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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

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Facility Details

Facility Number:	2016443
Status:	Active
Facility Name:	1234 Food Mart, Inc.
Address:	1234 North Sheridan Rd. North Chicago, IL 60064
County:	Lake
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y003285
Green Tag Issue Date:	11/21/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Jiwani Investment, LLC
Owner Address:	1649 Patriot Blvd. Glenview, IL 60026
Owner Status:	Current Owner
Purchase Date:	5/15/2018
Type of Financial Responsibility:	Certificate of Deposit
Financial Responsibility Reporting Due Date:	11/5/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	11/21/2023	12/31/2025

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0039187	Jiwani Investment, LLC	Current Owner	5/15/2018
U0038616	Petrogreen, Inc.	Former Owner	12/21/2016
U0025164	BAPA, LLC & PT, LLC	Former Owner	6/4/2004
U0003477	Country Pantry, Inc.	Former Owner	12/19/1996
U0000651	B.A.P.A., LLC & PT, LLC	Former Owner	12/31/1967

Permits (Unexpired)

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No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
07-0348	4/19/2007	Removal Log	00437-2007REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
07-0147	Eligible	3/21/2007	4/5/2007	$10,000
07-0348	Eligible	3/28/2007	4/12/2007	$10,000

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	3000	Gasoline	Removed	Federal		$0.00	12/01/1988 - REM
2	3000	Gasoline	Removed	Federal		$0.00	12/01/1988 - REM
3	3000	Gasoline	Removed	Federal		$0.00	12/01/1988 - REM
4	6250	Gasoline	Removed	Federal		$0.00	12/01/1988 - REM
5	550	Used Oil	Removed	Federal		$0.00	02/01/1988 - REM
6	10000	Gasoline	Removed	Federal		$0.00	04/19/2007 - REM
7	12000	Gasoline	Removed	Federal		$0.00	04/19/2007 - REM
8	12000	Gasoline	Removed	Federal		$0.00	04/19/2007 - REM
9	10000	Diesel Fuel	Currently in use	Federal		$0.00
10	12000	Gasoline - Premium	Currently in use	Federal		$0.00
11	12000	Gasoline - Regular	Currently in use	Federal		$0.00

Dispenser Information

Name\ID	Status
1/2	Active
3/4	Active
5/6	Active
7/8	Active
9/10	Active

MFD Motorfuel Dispensing Forms

No Forms Found