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:	2031254
Status:	Exempt
Facility Name:	Timothy Brandt Md
Address:	6360 W 79Th St Burbank, IL 60459
County:	Cook
Property Parcel:
Facility Type:	Commercial / Retail
Owner Type:	Private
Green Tag Decal:
Green Tag Issue Date:
Green Tag Expiration Date:

Owner Details

Owner Name:	Timothy Brandt Md
Owner Address:	6360 W 79Th St Burbank, IL 60459
Owner Status:	Current Owner
Purchase Date:	1/15/1988
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0020559	Timothy Brandt Md	Current Owner	1/15/1988

Permits (Unexpired)

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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

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	175		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil		CERCLA Substance:
Status:	Pre 1974		CAS Code:
Regulated Status:	Exempt		Removed Date:
OSFM First Notify Date:	8/24/1992		Abandoned Material:
Current Age:	65		Abandoned Date:
Install Date:	1/1/1959		Red Tag Issue Date:
Last Used Date:	1/1/1965		Fee Due:
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

MFD Motorfuel Dispensing Forms

No Forms Found