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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:	2025328
Status:	Closed
Facility Name:	Former Clark 2103
Address:	301 Town Line Road Mundelein, IL 60060
County:	Lake
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	O000341
Green Tag Issue Date:	10/8/2013
Green Tag Expiration Date:	12/31/2015

Owner Details

Owner Name:	The Premcor Refining Group, Inc..
Owner Address:	One Valero Way San Antonio, TX 78249
Owner Status:	Current Owner
Purchase Date:	3/5/1996
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	2/8/2014

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	10/8/2013	12/31/2015

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0031486	The Premcor Refining Group, Inc..	Current Owner	3/5/1996
U0031709	BTJ, Inc.	Former Owner	9/1/2003
U0032455	The Premcor Refining Group, Inc. c/o Valero Energy Corporation	Former Owner	3/5/1996
U0029789	Clark Retail Enterprises, Inc.	Former Owner	3/4/1996
U0003073	Clark Retail Enterprises, Inc.	Former Owner	3/4/1996
U0001342	Bell Fuels, Inc.	Former Owner	12/31/1967
U0028787	Clark Retail Enterprises, Inc.,	Former 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
15-1081	10/8/2015	Removal Log	01006-2015REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
01-0460	Eligible	5/21/2002	6/20/2002	$10,000
01-0460	Eligible	3/5/2007	3/19/2007	$10,000
15-1081	Eligible	4/18/2016	4/27/2016	$5,000

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	10000	Gasoline	Removed	Federal		$0.00	10/08/2015 - REM
2	10000	Gasoline	Removed	Federal		$0.00	10/08/2015 - REM
3	10000	Gasoline	Removed	Federal		$0.00	10/08/2015 - REM
4	10000	Gasoline	Removed	Federal		$0.00	10/07/2015 - REM
5	10000	Diesel Fuel	Removed	Federal		$0.00	10/07/2015 - REM
6	10000	Gasoline	Removed	Federal		$0.00	10/07/2015 - REM
7	2000	Kerosene	Removed	Federal		$0.00	10/07/2015 - REM
8	2000	Racing Fuel	Removed	Federal		$0.00	10/07/2015 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found