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

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Facility Details

Facility Number:	2039969
Status:	Active
Facility Name:	Costco #378
Address:	680 South Rand Street Lake Zurich, IL 60047
County:	Lake
Property Parcel:	14-20-307-003
Facility Type:	Unattended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y003013
Green Tag Issue Date:	7/18/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Costco Wholesale Corporation
Owner Address:	P.O. Box 35005 Seattle, WA 98124
Owner Status:	Current Owner
Purchase Date:	8/16/2011
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	3/6/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Unattended Self Service	7/18/2023	12/31/2025
Self Service	11/18/2009	12/31/2011

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0029489	Costco Wholesale Corporation	Current Owner	8/16/2011

Permits (Unexpired)

Click for permit history

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	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	20000	Gasoline - Regular	Currently in use	Federal		$0.00
2	20000	Gasoline - Regular	Currently in use	Federal		$0.00
3	20000	Gasoline - Premium	Currently in use	Federal		$0.00
4	1500	Ultrazol - Fuel Additive	Currently in use	Federal		$0.00

Dispenser Information

Name\ID	Status
1/2	Active
3/4	Active
5/6	Active
7/8	Active
9/10	Active
11/12	Active
13/14	Active
15/16	Active
17/18	Active

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
2039969	Costco #378	Lake Zurich	10/22/2018	Letter Form