/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	3/18/2024	3/18/2025

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/21/2022	4/21/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	3/18/2024	3/18/2025

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/21/2022	4/21/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	3/18/2024	3/18/2025

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/21/2022	4/21/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	3/18/2024	3/18/2025

MFD Motorfuel Dispensing Forms

No Forms Found