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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:	2009065
Status:	Closed
Facility Name:	Mobil R/S #11005
Address:	7528 Madison Forest Park, IL 60130
County:	Cook
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	G000839
Green Tag Issue Date:	10/5/2005
Green Tag Expiration Date:	12/31/2008

Owner Details

Owner Name:	Exxon Mobil Oil Corporation
Owner Address:	25915 S. Frontage Road C/O Joliet Refinery Channahon, IL 60410
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Guarantee and Self-Insurance
Financial Responsibility Reporting Due Date:	5/3/2006

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	10/5/2005	12/31/2007

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0010471	Exxon Mobil Oil Corporation	Current Owner

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
07-0241	3/1/2007	Removal Log	00092-2007REM
99-1623	7/7/1999	Removal Log	02038-1999REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
99-1623	Eligible	2/28/2000	3/8/2000	$10,000
07-0241	Eligible	6/12/2007	7/10/2007	$10,000

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	12000	Gasoline	Removed	Federal		$0.00	03/01/2007 - REM
2	10000	Gasoline	Removed	Federal		$0.00	03/01/2007 - REM
3	10000	Gasoline	Removed	Federal		$0.00	03/01/2007 - REM
4	550	Used Oil	Removed	Federal		$0.00	06/22/1999 - REM
5	5000	Gasoline	Removed	Federal		$0.00	08/01/1988 - REM
6	10000	Gasoline	Removed	Federal		$0.00	08/01/1988 - REM
7	8000	Gasoline	Removed	Federal		$0.00	08/01/1988 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found