Information

JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
Employment Opportunities
Ready Illinois
Find us on Facebook

Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	2010521
Status:	Closed
Facility Name:	Former P.G. Clark
Address:	5 W. Palatine Road Palatine, IL 60067
County:	Cook
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	K000919
Green Tag Issue Date:	7/23/2009
Green Tag Expiration Date:	12/31/2011

Owner Details

Owner Name:	Village of Palatine
Owner Address:	200 E. Wood Street Palatine, IL 60067
Owner Status:	Current Owner
Purchase Date:	4/19/2011
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	4/25/2012

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	5/19/2009	12/31/2011

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0011498	Village of Palatine	Current Owner	4/19/2011
U0028012	ZBJ Inc	Former Owner	4/16/1998
U0025981	Pdv Midwest Refining Llc	Former Owner	5/1/1997
U0015441	The Uno Ven Company	Former Owner	9/21/1994
U0030698	Nida Saba, Inc.,	Former Owner
U0029182	Palatine Citgo	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
11-1144	10/24/2011	Removal Log	00995-2011REM
15-1246	11/30/2015	Removal Log	01255-2015REM
902055	7/24/1990	Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
95-0010	Returned	2/19/1997	2/19/1997	$10,000
11-1144	Eligible	6/5/2012	8/2/2012	$5,000
15-1246	Eligible	1/27/2016	3/10/2016	$5,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	550		Petroleum Use:
Product:	Used Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/1/1990
OSFM First Notify Date:	5/5/1986		Abandoned Material:
Current Age:	40		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			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:	1000		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	7/1/1990
OSFM First Notify Date:	5/5/1986		Abandoned Material:
Current Age:	19		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			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:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/24/2011
OSFM First Notify Date:	5/5/1986		Abandoned Material:
Current Age:	32		Abandoned Date:
Install Date:	1/1/1979		Red Tag Issue Date:
Last Used Date:	5/1/2010		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Cathodic Protection	11/21/2007	11/21/2008
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	7/16/2009	7/16/2010
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Steel Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/24/2011
OSFM First Notify Date:	5/5/1986		Abandoned Material:
Current Age:	31		Abandoned Date:
Install Date:	1/1/1980		Red Tag Issue Date:
Last Used Date:	5/1/2010		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Cathodic Protection	11/21/2007	11/21/2008
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	7/16/2009	7/16/2010
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Steel Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/24/2011
OSFM First Notify Date:	5/5/1986		Abandoned Material:
Current Age:	31		Abandoned Date:
Install Date:	1/1/1980		Red Tag Issue Date:
Last Used Date:	5/1/2010		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Cathodic Protection	11/21/2007	11/21/2008
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	7/16/2009	7/16/2010
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Steel Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 6

Capacity:	550		Petroleum Use:
Product:	Used Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/30/2015
OSFM First Notify Date:	11/9/2015		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	4/1/2011		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 7

Capacity:	550		Petroleum Use:
Product:	Used Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/30/2015
OSFM First Notify Date:	12/2/2015		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	4/1/2011		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

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found