Division of Petroleum & Chemical Safety

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Facility Details

Facility Number:	2014091
Status:	Active
Facility Name:	Sam's Auto Service
Address:	4401 St Charles Road Bellwood, IL 60104
County:	Cook
Property Parcel:	15-08-215-065-0000
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	X001498
Green Tag Issue Date:	8/19/2022
Green Tag Expiration Date:	12/31/2024

Owner Name:	Bassam Shaheen
Owner Address:	4401 St Charles Road Bellwood, IL 60104
Owner Status:	Current Owner
Purchase Date:	12/31/1984
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	7/24/2024

MFD Permit Type	Issue Date	Expiration Date
Self Service	6/1/2022	12/31/2024

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0013806	Shaheen, Bassam	Current Owner	12/31/1984
U0008295	Kayo Oil Co	Former Owner	12/31/1967

Click for permit history

No Active Permits Found

NOV Number: E0020240827 (Pending) Issue Date: 3/19/2024 Expiration Date: 5/18/2024 View NOV Form

Tanks	Deficiency
Facility	Annual Emergency Stop Inspection not completed or inspection report not available.
7, 8, 9	Annual leak detection certification not completed (Required annually).
7, 8, 9	Annual line precision and mechanical line leak detector functional test not completed.
Facility	Missing copies of 30 day Walkthrough Inspection Report.
Facility	Missing copies of Annual Walkthrough Inspection Report.
Facility	Missing list of designated Class A/B & C Operators
7, 9	Overfill prevention equipment inspection(s) not completed (Required every 3 years).
7, 8, 9	Shear valve inspection report not completed (Required during Annual Walkthrough Inspection).
7, 8, 9	Spill prevention equipment contains liquid/debris and must be cleared of materials and maintained clean and dry.
7	Stick inserted in drop tube overfill device rendering it inoperative - Remove stick.
8, 9, 10	Triennial spill prevention equipment testing not completed.

IEMA Number	Inspection Date	Inspection Type	Permit Number
94-2131	9/19/1994	Removal Log

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
94-2131	Eligible	9/27/1994	10/13/1994	$15,000

Pay Tank Fees Online

Tank Number	Capacity	Product	Status	Regulated Status	Fee Due	Abandon/Removal Date
1	8000	Gasoline	Removed	Federal	$0.00	09/19/1994 - REM
2	8000	Gasoline	Removed	Federal	$0.00	09/19/1994 - REM
3	8000	Diesel Fuel	Removed	Federal	$0.00	09/19/1994 - REM
4	4000	Gasoline	Removed	Federal	$0.00	09/19/1994 - REM
5	500	Used Oil	Removed	Federal	$0.00	09/19/1994 - REM
6	500	Heating Oil	Removed	State	$0.00	09/19/1994 - REM
7	10000	Gasoline - Regular	Currently in use	Federal	$0.00
8	6000	Gasoline - Premium	Currently in use	Federal	$0.00
9	4000	Diesel Fuel	Currently in use	Federal
10	500	Used Oil	Currently in use	Federal	$0.00

No Forms Found