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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:	2010055
Status:	Closed
Facility Name:	Orland Park Clark
Address:	14800 S. La Grange Road Orland Park, IL 60462
County:	Cook
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	M001280
Green Tag Issue Date:	4/28/2011
Green Tag Expiration Date:	12/31/2013

Owner Details

Owner Name:	Great Lakes Trust
Owner Address:	7250 W. Ishnala Drive Palos Heights, IL 60463
Owner Status:	Current Owner
Purchase Date:	9/1/2004
Type of Financial Responsibility:	Letter of Credit
Financial Responsibility Reporting Due Date:	3/22/2014

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	4/28/2011	12/31/2013

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0036827	Great Lakes Trust	Current Owner	9/1/2004
U0034200	Orland Park Clark	Former Owner	9/1/2004
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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No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
13-0374	5/14/2013	Removal Log	00306-2013REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
93-0771	Eligible	1/10/1994	1/14/1994	$10,000
13-0374	Eligible	4/18/2013	5/31/2013	$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	05/14/2013 - REM
2	7500	Gasoline	Removed	Federal		$0.00	05/14/2013 - REM
3	7500	Gasoline	Removed	Federal		$0.00	05/14/2013 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found