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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:	2006941
Status:	Closed
Facility Name:	Shell Station 4944-01
Address:	21012 South Crawford Matteson, IL 60443
County:	Cook
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	I001381
Green Tag Issue Date:	11/18/2007
Green Tag Expiration Date:	12/31/2009

Owner Details

Owner Name:	Shell Oil Products US c/o Gilbarco Veeder-Root
Owner Address:	7300 West Friendly Avenue, P.O. Box 22087 Attn: CMS Mailstop F-76 Greensboro, NC 274202087
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	1/7/2009

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	12/18/2007	12/31/2009

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0031151	Shell Oil Products US c/o Gilbarco Veeder-Root	Current Owner
U0013849	Shell Oil Products	Former Owner	12/31/1967
U0027449	Equilon Enterprises, LLC	Former Owner	1/1/1954

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
08-1364	9/11/2008	Removal Log	01245-2008REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
99-0391	Eligible	2/24/1999	3/30/1999	$10,000
08-1364	Eligible	1/13/2009	2/11/2009	$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	09/11/2008 - REM
2	10000	Gasoline	Removed	Federal		$0.00	09/11/2008 - REM
3	8000	Gasoline	Removed	Federal		$0.00	09/11/2008 - REM
4	550	Used Oil	Removed	Federal		$0.00	08/28/1995 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found