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:	2010103
Status:	Closed
Facility Name:	Former Gas Station
Address:	5836 S. Harlem Avenue Summit, IL 60501
County:	Cook
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	E002185
Green Tag Issue Date:	3/2/2004
Green Tag Expiration Date:	12/31/2006

Owner Details

Owner Name:	Nathan Freeborn
Owner Address:	4741 N. Albany Chicago, IL 60625
Owner Status:	Current Owner
Purchase Date:	3/24/2008
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	4/21/2004	4/15/2005

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0034710	Freeborn, Nathan	Current Owner	3/24/2008
U0031564	United Petroleum Corporation	Former Owner	8/21/2003
U0007851	Jefferson Pilot Life	Former Owner	5/7/1997
U0003073	Clark Retail Enterprises, Inc.	Former Owner	11/22/1988
U0007851	Jefferson Pilot Life	Former Owner	12/31/1967
U0033484	Sircher, James	Former Owner
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
90-1909	7/11/1990	Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
90-1909	Eligible	8/27/2001	9/21/2001	$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:	7/11/1990
OSFM First Notify Date:	5/2/1986		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	1/1/1969		Red Tag Issue Date:
Last Used Date:	7/1/1990		Fee Due:	$0.00
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:	7/11/1990
OSFM First Notify Date:	5/2/1986		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	1/1/1969		Red Tag Issue Date:
Last Used Date:	7/1/1990		Fee Due:	$0.00
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:	7/11/1990
OSFM First Notify Date:	5/2/1986		Abandoned Material:
Current Age:	19		Abandoned Date:
Install Date:	1/1/1971		Red Tag Issue Date:
Last Used Date:	7/1/1990		Fee Due:	$0.00
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:	10000		Petroleum Use:
Product:			CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	7/11/1990
OSFM First Notify Date:	3/11/1992		Abandoned Material:	Inert material mixed with portland cement
Current Age:	19		Abandoned Date:	1/1/1968
Install Date:	1/1/1971		Red Tag Issue Date:
Last Used Date:	4/1/1968		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 5

Capacity:	12000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	5/12/2008
OSFM First Notify Date:	9/24/1990		Abandoned Material:
Current Age:	17		Abandoned Date:
Install Date:	7/1/1990		Red Tag Issue Date:
Last Used Date:	5/12/2006		Fee Due:	$0.00
Product Date:	7/1/1990

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 6

Capacity:	12000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	5/12/2008
OSFM First Notify Date:	9/24/1990		Abandoned Material:
Current Age:	17		Abandoned Date:
Install Date:	7/1/1990		Red Tag Issue Date:
Last Used Date:	5/12/2006		Fee Due:	$0.00
Product Date:	7/1/1990

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found