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:	2021147
Status:	Closed
Facility Name:	Dominicks Store #1052
Address:	4105 Dundee Road Northbrook, IL 60062
County:	Cook
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	02753
Green Tag Issue Date:	10/31/1998
Green Tag Expiration Date:	12/31/2001

Owner Details

Owner Name:	Dominick's Finer Foods
Owner Address:	711 Jorie Blvd. Oak Brook, IL 60523
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0023950	Dominick's Finer Foods	Current Owner
U0013849	Shell Oil Products	Former Owner	12/31/1967
U0027449	Equilon Enterprises, LLC	Former Owner

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
00-1303	7/10/2000	Removal Log	01009-2000REM
00-1595	8/21/2000	Removal Log	01300-2000REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
90-0856	Eligible	7/24/1998	8/25/1998	$10,000
00-1595	Ineligible	3/30/2004	4/16/2004	$Not Selected

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/10/2000
OSFM First Notify Date:	4/30/1986		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:	5/5/1978		Red Tag Issue Date:
Last Used Date:	4/10/2000		Fee Due:	$0.00
Product Date:	5/5/1978

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:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/10/2000
OSFM First Notify Date:	4/30/1986		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:	5/5/1978		Red Tag Issue Date:
Last Used Date:	4/10/2000		Fee Due:	$0.00
Product Date:	5/6/1978

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:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/10/2000
OSFM First Notify Date:	4/30/1986		Abandoned Material:
Current Age:	29		Abandoned Date:
Install Date:	12/5/1970		Red Tag Issue Date:
Last Used Date:	4/10/2000		Fee Due:	$0.00
Product Date:	12/6/1970

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:	1000		Petroleum Use:
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	8/21/2000
OSFM First Notify Date:	9/19/2000		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	12/31/1973		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 5

Capacity:	550		Petroleum Use:
Product:	Used Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	8/28/2000
OSFM First Notify Date:	9/19/2000		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	12/31/1973		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 6

Capacity:	20000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Does Not Exist		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:			Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:

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
Leak Detect - Piping	Sump Sensor
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flexible Double Wall Western Co-Flex	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Composite Double Wall Glasteel II	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 7

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Does Not Exist		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:			Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:

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
Leak Detect - Piping	Sump Sensor
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flexible Double Wall Western Co-Flex	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Composite Double Wall Glasteel II	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 8

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Does Not Exist		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:			Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:

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
Leak Detect - Piping	Sump Sensor
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flexible Double Wall Western Co-Flex	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Composite Double Wall Glasteel II	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found