Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	2040607
Status:	Active
Facility Name:	Clark Service Station
Address:	15100 S. Dixie Hwy. Harvey, IL 60426
County:	Cook
Property Parcel:	29-18-100-039-0000
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	W001003
Green Tag Issue Date:	2/9/2021
Green Tag Expiration Date:	12/31/2023

Owner Details

Owner Name:	Dixie, Inc.
Owner Address:	15100 S. Dixie Highway Harvey, IL 60426
Owner Status:	Current Owner
Purchase Date:	10/2/2007
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	2/9/2022

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	2/9/2021	12/31/2023

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0034467	Dixie, Inc.	Current Owner	10/2/2007
U0034387	MPM Realty Capital, LLC	Former Owner	7/9/2007
U0033541	Canai Fuel, Inc.	Former Owner	2/10/2003
U0034220	Marquette Bank, Trust #18222	Former Owner
U0030567	Mutual Bank	Former Owner
U0030236	Mohammed, Charlie	Former Owner

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

NOV Number: E0020232376 (Referred to Legal) Issue Date: 10/24/2023 Expiration Date: 12/23/2023 View NOV Form

Tanks	Deficiency
1	Drop tube valve or overfill alarm failed inspection. Repair or replace equipment. - Triennial inspection/testing of overfill device (drop tube valve) FAILED. Repair/replace as necessary; device(s) shall be retested with passing results and uploaded to OSFM website.
Facility	Financial responsibility must be reported yearly - Financial Responsibility must be declared annually. The form can be found at https://webapps.sfm.illinois.gov/USTPortal/Forms/FinancialResponsibility.
1	Mechanical line leak detector requires annual functional test. - Annual leak detection certification (leak detectors) not completed. Testing shall be performed.
Facility	Missing copies of 30 day Walkthrough Inspection Report. - 30-day Walkthrough Inspection shall be completed, and documentation maintained on site. 30-Day Walkthrough Inspection form available at www.sfm.illinois.gov. The form must be filled out by an A/B Operator, you must, initial each box that applies, date the form each month to ensure it is being done every 30 days, and the A/B operator must print and sign their name at the bottom. If more than one A/B operator fills out the form, then each must print and sign name at the bottom.
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 copy of written UST facility operation & maintenance plan - Adopt and implement a written operations and maintenance plan, signed by both the owner and either a Class A or Class B Operator designated for the UST facility An Operations & Maintenance template is available at www.sfm.illinois.gov to download and complete O & M template and maintain completed form on site.
1, 2, 3	Monthly line interstitial sensor records not available. - Maintain one NORMAL report per TANK, per month, from ATG.
1, 3	Spill prevention equipment failed triennial testing. Must be repaired or replaced. - Triennial inspection/testing of spill bucket(s) has FAILED. Repair/replace as necessary; devices shall be retested with passing results.

NOV Number: E0020241068 (Pending) Issue Date: 4/10/2024 Expiration Date: 6/9/2024 View NOV Form

Tanks	Deficiency
1, 2, 3	Failed to Empty the Tank to 1" or Less
Facility	Submit Notification Form For Ownership Address Change - Per the cook county tax portal the proper ownership mailing address for Dixie, Inc. is in Glenview IL. Please update.
1, 2, 3	Submit Notification Form For Tank Status Change - The Notification Form is available at https://webapps.sfm.illinois.gov/USTPortal/NotificationForm. Need to take the tanks out of service. (Narinder Patel (C-Operator) stated that the last time they sold fuel was 3/1/2024.)

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:	12000	Petroleum Use:	None
Product:	Gasoline - Regular	CERCLA Substance:
Status:	Out of service	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	2/7/2003	Abandoned Material:
Current Age:	21	Abandoned Date:
Install Date:	12/12/2001	Red Tag Issue Date:	12/26/2023
Last Used Date:	3/1/2024	Fee Due:	$0.00
Product Date:	7/15/2002

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	9/8/2022	9/8/2023
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300i with CSLD	9/6/2023	9/6/2024
Overfill Prev Device	Overfill Drop Tube Valve	11/20/2019	9/8/2022
Piping	Flexible Double Wall Total Containment Omniflex II	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	9/8/2022	9/8/2025
Leak Detect - Piping	Sump Sensor	9/6/2023	9/6/2024
Spill Contain Device	Single Wall Spill Bucket	11/20/2019	9/8/2022
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Total Containment Omniflex II	Precision Test	Pass	9/8/2022

Tank Number 2

Capacity:	8000	Petroleum Use:	None
Product:	Gasoline - Premium	CERCLA Substance:
Status:	Out of service	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	2/7/2003	Abandoned Material:
Current Age:	21	Abandoned Date:
Install Date:	12/12/2001	Red Tag Issue Date:	12/26/2023
Last Used Date:	3/1/2024	Fee Due:	$0.00
Product Date:	7/15/2002

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	9/6/2023	9/6/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300i with CSLD	9/6/2023	9/6/2024
Overfill Prev Device	Overfill Drop Tube Valve	9/8/2022	9/8/2025
Piping	Flexible Double Wall Total Containment Omniflex II	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	9/8/2022	9/8/2025
Leak Detect - Piping	Sump Sensor	9/6/2023	9/6/2024
Spill Contain Device	Single Wall Spill Bucket	9/8/2022	9/8/2025
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Total Containment Omniflex II	Precision Test	Pass	9/6/2023

Tank Number 3

Capacity:	7000	Petroleum Use:	None
Product:	Diesel Fuel	CERCLA Substance:
Status:	Out of service	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	2/7/2003	Abandoned Material:
Current Age:	21	Abandoned Date:
Install Date:	12/12/2001	Red Tag Issue Date:	12/26/2023
Last Used Date:	3/1/2024	Fee Due:	$0.00
Product Date:	7/15/2002

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	9/6/2023	9/6/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300i with CSLD	9/6/2023	9/6/2024
Overfill Prev Device	Overfill Drop Tube Valve	9/8/2022	9/8/2025
Piping	Flexible Double Wall Total Containment Omniflex II	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	9/8/2022	9/8/2025
Leak Detect - Piping	Sump Sensor	9/6/2023	9/6/2024
Spill Contain Device	Single Wall Spill Bucket	11/20/2019	9/8/2022
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Total Containment Omniflex II	Precision Test	Pass	9/6/2023

Dispenser Information

Name\ID 1/2

Status:	Active

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

Name\ID 9/10

Status:	Active

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

MFD Motorfuel Dispensing Forms

No Forms Found