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:	2023003
Status:	Active
Facility Name:	5201 Jackson, Inc.
Address:	5201 W. Jackson Chicago, IL 60644
County:	Cook
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z002175
Green Tag Issue Date:	4/26/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	5201 Jackson, Inc.
Owner Address:	8514 N. Georgiana Avenue Morton Grove, IL 60053
Owner Status:	Current Owner
Purchase Date:	8/7/2008
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	1/16/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	4/26/2024	12/31/2026

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0034904	5201 Jackson, Inc.	Current Owner	8/7/2008
U0023834	BP Amoco	Former Owner	3/23/1995
U0027493	Amoco Oil Company	Former Owner	1/1/1973
U0000552	BP Products North America, Inc.	Former Owner	1/1/1973

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
92-3225	Eligible	7/14/1998	8/6/1998	$10,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	6000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	4/25/1986		Abandoned Material:
Current Age:	51		Abandoned Date:
Install Date:	1/1/1973		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1973

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	10/17/2023	10/17/2024
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	10/17/2023	10/17/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R with CSLD	10/17/2023	10/17/2024
Overfill Prev Device	Overfill Drop Tube Valve	11/21/2022	11/21/2025
Piping	Steel Single Wall Piping	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	12/21/2021	12/21/2024
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Steel Single Wall Piping	Precision Test	Pass	10/17/2023

Tank Number 2

Capacity:	6000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	4/25/1986		Abandoned Material:
Current Age:	51		Abandoned Date:
Install Date:	1/1/1973		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1973

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	10/17/2023	10/17/2024
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	10/17/2023	10/17/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R with CSLD	10/17/2023	10/17/2024
Overfill Prev Device	Overfill Drop Tube Valve	11/21/2022	11/21/2025
Piping	Steel Single Wall Piping	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	12/21/2021	12/21/2024
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Steel Single Wall Piping	Precision Test	Pass	10/17/2023

Tank Number 3

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	4/25/1986		Abandoned Material:
Current Age:	51		Abandoned Date:
Install Date:	1/1/1973		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1973

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	10/17/2023	10/17/2024
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	10/17/2023	10/17/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R with CSLD	10/17/2023	10/17/2024
Overfill Prev Device	Overfill Drop Tube Valve	11/21/2022	11/21/2025
Piping	Steel Single Wall Piping	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	12/21/2021	12/21/2024
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Steel Single Wall Piping	Precision Test	Pass	10/17/2023

Tank Number 4

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Mid-grade		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	4/25/1986		Abandoned Material:
Current Age:	51		Abandoned Date:
Install Date:	1/1/1973		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1973

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	10/17/2023	10/17/2024
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	10/17/2023	10/17/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R with CSLD	10/17/2023	10/17/2024
Overfill Prev Device	Overfill Drop Tube Valve	11/14/2022	11/14/2025
Piping	Steel Single Wall Piping	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	12/21/2021	12/21/2024
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Steel Single Wall Piping	Precision Test	Pass	10/17/2023

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 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

MFD Motorfuel Dispensing Forms

No Forms Found