Information

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

Facility Details

Facility Number:	2017399
Status:	Active
Facility Name:	Gulf
Address:	1184 North Convent Street Bourbonnais, IL 60914
County:	Kankakee
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z000960
Green Tag Issue Date:	4/9/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Shaddy's Convenient Mart, Inc.
Owner Address:	1184 N. Convent Street Bourbonnais, IL 60914
Owner Status:	Current Owner
Purchase Date:	8/1/2015
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	4/9/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	4/9/2024	12/31/2026

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0038026	Shaddy's Convenient Mart, Inc.	Current Owner	8/1/2015
U0028922	C.F.M.I., Inc.	Former Owner	11/1/1999
U0012623	Remote Service, Inc.	Former Owner	12/31/1967
U0027520	Remote Services Inc Dba Dairy Mart	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
96-1159	6/27/1996	Removal Log
99-1483	6/19/1999	Removal Log	02254-1999REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
96-1159	Eligible	10/1/1996	10/23/1996	$10,000
99-1483	Eligible	10/7/1999	10/12/1999	$10,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:	UNKNOWN
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/19/1999
OSFM First Notify Date:	12/19/1986		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	1/1/1975		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:	UNKNOWN
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/19/1999
OSFM First Notify Date:	12/19/1986		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	1/1/1975		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:	UNKNOWN
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/19/1999
OSFM First Notify Date:	12/19/1986		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	1/1/1975		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	2000		Petroleum Use:
Product:	Kerosene		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/27/1996
OSFM First Notify Date:	12/19/1986		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	12/1/1986		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/22/1999		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	11/1/1999		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/1/1999

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	Mechanical Pressurized Line Leak Detection	10/5/2023	10/5/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	6/14/2023	6/14/2024
Overfill Prev Device	Overfill Drop Tube Valve	6/11/2021	6/11/2024
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/2/2023	10/2/2026
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	6/14/2023	6/14/2026
Tank	Fiberglass Single Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Single Wall Piping A.O. Smith	Precision Test	Pass	6/11/2021
Piping	Fiberglass Single Wall Piping Ameron	Precision Test	Pass	10/5/2023

Tank Number 6

Capacity:	8000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/22/1999		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	11/1/1999		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/1/1999

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	Mechanical Pressurized Line Leak Detection	10/5/2023	10/5/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	6/14/2023	6/14/2024
Overfill Prev Device	Overfill Drop Tube Valve	6/15/2021	6/15/2024
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/2/2023	10/2/2026
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	6/14/2023	6/14/2026
Tank	Fiberglass Single Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Single Wall Piping A.O. Smith	Precision Test	Pass	6/11/2021
Piping	Fiberglass Single Wall Piping Ameron	Precision Test	Pass	10/5/2023

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	10/2/2023	10/2/2026
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	10/2/2023	10/2/2026
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found