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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:	2022135
Status:	Closed
Facility Name:	Exmoor Country Club
Address:	700 Vine Avenue Highland Park, IL 60035
County:	Lake
Property Parcel:
Facility Type:	Golf Course
Owner Type:	Private
Green Tag Decal:	P000130
Green Tag Issue Date:	10/1/2014
Green Tag Expiration Date:	12/31/2016

Owner Details

Owner Name:	Exmoor Country Club
Owner Address:	700 Vine Avenue Highland Park, IL 60035
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	6/17/2015

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Fleet	6/9/2014	12/31/2016

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0004919	Exmoor Country Club	Current Owner

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
14-1273	11/10/2014	Removal Log	00989-2014REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
12-0010	Eligible	3/28/2012	5/18/2012	$5,000

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Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	1000		Removed	Federal		$0.00	07/31/1990 - REM
2	1000	Gasoline	Removed	Federal		$0.00	11/10/2014 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found