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:	2018008
Status:	Active
Facility Name:	Jacob's Gas, Inc.
Address:	1005 Golf Rd. Waukegan, IL 60085
County:	Lake
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z000752
Green Tag Issue Date:	4/11/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Jacob's Gas, Inc.
Owner Address:	1005 Golf Road Waukegan, IL 60087
Owner Status:	Current Owner
Purchase Date:	3/10/2006
Type of Financial Responsibility:	Certificate of Deposit
Financial Responsibility Reporting Due Date:	6/6/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	4/11/2024	12/31/2026

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0032965	Jacob's Gas, Inc.	Current Owner	3/10/2006
U0027588	Akka Enterprises	Former Owner	4/1/1994
U0011329	Olson Oil Company, Inc.	Former Owner	12/31/1967

Permits (Unexpired)

Click for permit history

Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
00132-2024UPG	Upgrade	Approved / Issued	2/4/2024	2/4/2024	8/6/2024	Documents

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
03-1567	Returned	10/29/2003	11/7/2003	$Not Selected
03-1567	Eligible	11/14/2003	11/24/2003	$10,000
03-1567	Returned	9/14/2006	9/25/2006	$Not Selected
03-1567	Eligible	9/16/2010	11/8/2010	$10,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	8000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	4/16/1986		Abandoned Material:
Current Age:	43		Abandoned Date:
Install Date:	1/1/1981		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	Sacrificial Anode Flex Connector	8/15/2023	8/15/2026
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	7/11/2019	7/11/2024
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	8/15/2023	8/15/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	8/15/2023	8/15/2024
Overfill Prev Device	Overfill Drop Tube Valve	8/15/2023	8/15/2026
Piping	Flexible Double Wall Total Containment Omniflex I	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	8/15/2023	8/15/2026
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Total Containment Omniflex I	Precision Test	Pass	8/15/2023
Tank	Steel Single Wall	Precision Test (Tank)	Pass	9/17/2019

Tank Number 2

Capacity:	8000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	4/16/1986		Abandoned Material:
Current Age:	43		Abandoned Date:
Install Date:	1/1/1981		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	Sacrificial Anode Flex Connector	8/15/2023	8/15/2026
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	7/11/2019	7/11/2024
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	8/15/2023	8/15/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	8/15/2023	8/15/2024
Overfill Prev Device	Overfill Drop Tube Valve	2/6/2024	2/6/2027
Piping	Flexible Double Wall Total Containment Omniflex I	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	2/6/2024	2/6/2027
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Total Containment Omniflex I	Precision Test	Pass	8/15/2023
Tank	Steel Single Wall	Precision Test (Tank)	Pass	1/23/2024

Dispenser Information

Name\ID 1/2

Status:	Active

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

MFD Motorfuel Dispensing Forms

No Forms Found