Information

JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
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Ready Illinois
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Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	2012960
Status:	Active
Facility Name:	Fairfield #109
Address:	1115 Fairfield Rd. Round Lake Beach, IL 60073
County:	Lake
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	X001398
Green Tag Issue Date:	8/22/2022
Green Tag Expiration Date:	12/31/2024

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	5/17/2024	12/31/2026

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0025940	Graham C-Stores Co.	Current Owner
U0027627	Graham C-Stores Co.	Former Owner	7/15/1992
U0006038	Graham C-Stores Company	Former Owner	12/31/1967

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
20200280	Eligible	4/21/2020	4/22/2020	$5,000	Letter
20230758	Eligible	3/13/2024	3/14/2024	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number 1

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:	38		Abandoned Date:
Install Date:	4/1/1986		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	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	11/7/2023	11/7/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	11/7/2023	11/7/2024
Overfill Prev Device	Overfill Alarm	11/7/2023	11/7/2026
Overfill Prev Device	Overfill Drop Tube Valve	11/7/2023	11/7/2026
Piping	Flexible Double Wall NUPI Smartflex	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/3/2023	10/3/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	11/7/2023	11/7/2024
Spill Contain Device	Single Wall Spill Bucket	10/3/2023	10/3/2026
Tank	Fiberglass Single Wall Owens Corning	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
Piping	Flexible Double Wall NUPI Smartflex	Precision Test	Pass	11/7/2023
Tank	Fiberglass Single Wall Owens Corning	Precision Test (Tank)	Pass	11/7/2023

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:	38		Abandoned Date:
Install Date:	4/1/1986		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	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	11/7/2023	11/7/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	11/7/2023	11/7/2024
Overfill Prev Device	Overfill Alarm	11/7/2023	11/7/2026
Overfill Prev Device	Overfill Drop Tube Valve	11/7/2023	11/7/2026
Piping	Flexible Double Wall NUPI Smartflex	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/3/2023	10/3/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	11/7/2023	11/7/2024
Spill Contain Device	Single Wall Spill Bucket	10/3/2023	10/3/2026
Tank	Fiberglass Single Wall Owens Corning	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
Piping	Flexible Double Wall NUPI Smartflex	Precision Test	Pass	11/7/2023
Tank	Fiberglass Single Wall Owens Corning	Precision Test (Tank)	Pass	11/7/2023

Tank Number 3

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:	38		Abandoned Date:
Install Date:	4/1/1986		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	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	11/7/2023	11/7/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	11/7/2023	11/7/2024
Overfill Prev Device	Overfill Alarm	11/7/2023	11/7/2026
Overfill Prev Device	Overfill Drop Tube Valve	11/7/2023	11/7/2026
Piping	Flexible Double Wall NUPI Smartflex	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/3/2023	10/3/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	11/7/2023	11/7/2024
Spill Contain Device	Single Wall Spill Bucket	10/3/2023	10/3/2026
Tank	Fiberglass Single Wall Owens Corning	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
Piping	Flexible Double Wall NUPI Smartflex	Precision Test	Pass	11/7/2023
Tank	Fiberglass Single Wall Owens Corning	Precision Test (Tank)	Pass	11/7/2023

Tank Number 4

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:	18		Abandoned Date:	5/7/2020
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	Impressed Current Cathodic Protection	10/12/2017	10/12/2018
Corrosion Prot - Tank	Impressed Current Cathodic Protection	10/12/2017	10/12/2018
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	9/18/2019	9/18/2020
Overfill Prev Device	Overfill Drop Tube Valve	9/18/2019	9/18/2022
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	9/18/2019	9/18/2022
Tank	Steel 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	10/3/2023	10/3/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	11/7/2023	11/7/2024

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	10/3/2023	10/3/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	11/7/2023	11/7/2024

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	10/3/2023	10/3/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	11/7/2023	11/7/2024

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	10/3/2023	10/3/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	11/7/2023	11/7/2024

MFD Motorfuel Dispensing Forms

No Forms Found