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:	2000802
Status:	Closed
Facility Name:	7-Eleven #21163
Address:	803 West Rollins Road Round Lake Beach, IL 60073
County:	Lake
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	J000268
Green Tag Issue Date:	5/8/2008
Green Tag Expiration Date:	12/31/2010

Owner Details

Owner Name:	7-Eleven, Inc.
Owner Address:	3200 Hackberry Road - Gas Compliance Irving, TX 75063
Owner Status:	Current Owner
Purchase Date:	1/1/1978
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	7/27/2010

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	5/8/2008	12/31/2010

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0014207	7-Eleven, Inc.	Current Owner	1/1/1978

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
09-1140	10/15/2009	Removal Log	01172-2009REM
09-1140	10/14/2009	Removal Log	01172-2009REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
09-1140	Eligible	4/7/2010	5/17/2010	$10,000

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	10000	Gasoline	Removed	Federal		$0.00	10/14/2009 - REM
2	10000	Gasoline	Removed	Federal		$0.00	10/15/2009 - REM
3	10000	Gasoline	Removed	Federal		$0.00	10/15/2009 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found