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:	2020650
Status:	Active
Facility Name:	2 W. Belvidere Holding, LLC
Address:	2 W. Belvidere Rd. Hainesville, IL 60030
County:	Lake
Property Parcel:	06-28-401-004
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y003263
Green Tag Issue Date:	8/21/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	2 W. Belvidere Holding, LLC
Owner Address:	2 W. Belvidere Rd,. Hainesville, IL 60030
Owner Status:	Current Owner
Purchase Date:	6/3/2021
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	9/20/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	2/22/2023	12/31/2025
Self Service	2/22/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0040359	2 W. Belvidere Holding, LLC	Current Owner	6/3/2021
U0037884	GBS Petro, Inc.	Former Owner	6/24/2015
U0032209	Combined Real Estate, LLC	Former Owner	7/16/2004
U0007721	J & L Oil Co., Inc.	Former Owner	6/1/1963

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
96-2137	11/14/1996	Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
93-2057	Eligible	3/3/1994	5/4/1994	$10,000
19932057	Eligible	4/19/2021	4/23/2021	$10,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	4000		Petroleum Use:
Product:	Kerosene		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/14/1996
OSFM First Notify Date:	4/28/1986		Abandoned Material:
Current Age:	34		Abandoned Date:
Install Date:	9/1/1962		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/1/1962

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:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/14/1996
OSFM First Notify Date:	4/28/1986		Abandoned Material:
Current Age:	34		Abandoned Date:
Install Date:	9/1/1962		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/1/1962

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:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/14/1996
OSFM First Notify Date:	4/28/1986		Abandoned Material:
Current Age:	19		Abandoned Date:
Install Date:	11/1/1977		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/1/1977

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:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/14/1996
OSFM First Notify Date:	4/28/1986		Abandoned Material:
Current Age:	19		Abandoned Date:
Install Date:	11/1/1977		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/1/1977

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:	6000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/20/1997		Abandoned Material:
Current Age:	27		Abandoned Date:
Install Date:	12/18/1996		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/18/1996

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	10/10/2022	10/10/2023
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	10/10/2022	10/10/2023
Overfill Prev Device	Overfill Alarm	11/11/2021	11/11/2024
Overfill Prev Device	Overfill Drop Tube Valve	11/11/2021	11/11/2024
Piping	Flexible Double Wall Environ Geo Flex	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	12/15/2021	12/15/2024
Leak Detect - Piping	Sump Sensor	10/10/2022	10/10/2023
Spill Contain Device	Single Wall Spill Bucket	12/15/2021	12/15/2024
Tank	Composite Double Wall Permatank	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Environ Geo Flex	Precision Test	Pass	11/11/2021
Tank	Composite Double Wall Permatank	Precision Test (Tank)	Pass	3/2/2023

Tank Number 6

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/20/1997		Abandoned Material:
Current Age:	27		Abandoned Date:
Install Date:	12/18/1996		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/18/1996

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	10/10/2022	10/10/2023
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	10/10/2022	10/10/2023
Overfill Prev Device	Overfill Alarm	11/11/2021	11/11/2024
Overfill Prev Device	Overfill Drop Tube Valve	11/11/2021	11/11/2024
Piping	Flexible Double Wall Environ Geo Flex	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	12/15/2021	12/15/2024
Leak Detect - Piping	Sump Sensor	10/10/2022	10/10/2023
Spill Contain Device	Single Wall Spill Bucket	12/15/2021	12/15/2024
Tank	Composite Double Wall Permatank	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Environ Geo Flex	Precision Test	Pass	11/11/2021
Tank	Composite Double Wall Permatank	Precision Test (Tank)	Pass	3/2/2023

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	12/15/2021	12/15/2024
Leak Detect - Piping	Sump Sensor	10/10/2022	10/10/2023

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	12/15/2021	12/15/2024
Leak Detect - Piping	Sump Sensor	10/10/2022	10/10/2023

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	12/15/2021	12/15/2024
Leak Detect - Piping	Sump Sensor	10/10/2022	10/10/2023

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	12/15/2021	12/15/2024
Leak Detect - Piping	Sump Sensor	10/10/2022	10/10/2023

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	12/15/2021	12/15/2024
Leak Detect - Piping	Sump Sensor	10/10/2022	10/10/2023

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	12/15/2021	12/15/2024
Leak Detect - Piping	Sump Sensor	10/10/2022	10/10/2023

MFD Motorfuel Dispensing Forms

No Forms Found