Information

JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
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Ready Illinois
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Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	2023008
Status:	Active
Facility Name:	15430
Address:	3803 W. Roosevelt Rd. Chicago, IL 60623
County:	Cook
Property Parcel:	16-23-103-019-0000
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y002185
Green Tag Issue Date:	11/8/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	3803 Roosevelt, LLC
Owner Address:	7956 Binford Drive Orland Park, IL 60462
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	11/8/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	11/8/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0036979	3803 Roosevelt, LLC	Current Owner
U0032360	Angel Associates, LP	Former Owner	12/16/2009
U0023834	BP Amoco	Former Owner	3/23/1995
U0027493	Amoco Oil Company	Former Owner	1/1/1982
U0000552	BP Products North America, Inc.	Former Owner

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
93-0583	Eligible	7/29/1998	8/28/1998	$10,000

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:	10/28/1997
OSFM First Notify Date:	9/23/1987		Abandoned Material:
Current Age:	15		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	10/26/1997		Fee Due:	$0.00
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 2

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/28/1997
OSFM First Notify Date:	9/23/1987		Abandoned Material:
Current Age:	15		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	10/26/1997		Fee Due:	$0.00
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 3

Capacity:	12000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/28/1997
OSFM First Notify Date:	9/23/1987		Abandoned Material:
Current Age:	15		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	10/26/1997		Fee Due:	$0.00
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 4

Capacity:	500		Petroleum Use:
Product:	Used Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/15/1993
OSFM First Notify Date:	4/26/1986		Abandoned Material:
Current Age:	18		Abandoned Date:
Install Date:	1/1/1975		Red Tag Issue Date:
Last Used Date:	3/15/1993		Fee Due:	$0.00
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:	Federal		Removed Date:	10/28/1997
OSFM First Notify Date:	10/27/1993		Abandoned Material:
Current Age:	4		Abandoned Date:
Install Date:	4/13/1993		Red Tag Issue Date:
Last Used Date:	10/26/1997		Fee Due:	$0.00
Product Date:	4/13/1993

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:	10000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	1/13/1998		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	11/6/1997		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/6/1997

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	8/31/2023	8/31/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	2/22/2023	2/22/2024
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	2/22/2023	2/22/2024
Overfill Prev Device	Overfill Drop Tube Valve	2/10/2022	2/10/2025
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	2/10/2022	2/10/2025
Leak Detect - Piping	Sump Sensor	2/22/2023	2/22/2024
Spill Contain Device	Single Wall Spill Bucket	2/10/2022	2/10/2025
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 7

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	1/13/1998		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	11/6/1997		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/6/1997

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	2/22/2023	2/22/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	2/22/2023	2/22/2024
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	2/22/2023	2/22/2024
Overfill Prev Device	Overfill Drop Tube Valve	2/10/2022	2/10/2025
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	2/10/2022	2/10/2025
Leak Detect - Piping	Sump Sensor	2/22/2023	2/22/2024
Leak Detect - Piping	Non-Discriminating Sump Sensor	2/22/2023	2/22/2024
Spill Contain Device	Single Wall Spill Bucket	2/10/2022	2/10/2025
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 8

Capacity:	10000		Petroleum Use:
Product:	E85		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	1/13/1998		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	11/6/1997		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/6/1997

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	5/15/2023	5/15/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	5/15/2023	5/15/2024
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors with monitor	5/15/2023	5/15/2024
Overfill Prev Device	Overfill Drop Tube Valve	5/15/2023	5/15/2026
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	2/10/2022	2/10/2025
Leak Detect - Piping	Non-Discriminating Sump Sensor	2/10/2022	2/10/2023
Leak Detect - Piping	Sump Sensor with positive shutdown	5/15/2023	5/15/2024
Leak Detect - Piping	Non-Discriminating Sump Sensor with positive shutdown	5/15/2023	5/15/2024
Spill Contain Device	Single Wall Spill Bucket	2/10/2022	2/10/2025
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test	Pass	5/15/2023

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	2/10/2022	2/10/2025
Leak Detect - Piping	Sump Sensor	2/22/2023	2/22/2024

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	2/10/2022	2/10/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	5/15/2023	5/15/2024

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	2/10/2022	2/10/2025
Leak Detect - Piping	Sump Sensor	2/22/2023	2/22/2024

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	2/10/2022	2/10/2025
Leak Detect - Piping	Sump Sensor	2/22/2023	2/22/2024

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	2/10/2022	2/10/2025
Leak Detect - Piping	Sump Sensor	2/22/2023	2/22/2024

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	2/10/2022	2/10/2025
Leak Detect - Piping	Sump Sensor	2/22/2023	2/22/2024

MFD Motorfuel Dispensing Forms

No Forms Found