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:	2010059
Status:	Inactive
Facility Name:	American Gas
Address:	15555 South Park Avenue South Holland, IL 60473
County:	Cook
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	M001406
Green Tag Issue Date:	12/2/2011
Green Tag Expiration Date:	12/31/2013

Owner Details

Owner Name:	American Petroleum & Gas, Inc.
Owner Address:	8651 W. 71st Street Justice, IL 60458
Owner Status:	Current Owner / Operator
Purchase Date:	4/1/2011
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	8/1/2012

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	12/2/2011	12/31/2013

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0031495	American Petroleum & Gas, Inc.	Current Owner / Operator	4/1/2011
U0029789	Clark Retail Enterprises, Inc.	Former Owner	11/22/1988
U0028787	Clark Retail Enterprises, Inc.,	Former Owner
U0003073	Clark Retail Enterprises, Inc.	Former Owner
U0032657	APC Investment Corporation	Former Owner / Operator	1/1/2005
U0031495	American Petroleum & Gas, Inc.	Former Owner / Operator	8/27/2003

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

NOV Number: E0020130722 (Referred to AG) Issue Date: 3/26/2013 Expiration Date: 5/25/2013 View NOV Form

Tanks	Deficiency
4, 5	Annual line precision and mechanical line leak detector functional test not completed.
Facility	Financial responsibility must be reported yearly
Facility	Missing copies of current testing certificates for operator training
Facility	Missing copies of quarterly inspection checklist
4, 5	Required monthly tank leak test records not available.
4, 5	Submit Notification Form For Tank Status Change

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
98-157	6/30/1998	Removal Log	1502-98
98-1578	6/30/1998	Removal Log	1502-98

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
94-0563	Eligible	9/27/1996	10/21/1996	$10,000

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:	6/30/1998
OSFM First Notify Date:	5/2/1986		Abandoned Material:
Current Age:	27		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

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:	6/30/1998
OSFM First Notify Date:	5/2/1986		Abandoned Material:
Current Age:	27		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

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:	6/30/1998
OSFM First Notify Date:	5/2/1986		Abandoned Material:
Current Age:	27		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	12000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Out of service		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/3/1999		Abandoned Material:
Current Age:	25		Abandoned Date:
Install Date:	7/2/1998		Red Tag Issue Date:	6/27/2013
Last Used Date:	1/1/2013		Fee Due:	$0.00
Product Date:	7/2/1998

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/29/2011	11/29/2014
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	11/29/2011	11/29/2012
Leak Detect - Tank	Automatic Tank Gauging Red Jacket Pro Max with CSLD
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	11/29/2011	11/29/2012
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	12000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Out of service		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/3/1998		Abandoned Material:
Current Age:	25		Abandoned Date:
Install Date:	7/2/1998		Red Tag Issue Date:	6/27/2013
Last Used Date:	1/1/2013		Fee Due:	$0.00
Product Date:	7/2/1998

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/29/2011	11/29/2014
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	11/29/2011	11/29/2012
Leak Detect - Tank	Automatic Tank Gauging Red Jacket Pro Max with CSLD
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	11/29/2011	11/29/2012
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Double 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