Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	2029965
Status:	Active
Facility Name:	Bala Insha, Inc.
Address:	1503 North Broadway Avenue Melrose Park, IL 60160
County:	Cook
Property Parcel:	15-03-130-033
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	X001490
Green Tag Issue Date:	8/4/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	Melrose 1503 Property, LLC
Owner Address:	2052 DeCook Park Ridge, IL 60068
Owner Status:	Current Owner
Purchase Date:	3/16/2022
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	6/1/2022	12/31/2024

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0041203	Melrose 1503 Property, LLC	Current Owner	3/16/2022
U0019449	Midwest Bank & Trust Serv. #80-05-3340	Former Owner	6/21/1988

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

NOV Number: E0020240783 (Pending) Issue Date: 3/14/2024 Expiration Date: 5/13/2024 View NOV Form

Tanks	Deficiency
Facility	Annual Emergency Stop Inspection not completed or inspection report not available.
1, 2	Annual leak detection certification not completed (Required annually). - Annual leak detection certification (ATG) not completed. Testing shall be completed and submitted to OSFM.
1, 2	Annual line precision and mechanical line leak detector functional test not completed.
1, 2	Annual tank impressed current system test not completed.
Facility	Facility Operation and Maintenance Plan not completed or available. - Facility Operations and Maintenance Plan does not meet requirements of new rules. Go to www.sfm.illinois.gov to download and complete O & M template and maintain completed form on site.
Facility	Financial responsibility must be reported yearly - Financial Responsibility shall be declared annually; The form can be found at https://webapps.sfm.illinois.gov/USTPortal/Forms/FinancialResponsibility
Facility	Missing copies of 30 day Walkthrough Inspection Report.
Facility	Missing copies of Annual Walkthrough Inspection Report. - Annual Walkthrough by a licensed contractor shall be conducted and 2 years documentation maintained on site.
Facility	Missing copy of emergency instructions or emergency procedures plan - Emergency Procedures plan shall be maintained on site for viewing and reference as necessary (See Operator Training Rules 176.645). The emergency plan template is available on the OSFM website.
Facility	Missing list of designated Class A/B & C Operators - Copies of all current Class A/B testing certificates shall be maintained on file on site. Copies of all current Class C testing certificates shall be maintained on file on site. A comprehensive list of Class A / B / C Operator(s) shall be maintained on site and must be current.
1, 2	Monthly impressed current log not available or maintained.
1, 2	Overfill prevention equipment inspection(s) not completed (Required every 3 years).
1, 2	Precision tank test required.
1, 2	Required monthly tank leak test records not available. - Maintain one PASSing report per TANK, per month, from ATG. Must maintain 24 months’ worth.
1, 2	Shear valve inspection report not completed (Required during Annual Walkthrough Inspection).
2	Spill prevention equipment contains liquid/debris and must be cleared of materials and maintained clean and dry.
Facility	Submit Notification Form For Ownership Change - The Notification Form is available at https://webapps.sfm.illinois.gov/USTPortal/NotificationForm. This form is required to be submitted within 30 days of an ownership change.
1, 2	Triennial spill prevention equipment testing not completed.

NOV Number: E0020240784 (Pending) Issue Date: 3/14/2024 Expiration Date: 5/13/2024 View NOV Form

Tanks	Deficiency
Facility	Attendant does not have means to remotely monitor or no emergency shutoff switch 20' to 50' from dispenser
Facility	Farthest dispenser is greater than 40' and site lacks a communication system or system is inoperable
Facility	Fire Extinguishers - Past due for annual testing

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
98-2022	Eligible	10/1/2001	10/9/2001	$100,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	8000	Petroleum Use:
Product:	Gasoline - Regular	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	5/8/1992	Abandoned Material:
Current Age:	46	Abandoned Date:
Install Date:	1/20/1978	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	Isolation Boots Flex Connector	N/A	N/A
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Impressed Current Cathodic Protection	5/6/2024	5/6/2025
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	5/6/2024	5/6/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	5/6/2024	5/6/2025
Overfill Prev Device	Overfill Drop Tube Valve	5/6/2024	5/6/2027
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Not Installed STP/Tanktop Sump	N/A	N/A
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	5/6/2024	5/6/2027
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Single Wall Piping	Precision Test	Pass	5/6/2024
Piping	Steel Single Wall Piping	Precision Test	Pass	10/19/2021
Tank	Steel Single Wall	Precision Test (Tank)	Pass	5/6/2024

Tank Number 2

Capacity:	8000	Petroleum Use:
Product:	Gasoline - Premium	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	5/8/1992	Abandoned Material:
Current Age:	46	Abandoned Date:
Install Date:	1/20/1978	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	Isolation Boots Flex Connector	N/A	N/A
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Impressed Current Cathodic Protection	5/6/2024	5/6/2025
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	5/6/2024	5/6/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	5/6/2024	5/6/2025
Overfill Prev Device	Overfill Drop Tube Valve	5/6/2024	5/6/2027
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Not Installed STP/Tanktop Sump	N/A	N/A
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	5/6/2024	5/6/2027
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Single Wall Piping	Precision Test	Pass	5/6/2024
Piping	Steel Single Wall Piping	Precision Test	Pass	10/19/2021
Tank	Steel Single Wall	Precision Test (Tank)	Pass	5/6/2024

Tank Number 3

Capacity:	550	Petroleum Use:
Product:	Used Oil	CERCLA Substance:
Status:	Pre 1974	CAS Code:
Regulated Status:	Exempt	Removed Date:
OSFM First Notify Date:	5/8/1992	Abandoned Material:
Current Age:	20	Abandoned Date:
Install Date:		Red Tag Issue Date:
Last Used Date:	1/1/1960	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:	Heating Oil	CERCLA Substance:
Status:	Pre 1974	CAS Code:
Regulated Status:	Exempt	Removed Date:
OSFM First Notify Date:	12/31/1998	Abandoned Material:
Current Age:		Abandoned Date:
Install Date:		Red Tag Issue Date:
Last Used Date:	1/1/1960	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

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	N/A	N/A
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	Not Installed UDC Sump	N/A	N/A
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	Not Installed UDC Sump	N/A	N/A
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	Not Installed UDC Sump	N/A	N/A
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found