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:	2010037
Status:	Active
Facility Name:	Palos Heights, LLC
Address:	12100 S. Ridgeland Palos Heights, IL 60463
County:	Cook
Property Parcel:	24-30-203-009-0000; 24-30-203-016-0000
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y002429
Green Tag Issue Date:	12/27/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	12100 Palos Heights, LLC
Owner Address:	1983 Rt. 52, Suite 1 A Hopewell Junction, NY 12533
Owner Status:	Current Owner
Purchase Date:	12/9/2021
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	10/27/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	12/27/2023	12/31/2025

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0040429	12100 Palos Heights, LLC	Current Owner	12/9/2021
U0039464	Swami Shriji Krupa, Inc.	Former Owner	9/26/2018
U0038745	Palos Heights, LLC	Former Owner	2/15/2017
U0037746	P H Mart, Inc.	Former Owner	4/1/2015
U0032740	SJM Real Estate Management, Inc.	Former Owner	1/2/2005
U0032043	Sabiz Enterprises, Inc.	Former Owner	9/22/2004
U0003073	Clark Retail Enterprises, Inc.	Former Owner	11/22/1988
U0029789	Clark Retail Enterprises, Inc.	Former Owner
U0028787	Clark Retail Enterprises, Inc.,	Former Owner

Permits (Unexpired)

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Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
01461-2023CAT	Cathodic Protection	Approved / Issued	12/12/2023	12/13/2023	6/13/2024	Documents

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
93-0983	4/20/1993	Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
93-0983	Eligible	11/23/1993	12/13/1993	$10,000
93-0983	Eligible	4/14/2003	4/21/2003	$10,000
19930983	Eligible	6/8/2020	6/8/2020	$10,000	Letter

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	04/20/1993 - REM
2	10000	Gasoline	Removed	Federal		$0.00	04/20/1993 - REM
3	7500	Gasoline	Removed	Federal		$0.00	04/20/1993 - REM
4	12000	Gasoline - Regular	Currently in use	Federal		$0.00
5	12000	Gasoline - Premium	Currently in use	Federal		$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