Division of Petroleum & Chemical Safety

 
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Facility Details

Facility Number: 2042021
Status: Active
Facility Name: Sam's Club #6328
Address: 2601 S. Cicero Ave.
Cicero, IL 60804
County: Cook
Property Parcel: 16-27-300-008-0000
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Y002639
Green Tag Issue Date: 1/11/2023
Green Tag Expiration Date: 12/31/2025

Owner Details

Owner Name: Sam's West, Inc.
Owner Address: 2101 SE Simple Savings Drive
Bentonville, AR 727160745
Owner Status: Current Owner
Purchase Date:
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 4/29/2025

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 1/11/2023 12/31/2025

Owner Summary

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Owner Number Owner Name Owner Status Purchase Date
U0029973 Sam's West, Inc. Current Owner
U0031786 DO NOT USE THIS NUMBER, former SamsEast Former Owner 2/5/2004

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

Dispenser Information

Name\ID Status
1/2 Active
11/12 Active
3/4 Active
5/6 Active
7/8 Active
9/10 Active

MFD Motorfuel Dispensing Forms

No Forms Found