Information

JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
Employment Opportunities
Ready Illinois
Find us on Facebook

Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	2020418
Status:	Active
Facility Name:	Cedar Lake Clark
Address:	1010 Cedar Lake Road Round Lake Beach, IL 60073
County:	Lake
Property Parcel:
Facility Type:	Attended Self-Service/Unattended Self-Service
Owner Type:	Private
Green Tag Decal:	Y001205
Green Tag Issue Date:	1/12/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Amanda Li
Owner Address:	1010 N. Cedar Lake Rd. Round Lake Beach, IL 60073
Owner Status:	Current Owner
Purchase Date:	4/27/2015
Type of Financial Responsibility:	Designated Savings Account
Financial Responsibility Reporting Due Date:	2/12/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	1/12/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0037877	Li, Amanda	Current Owner	4/27/2015
U0036818	1010 Cedar Lake, Inc.	Former Owner	2/28/2013
U0029854	Eiserman, Michael and Jeffrey,	Former Owner	4/19/1999
U0008300	National Oil Company	Former Owner	7/15/1965

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
02-0296	7/26/2016	Abandonment Log	00836-2016ABN

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
93-2336	Eligible	11/18/1994	12/13/1994	$10,000
02-0296	Eligible	12/30/2004	1/20/2005	$15,000
02-0296	Eligible	3/11/2013	4/5/2013	$15,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Abandoned in place		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/6/1986		Abandoned Material:	Inert material mixed with portland cement
Current Age:	57		Abandoned Date:	7/26/2016
Install Date:	7/15/1966		Red Tag Issue Date:
Last Used Date:	10/1/2014		Fee Due:	$0.00
Product Date:	7/15/1966

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	9/5/2012	9/5/2017
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	9/12/2013	9/12/2014
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flexible Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Abandoned in place		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/6/1986		Abandoned Material:	Inert material mixed with portland cement
Current Age:	57		Abandoned Date:	2/15/2002
Install Date:	7/15/1966		Red Tag Issue Date:
Last Used Date:	4/19/1999		Fee Due:	$0.00
Product Date:	7/15/1966

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:	4000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/6/1986		Abandoned Material:
Current Age:	57		Abandoned Date:
Install Date:	7/15/1966		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/15/1966

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	2/1/2023	2/1/2026
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	12/14/2022	12/14/2027
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	2/14/2024	2/14/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	2/14/2024	2/14/2025
Overfill Prev Device	Overfill Drop Tube Valve	1/24/2022	1/24/2025
Piping	Flexible 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	2/14/2024	2/14/2027
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Single Wall Piping	Precision Test	Pass	2/14/2024
Tank	Steel Single Wall	Precision Test (Tank)	Pass	12/15/2022

Tank Number 4

Capacity:	8000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/7/1992		Abandoned Material:
Current Age:	36		Abandoned Date:
Install Date:	12/2/1987		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/2/1987

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	2/1/2023	2/1/2026
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	2/14/2024	2/14/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	2/14/2024	2/14/2025
Overfill Prev Device	Overfill Drop Tube Valve	1/24/2022	1/24/2025
Piping	Flexible 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	2/14/2024	2/14/2027
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Single Wall Piping	Precision Test	Pass	2/14/2024
Tank	Fiberglass Single Wall	Precision Test (Tank)	Pass	10/14/2021

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

MFD Motorfuel Dispensing Forms

No Forms Found