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

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Facility Details

Facility Number:	2010685
Status:	Active
Facility Name:	Lake Zurich #3
Address:	1 N. Rand Road Lake Zurich, IL 60047
County:	Lake
Property Parcel:	14-18-300-040
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y001217
Green Tag Issue Date:	2/23/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Graham C-Stores Co.
Owner Address:	39109 N. US Hwy 41 Wadsworth, IL 60083
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	6/28/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	2/23/2023	12/31/2025

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0025940	Graham C-Stores Co.	Current Owner
U0006038	Graham C-Stores Company	Former Owner	7/15/1992
U0002208	Butt Richard	Former Owner	12/31/1967
U0027627	Graham C-Stores Co.	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
00-0529	1/29/2001	Removal Log	00089-2001REM
00-0529	3/12/2001	Removal Log	00236-2001REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
00-0529	Eligible	4/26/2000	5/9/2000	$10,000

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	8000	Gasoline - Regular	Currently in use	Federal		$0.00
2	6000	Gasoline - Premium	Currently in use	Federal		$0.00
3	6000	Diesel Fuel	Currently in use	Federal		$0.00
4	12000	Gasoline	Removed	Federal		$0.00	03/12/2001 - REM
5	550	Heating Oil	Removed	State			01/29/2001 - REM
6	12000	Gasoline - Regular	Currently in use	Federal		$0.00

Dispenser Information

Name\ID	Status
1/2	Active
11/12	Active
13/14	Active
15/16	Active
17/18	Active
3/4	Active
5/6	Active
7/8	Active
9/10	Active

MFD Motorfuel Dispensing Forms

No Forms Found