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:	2008618
Status:	Closed
Facility Name:	Jerry's Service
Address:	125 S. Milwaukee Avenue Libertyville, IL 60048
County:	Lake
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	P000029
Green Tag Issue Date:	3/25/2014
Green Tag Expiration Date:	12/31/2016

Owner Details

Owner Name:	Donald Hamil
Owner Address:	125 S. Milwaukee Avenue Libertyville, IL 60048
Owner Status:	Current Owner
Purchase Date:	5/1/1982
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	1/3/2015

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	1/16/2014	12/31/2016

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0006370	Hamil, Donald	Current Owner	5/1/1982

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
16-0273	4/7/2016	Removal Log	00267-2016REM
90-0463	2/20/1990	Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
16-0273	Returned	4/18/2016	5/6/2016	$Not Selected

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	2/20/1990
OSFM First Notify Date:	4/29/1986		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	2/1/1990		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:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	2/20/1990
OSFM First Notify Date:	4/29/1986		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	2/1/1990		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:	5000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	2/20/1990
OSFM First Notify Date:	4/29/1986		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	2/1/1990		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:	250		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	2/20/1990
OSFM First Notify Date:	4/29/1986		Abandoned Material:
Current Age:	27		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	9/1/1985		Fee Due:
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:	250		Petroleum Use:
Product:	Used Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	2/20/1990
OSFM First Notify Date:	4/29/1986		Abandoned Material:
Current Age:	27		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	2/1/1990		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:	1000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	2/20/1990
OSFM First Notify Date:	3/5/1990		Abandoned Material:	Inert material mixed with portland cement
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	12/31/1973		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 7

Capacity:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/7/2016
OSFM First Notify Date:	6/21/1990		Abandoned Material:
Current Age:	25		Abandoned Date:
Install Date:	5/1/1990		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	12/13/2013	12/13/2016
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	SIR and Prec Tightness Testing USTman Industries
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flexible Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Tank	SIR and Prec Tightness Testing USTman Industries	Precision Test (Tank)	Pass	11/22/2013

Tank Number 8

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/7/2016
OSFM First Notify Date:	6/21/1990		Abandoned Material:
Current Age:	25		Abandoned Date:
Install Date:	5/1/1990		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	12/13/2013	12/13/2016
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	SIR and Prec Tightness Testing USTman Industries
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flexible Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Tank	SIR and Prec Tightness Testing USTman Industries	Precision Test (Tank)	Pass	11/22/2013

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found