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:	2010868
Status:	Active
Facility Name:	Village of Lombard
Address:	255 E. Wilson Ave. Lombard, IL 60148
County:	Du Page
Property Parcel:	06-17-308-027
Facility Type:	City / Town
Owner Type:	Municipal
Green Tag Decal:	Y004564
Green Tag Issue Date:	10/25/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Village of Lombard
Owner Address:	255 E. Wilson Avenue Lombard, IL 60148
Owner Status:	Current Owner
Purchase Date:	6/12/1981
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	4/1/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Fleet	10/25/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0009328	Village of Lombard	Current Owner	6/12/1981

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
14-1239	1/27/2015	Removal Log	01099-2014REM
15-0064	1/20/2015	Removal Log	01135-2014REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
14-1036	Eligible	12/1/2014	1/20/2015	$5,000
14-1239	Eligible	1/29/2015	2/3/2015	$5,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	1/27/2015
OSFM First Notify Date:	5/7/1986		Abandoned Material:
Current Age:	42		Abandoned Date:
Install Date:	1/1/1973		Red Tag Issue Date:
Last Used Date:	1/21/2015		Fee Due:	$0.00
Product Date:	10/15/1972

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	8/16/2013	8/16/2016
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	7/8/2013	7/8/2014
Leak Detect - Tank	Automatic Tank Gauging Incon TS 750
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall Ameron Dualoy 3000/L	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 2

Capacity:	10000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	1/27/2015
OSFM First Notify Date:	5/7/1986		Abandoned Material:
Current Age:	42		Abandoned Date:
Install Date:	1/1/1973		Red Tag Issue Date:
Last Used Date:	1/21/2015		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	8/16/2013	8/16/2016
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Incon TS 750
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall Ameron Dualoy 3000/L	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 3

Capacity:	1000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	5/1/1989
OSFM First Notify Date:	5/7/1986		Abandoned Material:
Current Age:	7		Abandoned Date:
Install Date:	1/1/1973		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	6/12/1981

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:	500		Petroleum Use:
Product:	Used Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	5/1/1989
OSFM First Notify Date:	5/7/1986		Abandoned Material:
Current Age:	16		Abandoned Date:
Install Date:	1/1/1973		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 5

Capacity:	1000		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	1/20/2015
OSFM First Notify Date:	5/7/1986		Abandoned Material:
Current Age:	34		Abandoned Date:
Install Date:	1/1/1981		Red Tag Issue Date:
Last Used Date:	12/1/2014		Fee Due:	$0.00
Product Date:	1/1/1981

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	7/8/2013	7/8/2016
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Incon TS 750
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flexible Single Wall Piping A.P.T. Poly Tech XP-100-D	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket
Tank	STIP3 Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 6

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	2/13/2015		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	10/24/2014		Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:	1/16/2015

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	6/19/2023	6/19/2024
Overfill Prev Device	Overfill Drop Tube Valve	4/15/2021	4/15/2024
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	4/15/2021	4/15/2024
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 7

Capacity:	12000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	2/13/2015		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	10/24/2014		Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:	1/6/2015

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	6/19/2023	6/19/2024
Overfill Prev Device	Overfill Drop Tube Valve	4/15/2021	4/15/2024
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	4/15/2021	4/15/2024
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found