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:	2016100
Status:	Active
Facility Name:	5200 Addison Gas, Inc.
Address:	5200 W. Addison Street Chicago, IL 60641
County:	Cook
Property Parcel:	13-21-131-027-0000
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y000514
Green Tag Issue Date:	7/11/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	5200 Addison Property, Inc.
Owner Address:	5200 W. Addison Street Chicago, IL 60641
Owner Status:	Current Owner
Purchase Date:	5/20/2023
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	8/2/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	5/5/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0040953	5200 Addison Property, Inc.	Current Owner	5/20/2023
U0039155	Addison Oil Co., Inc.	Former Owner	11/15/2017
U0015322	Twist Service, Inc.	Former Owner	11/15/2017

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
20190220	Eligible	6/21/2019	6/25/2019	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/1/1986		Abandoned Material:
Current Age:	46		Abandoned Date:
Install Date:	5/1/1977		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	1/4/2024	1/4/2025
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	12/6/2023	12/6/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root EMC with CSLD	12/6/2023	12/6/2024
Overfill Prev Device	Overfill Drop Tube Valve	2/21/2023	2/21/2026
Piping	Steel Single Wall Piping	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	12/19/2022	12/19/2025
Leak Detect - Piping	Sump Sensor	12/6/2023	12/6/2024
Spill Contain Device	Single Wall Spill Bucket	2/21/2023	2/21/2026
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:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/1/1986		Abandoned Material:
Current Age:	46		Abandoned Date:
Install Date:	5/1/1977		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	1/4/2024	1/4/2025
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	12/6/2023	12/6/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root EMC with CSLD	12/6/2023	12/6/2024
Overfill Prev Device	Overfill Drop Tube Valve	2/21/2023	2/21/2026
Piping	Steel Single Wall Piping	N/A	N/A
Piping	Not Installed STP/Tanktop Sump	N/A	N/A
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	2/21/2023	2/21/2026
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/1/1986		Abandoned Material:
Current Age:	46		Abandoned Date:
Install Date:	5/1/1977		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	1/4/2024	1/4/2025
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Other Non-vented check valve	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	12/6/2023	12/6/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root EMC with CSLD	12/6/2023	12/6/2024
Overfill Prev Device	Overfill Drop Tube Valve	12/19/2022	12/19/2025
Piping	Steel Single Wall Piping	N/A	N/A
Piping	Not Installed STP/Tanktop Sump	N/A	N/A
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	12/19/2022	12/19/2025
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	Not Installed UDC Sump	N/A	N/A
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	Not Installed UDC Sump	N/A	N/A
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	Not Installed UDC Sump	N/A	N/A
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	Not Installed UDC Sump	N/A	N/A
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found