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:	2009904
Status:	Closed
Facility Name:	Clark
Address:	113 East Irving Park Road Bensenville, IL 60106
County:	Du Page
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	G000378
Green Tag Issue Date:	4/2/2005
Green Tag Expiration Date:	12/31/2008

Owner Details

Owner Name:	CDOA - DO NOT USE THIS OWNER ID
Owner Address:	DO NOT USE THIS OWNER ID Chicago, IL 60666
Owner Status:	Current Owner
Purchase Date:	10/5/2006
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	7/21/2005	12/31/2007

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0027355	CDOA - DO NOT USE THIS OWNER ID	Current Owner	10/5/2006
U0031532	Baker Energy, Inc.	Former Owner	9/1/2003
U0003073	Clark Retail Enterprises, Inc.	Former Owner	3/31/1993
U0029789	Clark Retail Enterprises, Inc.	Former Owner
U0028787	Clark Retail Enterprises, Inc.,	Former Owner
U0032358	SKS Ventures, LLC	Former Owner / Operator

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
10-0559	5/25/2010	Removal Log	00497-2010REM
10-0559	5/27/2010	Removal Log	00497-2010REM
92-2925	3/19/1993	Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
92-2925	Eligible	9/20/1993	11/24/1993	$10,000
92-2925	Eligible	4/14/2003	4/21/2003	$10,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	7500		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/19/1993
OSFM First Notify Date:	5/2/1986		Abandoned Material:
Current Age:	23		Abandoned Date:
Install Date:	6/1/1969		Red Tag Issue Date:
Last Used Date:	3/15/1993		Fee Due:	$0.00
Product Date:	6/1/1969

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:	7500		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/19/1993
OSFM First Notify Date:	5/2/1986		Abandoned Material:
Current Age:	23		Abandoned Date:
Install Date:	6/1/1969		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	6/1/1969

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:	7500		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/19/1993
OSFM First Notify Date:	5/2/1986		Abandoned Material:
Current Age:	23		Abandoned Date:
Install Date:	6/1/1969		Red Tag Issue Date:
Last Used Date:	3/15/1993		Fee Due:	$0.00
Product Date:	6/1/1969

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:	12000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	5/25/2010
OSFM First Notify Date:	9/2/1993		Abandoned Material:
Current Age:	17		Abandoned Date:
Install Date:	3/31/1993		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	3/31/1993

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection
Piping	Double Wall steel	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	12000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	5/27/2010
OSFM First Notify Date:	9/2/1993		Abandoned Material:
Current Age:	17		Abandoned Date:
Install Date:	3/31/1993		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	3/31/1993

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection
Piping	Double Wall steel	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found