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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

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Facility Details

Facility Number:	2020667
Status:	Active
Facility Name:	Lake Bluff Petroleum, Inc.
Address:	218 N. Waukegan Rd. Lake Bluff, IL 60044
County:	Lake
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y001235
Green Tag Issue Date:	4/3/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Muhammad Ansari
Owner Address:	218 N. Waukegan Road Lake Bluff, IL 60044
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	12/20/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	4/3/2023	12/31/2025

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0036922	Ansari, Muhammad	Current Owner
U0036558	Lake Bluff Petroleum, Inc.	Former Owner	6/13/2012
U0035269	Alliance Oil Corp.	Former Owner	3/27/2009
U0034207	A S & K 5, Inc.	Former Owner	5/23/2007
U0032773	218 Waukegan, Inc.,	Former Owner	3/24/2005
U0032209	Combined Real Estate, LLC	Former Owner	7/16/2004
U0007721	J & L Oil Co., Inc.	Former Owner	9/1/1970

Permits (Unexpired)

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No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
13-0392	5/2/2013	Removal Log	00315-2013REM
13-0392	5/3/2013	Removal Log	00315-2013REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
13-0392	Eligible	5/1/2013	6/25/2013	$5,000

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	10000	Gasoline	Removed	Federal		$0.00	05/03/2013 - REM
2	6000	Gasoline	Removed	Federal		$0.00	05/02/2013 - REM
3	6000	Gasoline	Removed	Federal		$0.00	05/02/2013 - REM
4	12000	Gasoline - Regular	Currently in use	Federal		$0.00
5	4000	Gasoline - Premium	Currently in use	Federal		$0.00

Dispenser Information

Name\ID	Status
1/3	Active
2/4	Active
5/7	Active
6/8	Active

MFD Motorfuel Dispensing Forms

No Forms Found