Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 2020664
Status: Active
Facility Name: Grayslake Mobil
Address: 33191 North US Highway 45
Grayslake, IL 60030
County: Lake
Property Parcel:
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: X001371
Green Tag Issue Date: 9/21/2022
Green Tag Expiration Date: 12/31/2024

Owner Details

Owner Name: 33199, Inc.
Owner Address: 4642 Lilac Avenue
Glenview, IL 60025
Owner Status: Current Owner
Purchase Date: 5/21/2019
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 5/5/2025

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 9/21/2022 12/31/2024

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0039957 33199, Inc. Current Owner 5/21/2019
U0037081 Grayslake Mobil, Inc. Former Owner 8/29/2013
U0032209 Combined Real Estate, LLC Former Owner 7/16/2004
U0007721 J & L Oil Co., Inc. Former Owner 1/1/1968
U0033863 33191 Highway 45, Inc. Former Owner

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

NOV Number: E0020240652 (Pending)    Issue Date: 3/6/2024    Expiration Date: 5/5/2024    View NOV Form

Tanks Deficiency
7, 8, 9 Annual electronic line leak detector test not completed.
Facility Annual Emergency Stop Inspection not completed or inspection report not available.
7, 8, 9 Annual leak detection certification not completed (Required annually).
Facility Financial responsibility must be reported yearly - Financial Responsibility shall be declared annually; declaration form can be found at www.sfm.illinois.gov (in Search window, type UST Forms, Click Enter; click UST Applications and Forms; click on Financial Responsibility Report). Complete form online and submit electronically.
8 Line leak detection equipment in alarm or failed test, must repair or replace. - L2: (87 Regular N) Fuel Alarm
Facility Missing copies of 30 day Walkthrough Inspection Report. - 30-day Walkthrough Inspection shall be completed, and documentation maintained on site. 30-Day Walkthrough Inspection form available at www.sfm.illinois.gov. The form must be filled out by an A/B Operator, you must, initial each box that applies, date the form each month to ensure it is being done every 30 days, and the A/B operator must print and sign their name at the bottom. If more than one A/B operator fills out the form, then each must print and sign name at the bottom.
Facility Missing copies of Annual Walkthrough Inspection Report.
Facility Missing copies of current testing certificates for operator training
Facility Missing copy of emergency instructions or emergency procedures plan - Emergency Procedures plan shall be maintained on site for viewing and reference as necessary (See Operator Training Rules 176.645). The emergency plan template is available on the OSFM website.
Facility Missing copy of written UST facility operation & maintenance plan - Adopt and implement a written operations and maintenance plan, signed by both the owner and either a Class A or Class B Operator designated for the UST facility An Operations & Maintenance template is available at www.sfm.illinois.gov to download and complete O & M template and maintain completed form on site.
Facility Missing list of designated Class A/B & C Operators
7, 8, 9 Overfill alarm does not appear to function properly. - Overfill alarm light does not appear to function.
7, 8, 9 Overfill prevention equipment inspection(s) not completed (Required every 3 years).
7, 8, 9 Piping interstitial must be open in all sumps - Remove jumper tubing or place tubing in orientation to allow liquid to leave secondary piping and enter sump. (Per 175.420.b(b).)
7, 8, 9 Required monthly tank leak test records not available. - Maintain one PASSing report per TANK, per month, from ATG. (CSLD)
7, 8, 9 Shear valve inspection report not completed (Required during Annual Walkthrough Inspection).
7, 8, 9 Spill prevention equipment contains liquid/debris and must be cleared of materials and maintained clean and dry. - Spill Bucket(s) contain(s) liquid and/or debris; remove liquid/debris and maintain clean and dry at all times.
7, 8, 9 Tank precision test required. - Precision tank test is required due to missing or failed monthly monitoring (per 175.640(a)(4))

IEMA Numbers Associated with the Facility

IEMA Number Inspection Date Inspection Type Permit Number
950601 11/13/2000 Removal Log 01744-2000REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number Status OSFM Received Date OSFM Response Date Deductible Letter
95-0601 Eligible 1/23/2002 2/5/2002 $10,000
95-0601 Eligible 12/11/2013 12/27/2013 $10,000
Pay Tank Fees Online

Tank Information



Tank Number 1

Capacity: 4000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 11/13/2000
OSFM First Notify Date: 4/28/1986 Abandoned Material:
Current Age: 31 Abandoned Date:
Install Date: 10/1/1969 Red Tag Issue Date:
Last Used Date: 11/9/2000 Fee Due: $0.00
Product Date: 10/1/1969

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: 4000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 11/13/2000
OSFM First Notify Date: 4/28/1986 Abandoned Material:
Current Age: 31 Abandoned Date:
Install Date: 10/1/1969 Red Tag Issue Date:
Last Used Date: 11/9/2000 Fee Due: $0.00
Product Date: 10/1/1969

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: 11/13/2000
OSFM First Notify Date: 4/28/1986 Abandoned Material:
Current Age: 31 Abandoned Date:
Install Date: 10/1/1969 Red Tag Issue Date:
Last Used Date: 11/9/2000 Fee Due: $0.00
Product Date: 10/1/1969

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: 11/13/2000
OSFM First Notify Date: 4/28/1986 Abandoned Material:
Current Age: 31 Abandoned Date:
Install Date: 10/1/1969 Red Tag Issue Date:
Last Used Date: 11/9/2000 Fee Due: $0.00
Product Date: 10/1/1969

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: 2000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 11/13/2000
OSFM First Notify Date: 4/28/1986 Abandoned Material:
Current Age: 31 Abandoned Date:
Install Date: 10/1/1969 Red Tag Issue Date:
Last Used Date: 11/9/2000 Fee Due: $0.00
Product Date: 10/1/1969

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 6

Capacity: 1000 Petroleum Use:
Product: Used Oil CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Exempt Removed Date: 11/11/1987
OSFM First Notify Date: 4/28/1986 Abandoned Material: Inert material mixed with portland cement
Current Age: Abandoned Date: 10/1/1976
Install Date: Red Tag Issue Date:
Last Used Date: 10/1/1976 Fee Due:
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 7

Capacity: 10000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 12/26/2000 Abandoned Material:
Current Age: 23 Abandoned Date:
Install Date: 11/16/2000 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 5/2/2024 5/2/2027
Corrosion Prot - Piping Sacrificial Anode Flex Connector 5/2/2024 5/2/2027
Corrosion Prot - Piping Sacrificial Anode Flex Connector 5/2/2024 5/2/2027
Corrosion Prot - Piping Sacrificial Anode Flex Connector 5/2/2024 5/2/2027
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 5/2/2024 5/2/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 5/2/2024 5/2/2025
Overfill Prev Device Overfill Alarm 8/12/2020 8/12/2023
Overfill Prev Device Overfill Drop Tube Valve 2/15/2023 2/15/2026
Piping Flexible Double Wall Environ Geo Flex 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 2/15/2023 2/15/2026
Tank Composite Double Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Tank Composite Double Wall Precision Test (Tank) Pass 5/2/2024
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors Sensor Functional Pass 8/5/2009



Tank Number 8

Capacity: 10000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 12/26/2000 Abandoned Material:
Current Age: 23 Abandoned Date:
Install Date: 11/16/2000 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 5/2/2024 5/2/2027
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 5/2/2024 5/2/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 5/2/2024 5/2/2025
Overfill Prev Device Overfill Alarm 8/12/2020 8/12/2023
Overfill Prev Device Overfill Drop Tube Valve 2/15/2023 2/15/2026
Piping Flexible Double Wall Environ Geo Flex 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 2/15/2023 2/15/2026
Tank Composite Double Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Tank Composite Double Wall Precision Test (Tank) Pass 5/2/2024
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors Sensor Functional Pass 8/5/2009



Tank Number 9

Capacity: 6000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 12/26/2000 Abandoned Material:
Current Age: 23 Abandoned Date:
Install Date: 11/16/2000 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 5/2/2024 5/2/2027
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 5/2/2024 5/2/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 5/2/2024 5/2/2025
Overfill Prev Device Overfill Alarm 8/12/2020 8/12/2023
Overfill Prev Device Overfill Drop Tube Valve 2/15/2023 2/15/2026
Piping Flexible Double Wall Environ Geo Flex 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 2/15/2023 2/15/2026
Tank Composite Double Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Tank Composite Double Wall Precision Test (Tank) Pass 5/2/2024
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors Sensor Functional Pass 8/5/2009

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 11/12

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



Name\ID 5/6

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 7/8

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 9/10

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