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

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Facility Details

Facility Number:	2010016
Status:	Closed
Facility Name:	Closed Gas Station
Address:	1421 W. 95th Street Chicago, IL 60643
County:	Cook
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	M003777
Green Tag Issue Date:	6/2/2011
Green Tag Expiration Date:	12/31/2013

Owner Details

Owner Name:	MKS Energies, Inc.
Owner Address:	1421 W. 95th Street Chicago, IL 60643
Owner Status:	Current Owner
Purchase Date:	10/17/2005
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0034022	MKS Energies, Inc.	Current Owner	10/17/2005
U0024608	Moon & Sun Inc	Former Owner	8/12/1994
U0003073	Clark Retail Enterprises, Inc.	Former Owner	12/31/1967
U0038183	James Joseph, James Chackalapadavil and Jomon Thomas	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
17-1129	12/1/2017	Removal Log	01462-2017REM
17-1129	12/4/2017	Removal Log	01462-2017REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
09-0952	Eligible	11/12/2009	12/14/2009	$10,000
09-0952	Ineligible	11/4/2015	12/9/2015	$Not Selected
09-0952	Ineligible	1/22/2016	2/26/2016	$Not Selected
92-2496	Ineligible	1/22/2016	2/26/2016	$Not Selected
09-0952	Eligible	3/25/2016	3/29/2016	$10,000

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	8000	Gasoline	Removed	Federal		$0.00	12/01/2017 - REM
2	8000	Gasoline	Removed	Federal		$0.00	12/01/2017 - REM
3	8000	Gasoline	Removed	Federal		$0.00	12/01/2017 - REM
4	5000	Gasoline	Pre 1974	Exempt
5	5000	Gasoline	Pre 1974	Exempt

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found