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:	2024618
Status:	Active
Facility Name:	Midwest Convenience, Inc.
Address:	1021 North Rand Drive Prospect Heights, IL 60004
County:	Cook
Property Parcel:	03-21-305-015-0000
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	X003388
Green Tag Issue Date:	10/17/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	Anabi Real Estate Development, LLC, Designated Series B3
Owner Address:	1450 N. Benson Avenue, Suite A Upland, CA 91786
Owner Status:	Current Owner
Purchase Date:	8/5/2021
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	9/1/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	8/17/2022	12/31/2024

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0040355	Anabi Real Estate Development, LLC, Designated Series B3	Current Owner	8/5/2021
U0014732	Ashland Oil Inc (Sa)	Former Owner	10/18/1991
U0000849	Ashland Oil Co.	Former Owner	12/31/1967
U0026552	Speedway, LLC	Former Owner

Permits (Unexpired)

Click for permit history

Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
00212-2024UPG	Upgrade	Approved / Issued	2/22/2024	2/22/2024	8/22/2024	Documents

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
12-1228	Eligible	12/24/2012	1/17/2013	$5,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	1/18/1989		Abandoned Material:
Current Age:	38		Abandoned Date:
Install Date:	5/1/1986		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	10/20/2023	10/20/2024
Corrosion Prot - Tank	Impressed Current Cathodic Protection	10/20/2023	10/20/2024
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	8/9/2023	8/9/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	8/9/2023	8/9/2024
Overfill Prev Device	Overfill Drop Tube Valve	2/22/2024	2/22/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	2/22/2024	2/22/2027
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	1/18/1989		Abandoned Material:
Current Age:	38		Abandoned Date:
Install Date:	5/1/1986		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	10/20/2023	10/20/2024
Corrosion Prot - Tank	Impressed Current Cathodic Protection	10/20/2023	10/20/2024
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	8/9/2023	8/9/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	8/9/2023	8/9/2024
Overfill Prev Device	Overfill Drop Tube Valve	8/16/2023	8/16/2026
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Steel Single Wall Piping	N/A	N/A
Piping	Not Installed STP/Tanktop Sump	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	6/10/2021	6/10/2024
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	1/18/1989		Abandoned Material:
Current Age:	38		Abandoned Date:
Install Date:	4/1/1986		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	10/20/2023	10/20/2024
Corrosion Prot - Tank	Impressed Current Cathodic Protection	10/20/2023	10/20/2024
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	8/9/2023	8/9/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	8/9/2023	8/9/2024
Overfill Prev Device	Overfill Drop Tube Valve	8/16/2023	8/16/2026
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Steel Single Wall Piping	N/A	N/A
Piping	Not Installed STP/Tanktop Sump	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	6/10/2021	6/10/2024
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	8000		Petroleum Use:
Product:	B-11		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	1/18/1989		Abandoned Material:
Current Age:	38		Abandoned Date:
Install Date:	4/1/1986		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	10/20/2023	10/20/2024
Corrosion Prot - Tank	Impressed Current Cathodic Protection	10/20/2023	10/20/2024
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	8/9/2023	8/9/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	8/9/2023	8/9/2024
Overfill Prev Device	Overfill Drop Tube Valve	8/16/2023	8/16/2026
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Steel Single Wall Piping	N/A	N/A
Piping	Not Installed STP/Tanktop Sump	N/A	N/A
Piping	Single Wall Transition Sump	9/18/2023	9/18/2026
Leak Detect - Piping	Non-Discriminating Sump Sensor with positive shutdown
Leak Detect - Piping	Non-Discriminating Sump Sensor	9/8/2020	9/8/2021
Leak Detect - Piping	Sump Sensor	8/9/2023	8/9/2024
Piping	Single Wall Transition Sump	9/18/2023	9/18/2026
Leak Detect - Piping	Sump Sensor	8/9/2023	8/9/2024
Piping	Single Wall Transition Sump	9/18/2023	9/18/2026
Leak Detect - Piping	Sump Sensor	8/9/2023	8/9/2024
Spill Contain Device	Single Wall Spill Bucket	6/10/2021	6/10/2024
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	9/18/2023	9/18/2026
Leak Detect - Piping	Sump Sensor	8/9/2023	8/9/2024

Name\ID 11/12

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	9/18/2023	9/18/2026
Leak Detect - Piping	Sump Sensor	8/9/2023	8/9/2024

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

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	9/18/2023	9/18/2026
Leak Detect - Piping	Sump Sensor	8/9/2023	8/9/2024

MFD Motorfuel Dispensing Forms

No Forms Found