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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:	2009908
Status:	Closed
Facility Name:	Former Clark
Address:	1730 West Wise Road Schaumburg, IL 60193
County:	Cook
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	M000543
Green Tag Issue Date:	8/3/2011
Green Tag Expiration Date:	12/31/2013

Owner Details

Owner Name:	Raj Bhatia
Owner Address:	6800 Barrington Hanover Park, IL 60133
Owner Status:	Current Owner
Purchase Date:	6/19/2013
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	6/24/2014

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	8/3/2011	12/31/2013

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0036920	Bhatia, Raj	Current Owner	6/19/2013
U0003073	Clark Retail Enterprises, Inc.	Former Owner	11/22/1988
U0032343	Arjun, Inc.	Former Owner
U0029789	Clark Retail Enterprises, Inc.	Former Owner
U0028787	Clark Retail Enterprises, Inc.,	Former 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
13-0876	9/10/2013	Removal Log	00786-2013REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
13-0876	Eligible	9/18/2013	10/24/2013	$5,000

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	7500	Gasoline	Removed	Federal		$0.00	09/10/2013 - REM
2	7500	Gasoline	Removed	Federal		$0.00	09/10/2013 - REM
3	7500	Gasoline	Removed	Federal		$0.00	09/10/2013 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found