Division of Petroleum & Chemical Safety

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Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	7/27/2021	12/31/2023

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0033778	Shiekh, Arif	Current Owner	3/1/2006
U0032118	Virinda Corp.	Former Owner	3/1/2006
U0032118	Virinda Corp.	Former Owner	9/1/2003
U0029789	Clark Retail Enterprises, Inc.	Former Owner	11/22/1988
U0003073	Clark Retail Enterprises, Inc.	Former Owner	11/22/1988
U0028787	Clark Retail Enterprises, Inc.,	Former Owner

Permits (Unexpired)

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No Active Permits Found

Deficiencies (Current)

NOV Number: E0020230968 (Referred to Legal)    Issue Date: 4/19/2023    Expiration Date: 6/18/2023    View NOV Form

Tanks	Deficiency
Facility	Annual Emergency Stop Inspection not completed or inspection report not available. - All emergency shutoff switches shall be tested annually to verify they shut down all STPs or dispensers. Perform test, complete form (form is available at www.sfm.illinois.gov) and maintain on site with other annual testing documentation.
1	Annual leak detection certification not completed (Required annually). - Annual leak detection certification (interstitial sensors/ATG) not completed. Testing shall be completed and submitted to OSFM.
1	Annual leak detection certification not completed (Required annually). - Annual leak detection certification (leak detectors and/or interstitial sensors) not completed. Testing shall be performed.
2	Annual leak detection certification not completed (Required annually). - Annual leak detection certification (interstitial sensors/ATG) not completed. Testing shall be completed and submitted to OSFM.
2	Annual leak detection certification not completed (Required annually). - Annual leak detection certification (leak detectors and/or interstitial sensors) not completed. Testing shall be performed.
3	Annual leak detection certification not completed (Required annually). - Annual leak detection certification (interstitial sensors/ATG) not completed. Testing shall be completed and submitted to OSFM.
3	Annual leak detection certification not completed (Required annually). - Annual leak detection certification (leak detectors and/or interstitial sensors) not completed. Testing shall be performed.
1, 2, 3	Annual tank impressed current system test not completed. - Annual third-party testing required on impressed current system. Perform annual testing and maintain passing documentation on site for review by OSFM Inspector. Impressed current must be maintained even if tanks are out of service.
1, 2, 3	Document that emergency shut-off (shear valves) are in proper working order - Provide documentation that annual testing of all shear valves has been conducted and passed.
1, 2, 3	Failed to Empty the Tank to 1" or Less - All tanks must be pumped down to one inch or less.
Facility	Financial responsibility must be reported yearly - Financial Responsibility shall be declared annually; declaration form can be found at www.sfm.illinois.gov Complete form online and submit electronically.
1, 2, 3	Impressed current system failed test or appears non operational. Must repair. - There is no power going to impressed current. Impressed current must be maintained even if tanks are out of service.
1, 2, 3	Line interstitial sensor functional test not accomplished (Required annually). - Annual leak detection certification (leak detectors and/or interstitial sensors) not completed. Testing shall be performed.
Facility	Missing copies of 30 day Walkthrough Inspection Report. - 30-day Walkthrough Inspection shall be completed, and documentation maintained on site. 30-Day Walkthrough Inspection form available at www.sfm.illinois.gov
Facility	Missing copies of Annual Walkthrough Inspection Report. - Annual Walkthrough by a licensed contractor shall be conducted and documentation maintained on site.
1, 2, 3	Overfill prevention equipment inspection(s) not completed (Required every 3 years). - Triannual testing of ball floats not complete. Test and enter passing date in portal.
1, 2, 3	Precision line test required.
1, 2, 3	Precision tank test required.
1, 2, 3	Required monthly tank leak test records not available. - Maintain one PASSing report per TANK, per month, from ATG.
1, 2, 3	Spill prevention equipment contains liquid/debris and must be cleared of materials and maintained clean and dry. - Spill Bucket(s) contain(s) liquid and/or debris; remove liquid/debris and maintain clean and dry at all times.
1, 2, 3	Submit Notification Form For Tank Status Change - A notification form must be completed taking tanks out of service. Form can be found at https://sfm.illinois.gov/
1, 2, 3	Triennial spill prevention equipment testing not completed. - Triennial inspection/testing of spill bucket(s) has not been completed. Testing shall be completed with passing results.
1, 2, 3	Triennial testing for qualifying piping containment sump not completed (Required every 3 years). - STP sump needs triannual testing with a passing date entered on portal.

NOV Number: E0020230969 (Referred to Legal)    Issue Date: 4/19/2023    Expiration Date: 6/18/2023    View NOV Form

Tanks	Deficiency
Facility	Farthest dispenser is greater than 40' and site lacks a communication system or system is inoperable
Facility	Fire Extinguishers - Minimum 4A:60BC are not present at each island and at an emergency shutoff switch

NOV Number: E0020232333 (Pending)    Issue Date: 10/19/2023    Expiration Date: 12/18/2023    View NOV Form

Tanks	Deficiency
3	Failed to Empty the Tank to 1" or Less - Tank 3 premium still has 7" of product in it. Tank must be pumped down to 1" or less.
Facility	Financial responsibility must be reported yearly - Financial Responsibility must be declared annually. The form can be found at: https://webapps.sfm.illinois.gov/USTPortal/Forms/FinancialResponsibility
1, 2, 3	Remove tank(s) - Corrosion Protection not Maintained - Tanks have been condemned and must be removed.
Facility	Submit Notification Form For Ownership Change - The Notification Form is available at: https://webapps.sfm.illinois.gov/USTPortal/NotificationForm. This form is required to be submitted within 30 days of an ownership change.
1, 2, 3	Submit Notification Form For Tank Status Change - The Notification Form is available at: https://webapps.sfm.illinois.gov/USTPortal/NotificationForm. This form is required to be submitted within 30 days of a tank status change. Tanks must be changed to out of service.

IEMA Numbers Associated with the Facility

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
95-0180	Eligible	5/16/1995	5/30/1995	$10,000

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	7500	Gasoline - Regular	Condemned Tank	Federal	4/19/2023	$0.00
2	7500	Gasoline - Regular	Condemned Tank	Federal	4/19/2023	$0.00
3	7500	Gasoline - Premium	Condemned Tank	Federal	4/19/2023	$0.00

Dispenser Information

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

MFD Motorfuel Dispensing Forms

No Forms Found