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:	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

Click for Facility/Tank Ownership history

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)

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
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 1

Capacity:	7500		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	5/14/2013
OSFM First Notify Date:	5/2/1986		Abandoned Material:
Current Age:	42		Abandoned Date:
Install Date:	1/1/1971		Red Tag Issue Date:
Last Used Date:	3/1/2013		Fee Due:	$0.00
Product Date:	1/1/1971

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	7/24/2007	7/24/2012
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	4/26/2011	4/26/2012
Leak Detect - Tank	Automatic Tank Gauging Arizona Instruments Encompass
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A

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:	5/14/2013
OSFM First Notify Date:	5/2/1986		Abandoned Material:
Current Age:	42		Abandoned Date:
Install Date:	1/1/1971		Red Tag Issue Date:
Last Used Date:	3/1/2013		Fee Due:	$0.00
Product Date:	1/1/1971

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	7/24/2007	7/24/2012
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	4/26/2011	4/26/2012
Leak Detect - Tank	Automatic Tank Gauging Arizona Instruments Encompass
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A

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:	5/14/2013
OSFM First Notify Date:	5/2/1986		Abandoned Material:
Current Age:	42		Abandoned Date:
Install Date:	1/1/1971		Red Tag Issue Date:
Last Used Date:	3/1/2013		Fee Due:	$0.00
Product Date:	1/1/1971

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	7/24/2007	7/24/2012
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	4/26/2011	4/26/2012
Leak Detect - Tank	Automatic Tank Gauging Arizona Instruments Encompass
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found