Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 2012959
Status: Active
Facility Name: Round Lake #108
Address: 221 W. Rollins Road
Round Lake Beach, IL 60073
County: Lake
Property Parcel:
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Y003048
Green Tag Issue Date: 10/4/2023
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 10/4/2023 12/31/2025

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0025940 Graham C-Stores Co. Current Owner
U0006038 Graham C-Stores Company 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
17-0153 3/16/2017 Abandonment Log 00268-2017ABN

LUST Fund Eligibility and Deductibility Determinations

IEMA Number Status OSFM Received Date OSFM Response Date Deductible Letter
20170153 Eligible 3/15/2017 3/15/2017 $5,000 Letter
Pay Tank Fees Online

Tank Information



Tank Number 1

Capacity: 12000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 4/30/1986 Abandoned Material:
Current Age: 40 Abandoned Date:
Install Date: 4/30/1984 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Sacrificial Anode Flex Connector 6/25/2023 6/25/2026
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 6/15/2023 6/15/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 6/15/2023 6/15/2024
Overfill Prev Device Overfill Drop Tube Valve 12/6/2022 12/6/2025
Piping Flex Connector Steel N/A N/A
Piping Fiberglass Single Wall Piping N/A N/A
Piping Single Wall STP/Tanktop Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated Not Installed N/A N/A
Spill Contain Device Single Wall Spill Bucket 12/6/2022 12/6/2025
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping Precision Test Pass 6/15/2023



Tank Number 2

Capacity: 6000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 4/30/1986 Abandoned Material:
Current Age: 40 Abandoned Date:
Install Date: 4/30/1984 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Sacrificial Anode Flex Connector 6/25/2023 6/25/2026
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 6/15/2023 6/15/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 6/15/2023 6/15/2024
Overfill Prev Device Overfill Drop Tube Valve 12/6/2022 12/6/2025
Piping Flex Connector Steel N/A N/A
Piping Fiberglass Single Wall Piping N/A N/A
Piping Single Wall STP/Tanktop Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated Not Installed N/A N/A
Spill Contain Device Single Wall Spill Bucket 12/6/2022 12/6/2025
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping Precision Test Pass 6/15/2023



Tank Number 3

Capacity: 12000 Petroleum Use:
Product: Gasoline - Mid-grade CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 4/30/1986 Abandoned Material:
Current Age: 40 Abandoned Date:
Install Date: 4/30/1984 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Sacrificial Anode Flex Connector 6/25/2023 6/25/2026
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 6/15/2023 6/15/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 6/15/2023 6/15/2024
Overfill Prev Device Overfill Drop Tube Valve 12/6/2022 12/6/2025
Piping Flex Connector Steel N/A N/A
Piping Fiberglass Single Wall Piping N/A N/A
Piping Single Wall STP/Tanktop Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated Not Installed N/A N/A
Spill Contain Device Single Wall Spill Bucket 12/6/2022 12/6/2025
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping Precision Test Pass 6/15/2023



Tank Number 4

Capacity: 6000 Petroleum Use: None
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 4/30/1986 Abandoned Material:
Current Age: 40 Abandoned Date:
Install Date: 4/30/1984 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Sacrificial Anode Flex Connector 6/25/2023 6/25/2026
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 6/15/2023 6/15/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 6/15/2023 6/15/2024
Overfill Prev Device Overfill Drop Tube Valve 12/6/2022 12/6/2025
Piping Flex Connector Steel N/A N/A
Piping Fiberglass Single Wall Piping N/A N/A
Piping Single Wall STP/Tanktop Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated Not Installed N/A N/A
Spill Contain Device Single Wall Spill Bucket 12/6/2022 12/6/2025
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping Precision Test Pass 6/15/2023



Tank Number 5

Capacity: 4000 Petroleum Use:
Product: Kerosene CERCLA Substance:
Status: Abandoned in place CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 4/30/1986 Abandoned Material: Inert material mixed with portland cement
Current Age: 20 Abandoned Date: 3/16/2017
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
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Lining Materials Internal 5/27/2011 5/27/2016
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 Veeder Root TLS 350 with CSLD
Overfill Prev Device Overfill Drop Tube Valve
Piping Flex Connector Steel N/A N/A
Piping Fiberglass Single Wall Piping 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

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 Not Installed 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 Not Installed N/A N/A



Name\ID 5/6

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



Name\ID 7/8

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



Name\ID 9/10

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

MFD Motorfuel Dispensing Forms

No Forms Found