Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 2020667
Facility Name: Lake Bluff Petroleum, Inc.
Address: 218 N. Waukegan Rd.
Lake Bluff, IL 60044
County: Lake
Status: Active
Facility Type: Self-Service Station
Motor Fuel Type: Self Service
Owner Type: Private
Green Tag Decal: S005249
Green Tag Issue Date: 10/5/2017
Green Tag Expiration Date: 12/31/2019
Motor Fuel Dispensing Permit Inspection Date: 10/5/2017
Motor Fuel Dispensing Permit Expiration Date: 12/31/2019

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: 10/5/2018

Owner Summary

Click for Facility/Tank Ownership history
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)

Click for permit history
Permit Number Type Status OSFM Receive Date Issue Date Expiration Date Documents
00713-2017UPG Upgrade Approved / Issued 6/16/2017 6/19/2017 12/19/2017 Documents

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

Tank Information



Tank Number 1

Capacity: 10000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
OSFM First Notify Date: 4/28/1986 Removed Date: 5/3/2013
Current Age: 42 Abandoned Material:
Install Date: 9/1/1970 Abandoned Date:
Last Used Date: Red Tag Issue Date:
Product Date: 9/1/1970 Fee Due: $0.00
Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Cathodic Protection 12/7/2010 12/7/2011
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Impressed Current Cathodic Protection 12/7/2010 12/7/2011
Corrosion Prot - Tank Lining Materials Internal Armor Shield TL 300M 2/28/2008 2/28/2013
Leak Detect - Piping Electronic Pressurized Line Leak Detection Veeder Root TLS 350 4/30/2010 4/30/2011
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 N/A N/A
Overfill Prev Device Ball Float Vent Valve OPW 53 N/A N/A
Overfill Prev Device Overfill Alarm Veeder Root TLS 350 N/A N/A
Piping Fiberglass Double Wall Ameron N/A N/A
Piping Fiberglass Single Wall Piping N/A N/A
Spill Contain Device Manhole Pre-manufactured EBW 705 N/A N/A
Tank Steel Single Wall Tank N/A N/A



Tank Number 2

Capacity: 6000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
OSFM First Notify Date: 4/28/1986 Removed Date: 5/2/2013
Current Age: 42 Abandoned Material:
Install Date: 9/1/1970 Abandoned Date:
Last Used Date: Red Tag Issue Date:
Product Date: 9/1/1970 Fee Due: $0.00
Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Cathodic Protection 12/7/2010 12/7/2011
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Impressed Current Cathodic Protection 12/7/2010 12/7/2011
Corrosion Prot - Tank Lining Materials Internal Armor Shield TL 300M 2/28/2008 2/28/2013
Leak Detect - Piping Electronic Pressurized Line Leak Detection Veeder Root TLS 350 4/30/2010 4/30/2011
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 N/A N/A
Overfill Prev Device Ball Float Vent Valve OPW 53 N/A N/A
Overfill Prev Device Overfill Alarm Veeder Root TLS 350 N/A N/A
Piping Fiberglass Double Wall Ameron N/A N/A
Piping Fiberglass Single Wall Piping N/A N/A
Spill Contain Device Manhole Pre-manufactured EBW 705 N/A N/A
Tank Steel Single Wall Tank N/A N/A



Tank Number 3

Capacity: 6000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
OSFM First Notify Date: 4/28/1986 Removed Date: 5/2/2013
Current Age: 42 Abandoned Material:
Install Date: 9/1/1970 Abandoned Date:
Last Used Date: Red Tag Issue Date:
Product Date: 9/1/1970 Fee Due: $0.00
Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Cathodic Protection 12/7/2010 12/7/2011
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Impressed Current Cathodic Protection 12/7/2010 12/7/2011
Corrosion Prot - Tank Lining Materials Internal Armor Shield TL 300M 2/28/2008 2/28/2013
Leak Detect - Piping Electronic Pressurized Line Leak Detection Veeder Root TLS 350 4/30/2010 4/30/2011
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 N/A N/A
Overfill Prev Device Ball Float Vent Valve OPW 53 N/A N/A
Overfill Prev Device Overfill Alarm Veeder Root TLS 350 N/A N/A
Piping Fiberglass Double Wall Ameron N/A N/A
Piping Fiberglass Single Wall Piping N/A N/A
Spill Contain Device Manhole Pre-manufactured EBW 705 N/A N/A
Tank Steel Single Wall Tank N/A N/A



Tank Number 4

Capacity: 12000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Currently in use CAS Code:
OSFM First Notify Date: 6/26/2013 Removed Date:
Current Age: 4 Abandoned Material:
Install Date: 5/8/2013 Abandoned Date:
Last Used Date: Red Tag Issue Date:
Product Date: Fee Due: $0.00
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 Mechanical Pressurized Line Leak Detection FE Petro STP-MLD 8/4/2017 8/4/2018
Leak Detect - Piping Piping Sump Sensors Interstitial Monitoring Veeder Root TLS 350 8/4/2017 8/4/2018
Leak Detect - Tank Interstitial Monitoring Veeder Root TLS 350 8/4/2017 8/4/2018
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 N/A N/A
Overfill Prev Device Overfill Drop Tube Valve OPW 61SO N/A N/A
Overfill Prev Device Overfill Alarm Veeder Root TLS 350 N/A N/A
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Spill Contain Device Manhole Pre-manufactured OPW 1-2100 N/A N/A
Tank Composite Double Wall Lannon N/A N/A



Tank Number 5

Capacity: 4000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Currently in use CAS Code:
OSFM First Notify Date: 6/26/2013 Removed Date:
Current Age: 4 Abandoned Material:
Install Date: 5/8/2013 Abandoned Date:
Last Used Date: Red Tag Issue Date:
Product Date: Fee Due: $0.00
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 Mechanical Pressurized Line Leak Detection FE Petro STP-MLD 8/4/2017 8/4/2018
Leak Detect - Piping Piping Sump Sensors Interstitial Monitoring Veeder Root TLS 350 8/4/2017 8/4/2018
Leak Detect - Tank Interstitial Monitoring Veeder Root TLS 350 8/4/2017 8/4/2018
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 N/A N/A
Overfill Prev Device Overfill Drop Tube Valve OPW 61SO N/A N/A
Overfill Prev Device Overfill Alarm Veeder Root TLS 350 N/A N/A
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Spill Contain Device Manhole Pre-manufactured OPW 1-2100 N/A N/A
Tank Composite Double Wall Lannon N/A N/A