Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	2036210
Status:	Active
Facility Name:	Roosevelt Citgo
Address:	715 West Roosevelt Maywood, IL 60153
County:	Cook
Property Parcel:	15-14-325-011-0000
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	X001527
Green Tag Issue Date:	11/16/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	American Domestic Oil, Inc.
Owner Address:	715 West Roosevelt Road Maywood, IL 60153
Owner Status:	Current Owner
Purchase Date:	8/15/2005
Type of Financial Responsibility:	Designated Savings Account
Financial Responsibility Reporting Due Date:	12/18/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	11/16/2022	12/31/2024

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0033094	American Domestic Oil, Inc.	Current Owner	8/15/2005
U0029488	Mubarak, Ibrahim	Former Owner
U0026422	Automotive Unlimited	Former Owner

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

NOV Number: E0020240709 (Pending) Issue Date: 3/11/2024 Expiration Date: 5/10/2024 View NOV Form

Tanks	Deficiency
Facility	Missing copies of 30 day Walkthrough Inspection Report.

NOV Number: E0020240710 (Pending) Issue Date: 3/11/2024 Expiration Date: 5/10/2024 View NOV Form

Tanks	Deficiency
Facility	Code complying instruction/warning signs are not properly mounted at each dispenser island

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
98-0252	2/6/1998	Removal Log	3217-97

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
20200857	Eligible	1/8/2021	1/8/2021	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	4000	Petroleum Use:
Product:	Gasoline	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	Exempt	Removed Date:	2/6/1998
OSFM First Notify Date:		Abandoned Material:
Current Age:		Abandoned Date:
Install Date:		Red Tag Issue Date:
Last Used Date:	12/1/1973	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

Tank Number 2

Capacity:	4000	Petroleum Use:
Product:	Gasoline	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	Exempt	Removed Date:	2/6/1998
OSFM First Notify Date:		Abandoned Material:
Current Age:		Abandoned Date:
Install Date:		Red Tag Issue Date:
Last Used Date:	12/1/1973	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

Tank Number 3

Capacity:	1000	Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	Exempt	Removed Date:	2/6/1998
OSFM First Notify Date:		Abandoned Material:
Current Age:		Abandoned Date:
Install Date:		Red Tag Issue Date:
Last Used Date:	12/1/1973	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

Tank Number 4

Capacity:	500	Petroleum Use:
Product:	Used Oil	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	Exempt	Removed Date:	2/6/1998
OSFM First Notify Date:		Abandoned Material:
Current Age:		Abandoned Date:
Install Date:		Red Tag Issue Date:
Last Used Date:	12/1/1973	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

Tank Number 5

Capacity:	4000	Petroleum Use:
Product:	Gasoline	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	Exempt	Removed Date:	2/6/1998
OSFM First Notify Date:		Abandoned Material:
Current Age:		Abandoned Date:
Install Date:		Red Tag Issue Date:
Last Used Date:	12/1/1973	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

Tank Number 6

Capacity:	4000	Petroleum Use:
Product:	Gasoline	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	Exempt	Removed Date:	2/6/1998
OSFM First Notify Date:		Abandoned Material:
Current Age:		Abandoned Date:
Install Date:		Red Tag Issue Date:
Last Used Date:	12/1/1973	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

Tank Number 7

Capacity:	12000	Petroleum Use:
Product:	Gasoline - Regular	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	11/3/2005	Abandoned Material:
Current Age:	21	Abandoned Date:
Install Date:	7/12/2002	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	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	12/5/2023	12/5/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300c with CSLD	12/5/2023	12/5/2024
Overfill Prev Device	Overfill Drop Tube Valve	12/5/2023	12/5/2026
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	12/5/2023	12/5/2026
Leak Detect - Piping	Non-Discriminating Sump Sensor	11/3/2020	11/3/2021
Leak Detect - Piping	Sump Sensor with positive shutdown	12/5/2023	12/5/2024
Spill Contain Device	Single Wall Spill Bucket	12/5/2023	12/5/2026
Tank	Fiberglass Single Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall	Precision Test	Pass	1/9/2020
Piping	Flexible Double Wall OPW Flexworks	Precision Test	Pass	12/5/2023

Tank Number 8

Capacity:	6000	Petroleum Use:
Product:	Gasoline - Premium	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	11/3/2005	Abandoned Material:
Current Age:	21	Abandoned Date:
Install Date:	7/12/2002	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	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	12/5/2023	12/5/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300c with CSLD	12/15/2023	12/15/2024
Overfill Prev Device	Overfill Drop Tube Valve	12/5/2023	12/5/2026
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	12/5/2023	12/5/2026
Leak Detect - Piping	Non-Discriminating Sump Sensor	11/3/2020	11/3/2021
Leak Detect - Piping	Sump Sensor with positive shutdown	12/5/2023	12/5/2024
Spill Contain Device	Single Wall Spill Bucket	12/5/2023	12/5/2026
Tank	Fiberglass Single Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall	Precision Test	Pass	1/9/2020
Piping	Flexible Double Wall OPW Flexworks	Precision Test	Pass	12/5/2023

Tank Number 9

Capacity:	5000	Petroleum Use:
Product:	Diesel Fuel	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	11/3/2005	Abandoned Material:
Current Age:	21	Abandoned Date:
Install Date:	7/12/2002	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	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	12/5/2023	12/5/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300c with CSLD	12/15/2023	12/15/2024
Overfill Prev Device	Overfill Drop Tube Valve	12/5/2023	12/5/2026
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	12/5/2023	12/5/2026
Leak Detect - Piping	Non-Discriminating Sump Sensor	11/3/2020	11/3/2021
Leak Detect - Piping	Sump Sensor with positive shutdown	12/5/2023	12/5/2024
Spill Contain Device	Single Wall Spill Bucket	12/5/2023	12/5/2026
Tank	Fiberglass Single Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall	Precision Test	Pass	1/9/2020
Piping	Flexible Double Wall OPW Flexworks	Precision Test	Pass	12/5/2023

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	12/5/2023	12/5/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	12/5/2023	12/5/2024

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	12/5/2023	12/5/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	12/5/2023	12/5/2024

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	12/5/2023	12/5/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	12/5/2023	12/5/2024

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	12/5/2023	12/5/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	12/5/2023	12/5/2024

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	12/5/2023	12/5/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	12/5/2023	12/5/2024

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	12/5/2023	12/5/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	12/5/2023	12/5/2024

MFD Motorfuel Dispensing Forms

No Forms Found