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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:	2009064
Status:	Active
Facility Name:	Lakshami Corp. d/b/a Harlem & Foster Mobil
Address:	5148 N. Harlem Ave. Harwood Heights, IL 60706
County:	Cook
Property Parcel:	12-12-406-044-0000
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z000003
Green Tag Issue Date:	2/15/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	NNDM, LLC
Owner Address:	5148 N. Harlem Avenue Harwood Heights, IL 60706
Owner Status:	Current Owner
Purchase Date:	4/12/2013
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	6/8/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	2/15/2024	12/31/2026

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0039479	NNDM, LLC	Current Owner	4/12/2013
U0037245	Lakshami Corp., Inc.	Former Owner	4/12/2013
U0035140	Harlem & Foster Mobil, Inc.	Former Owner	11/21/2008
U0034093	Esquire Petroleum, LLC	Former Owner	2/14/2007
U0010471	Exxon Mobil Oil Corporation	Former Owner	6/1/1977

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
18-1004	10/22/2018	Case File
18-1004	12/11/2018	Removal Log	01774-2018REM
96-1869	10/9/1996	Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
92-1130	Eligible	11/10/1993	12/6/1993	$10,000
96-1869	Eligible	11/8/2001	11/15/2001	$10,000
06-1454	Eligible	6/5/2007	7/2/2007	$10,000
20181004	Eligible	4/12/2019	4/24/2019	$5,000	Letter

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Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	12000	Gasoline	Removed	Federal		$0.00	12/11/2018 - REM
2	10000	Gasoline	Removed	Federal		$0.00	12/11/2018 - REM
3	10000	Diesel Fuel	Removed	Federal		$0.00	12/11/2018 - REM
4	550	Used Oil	Removed	Federal		$0.00	10/09/1996 - REM
5	6000	Gasoline	Removed	Exempt			11/01/1986 - REM
6	10000	Gasoline	Removed	Exempt			11/01/1986 - REM
7	8000	Gasoline	Removed	Exempt			11/01/1986 - REM
8	550	Used Oil	Removed	Exempt			11/01/1986 - REM
9	12000	Gasoline - Regular	Currently in use	Federal		$0.00
10	6000	Gasoline - Premium	Currently in use	Federal		$0.00
11	6000	Diesel Fuel	Currently in use	Federal		$0.00

Dispenser Information

Name\ID	Status
1/2	Active
3/4	Active
5/6	Active
7/8	Active
9/10	Active

MFD Motorfuel Dispensing Forms

No Forms Found