Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 2009067
Status: Active
Facility Name: Maywood Mart Care
Address: 1701 W. Harrison
Maywood, IL 60153
County: Cook
Property Parcel:
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Y002013
Green Tag Issue Date: 10/18/2023
Green Tag Expiration Date: 12/31/2025

Owner Details

Owner Name: Sibi Kadalimattom
Owner Address: 1701 W Harrison
Maywood, IL 60153
Owner Status: Current Owner
Purchase Date:
Type of Financial Responsibility: Certificate of Deposit
Financial Responsibility Reporting Due Date: 1/18/2025

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 10/18/2023 12/31/2025

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0030371 Sibi Kadalimattom, Current Owner
U0020466 Mobil Oil Former Owner

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
94-0459 12/22/1994 Removal Log 2119-94

LUST Fund Eligibility and Deductibility Determinations

IEMA Number Status OSFM Received Date OSFM Response Date Deductible Letter
94-0459 Eligible 9/14/1999 9/24/1999 $15,000
Pay Tank Fees Online

Tank Information



Tank Number 1

Capacity: 10000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 5/5/1986 Abandoned Material:
Current Age: 40 Abandoned Date:
Install Date: 5/5/1984 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 Flex Connector 9/27/2023 9/27/2026
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 7/27/2023 7/27/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 7/27/2023 7/27/2024
Overfill Prev Device Ball Only Removed Ball Float Vent Valve N/A N/A
Overfill Prev Device Overfill Drop Tube Valve 9/27/2023 9/27/2026
Piping Fiberglass Single Wall Piping Ameron N/A N/A
Piping Not Installed STP/Tanktop Sump N/A N/A
Spill Contain Device Double Wall Spill Bucket 9/27/2023 9/27/2026
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping Ameron Precision Test Pass 10/7/2022



Tank Number 2

Capacity: 8000 Petroleum Use: None
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 5/5/1986 Abandoned Material:
Current Age: 40 Abandoned Date:
Install Date: 5/5/1984 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 Flex Connector 9/27/2023 9/27/2026
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 7/27/2023 7/27/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 7/27/2023 7/27/2024
Overfill Prev Device Ball Float Vent Valve 7/27/2023 7/27/2026
Piping Fiberglass Single Wall Piping Ameron N/A N/A
Piping Not Installed STP/Tanktop Sump N/A N/A
Spill Contain Device Single Wall Spill Bucket 10/7/2021 10/7/2024
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 3

Capacity: 6000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 5/5/1986 Abandoned Material:
Current Age: 40 Abandoned Date:
Install Date: 5/5/1984 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 Flex Connector 9/27/2023 9/27/2026
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 7/27/2023 7/27/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 7/27/2023 7/27/2024
Overfill Prev Device Ball Only Removed Ball Float Vent Valve N/A N/A
Overfill Prev Device Overfill Drop Tube Valve 9/27/2023 9/27/2026
Piping Fiberglass Single Wall Piping Ameron N/A N/A
Piping Not Installed STP/Tanktop Sump N/A N/A
Spill Contain Device Single Wall Spill Bucket 10/7/2021 10/7/2024
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 4

Capacity: 1000 Petroleum Use:
Product: Used Oil CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 8/30/1990
OSFM First Notify Date: 5/5/1986 Abandoned Material:
Current Age: 10 Abandoned Date:
Install Date: 1/1/1980 Red Tag Issue Date:
Last Used Date: 8/1/1990 Fee Due: $0.00
Product Date: 1/1/1980

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: 500 Petroleum Use:
Product: Used Oil CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 3/12/2002
OSFM First Notify Date: 10/22/1991 Abandoned Material:
Current Age: 11 Abandoned Date:
Install Date: 8/1/1990 Red Tag Issue Date:
Last Used Date: 12/3/1998 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: Consumptive Use on Premises for Heating
Product: Heating Oil CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: State Removed Date: 12/22/1994
OSFM First Notify Date: 9/15/1994 Abandoned Material:
Current Age: 14 Abandoned Date:
Install Date: 1/1/1980 Red Tag Issue Date:
Last Used Date: 3/1/1994 Fee Due: $0.00
Product Date: 1/1/1980

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date

Dispenser Information



Name\ID 1/2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated N/A N/A



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated N/A N/A

MFD Motorfuel Dispensing Forms

No Forms Found