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JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety
State of Illinois
Employment Opportunities
Ready Illinois
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Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 2042053
Status: Active
Facility Name: Costco Gasoline #774
Address: 250 N. Randall Road
Lake in the Hills, IL 60102
County: McHenry
Property Parcel: 19-30-227-081
Facility Type: Unattended Self-Service Station
Owner Type: Private
Green Tag Decal: Y001695
Green Tag Issue Date: 5/2/2023
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: 4/1/2004
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 5/2/2023 12/31/2025
Self Service 4/18/2019 12/31/2021
Self Service 4/18/2019 12/31/2019

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0029489 Costco Wholesale Corporation Current Owner 4/1/2004

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 1

Capacity: 20000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 6/29/2004 Abandoned Material:
Current Age: 19 Abandoned Date:
Install Date: 4/1/2004 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 6/22/2004

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 Electronic Pressurized Line Leak Detection 7/11/2023 7/11/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350R 7/11/2023 7/11/2024
Leak Detect - Tank Hydrostatic Reservoir Interstitial Monitoring Sensors 7/11/2023 7/11/2024
Overfill Prev Device Overfill Alarm 7/11/2023 7/11/2026
Overfill Prev Device Overfill Drop Tube Valve 7/11/2023 7/11/2026
Piping Flexible Double Wall Environ Geo Flex N/A N/A
Piping Single Wall STP/Tanktop Sump 6/28/2021 6/28/2024
Leak Detect - Piping Non-Discriminating Sump Sensor 8/25/2020 8/25/2021
Leak Detect - Piping Sump Sensor with positive shutdown 7/11/2023 7/11/2024
Spill Contain Device Single Wall Spill Bucket 6/28/2021 6/28/2024
Tank Fiberglass Brine Filled Double Wall Containment Solutions N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall Environ Geo Flex Precision Test Pass 7/11/2023



Tank Number 2

Capacity: 20000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 6/29/2004 Abandoned Material:
Current Age: 19 Abandoned Date:
Install Date: 4/1/2004 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 6/22/2004

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 Electronic Pressurized Line Leak Detection 7/11/2023 7/11/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350R 7/11/2023 7/11/2024
Leak Detect - Tank Hydrostatic Reservoir Interstitial Monitoring Sensors 7/11/2023 7/11/2024
Overfill Prev Device Overfill Alarm 7/11/2023 7/11/2026
Overfill Prev Device Overfill Drop Tube Valve 7/11/2023 7/11/2026
Piping Flexible Double Wall Environ Geo Flex N/A N/A
Piping Single Wall STP/Tanktop Sump 6/28/2021 6/28/2024
Leak Detect - Piping Non-Discriminating Sump Sensor 8/25/2020 8/25/2021
Leak Detect - Piping Non-Discriminating Sump Sensor with positive shutdown 8/25/2020 8/25/2021
Leak Detect - Piping Sump Sensor with positive shutdown 7/11/2023 7/11/2024
Spill Contain Device Single Wall Spill Bucket 6/28/2021 6/28/2024
Tank Fiberglass Brine Filled Double Wall Containment Solutions N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall Environ Geo Flex Precision Test Pass 7/11/2023



Tank Number 3

Capacity: 20000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 6/29/2004 Abandoned Material:
Current Age: 19 Abandoned Date:
Install Date: 4/1/2004 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 6/22/2004

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 Electronic Pressurized Line Leak Detection 7/11/2023 7/11/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350R 7/11/2023 7/11/2024
Leak Detect - Tank Hydrostatic Reservoir Interstitial Monitoring Sensors 7/11/2023 7/11/2024
Overfill Prev Device Overfill Alarm 7/11/2023 7/11/2026
Overfill Prev Device Overfill Drop Tube Valve 7/11/2023 7/11/2026
Piping Flexible Double Wall Environ Geo Flex N/A N/A
Piping Single Wall STP/Tanktop Sump 6/28/2021 6/28/2024
Leak Detect - Piping Non-Discriminating Sump Sensor 8/25/2020 8/25/2021
Leak Detect - Piping Sump Sensor with positive shutdown 7/11/2023 7/11/2024
Spill Contain Device Single Wall Spill Bucket 6/28/2021 6/28/2024
Tank Fiberglass Brine Filled Double Wall Containment Solutions N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall Environ Geo Flex Precision Test Pass 7/11/2023



Tank Number 4

Capacity: 1500 Petroleum Use:
Product: Ultrazol - Fuel Additive CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 10/21/2011 Abandoned Material:
Current Age: 12 Abandoned Date:
Install Date: 8/4/2011 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 8/26/2011

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 7/11/2023 7/11/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350R 7/11/2023 7/11/2024
Leak Detect - Tank Hydrostatic Reservoir Interstitial Monitoring Sensors 7/11/2023 7/11/2024
Overfill Prev Device Overfill Alarm 7/11/2023 7/11/2026
Overfill Prev Device Overfill Drop Tube Valve 7/11/2023 7/11/2026
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX N/A N/A
Piping Single Wall STP/Tanktop Sump 6/28/2021 6/28/2024
Leak Detect - Piping Sump Sensor with positive shutdown 7/11/2023 7/11/2024
Piping Single Wall Transition Sump 6/28/2021 6/28/2024
Leak Detect - Piping Sump Sensor with positive shutdown 7/11/2023 7/11/2024
Piping Single Wall Transition Sump 6/28/2021 6/28/2024
Leak Detect - Piping Sump Sensor with positive shutdown 7/11/2023 7/11/2024
Piping Single Wall Transition Sump 6/28/2021 6/28/2024
Leak Detect - Piping Sump Sensor with positive shutdown 7/11/2023 7/11/2024
Spill Contain Device Single Wall Spill Bucket 6/28/2021 6/28/2024
Tank Fiberglass Brine Filled Double Wall Containment Solutions N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX Precision Test Pass 7/11/2023

Dispenser Information



Name\ID 1/2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 6/28/2021 6/28/2024
Leak Detect - Piping Sump Sensor with positive shutdown 7/11/2023 7/11/2024



Name\ID 11/12

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 6/28/2021 6/28/2024
Leak Detect - Piping Sump Sensor with positive shutdown 7/11/2023 7/11/2024



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 6/28/2021 6/28/2024
Leak Detect - Piping Sump Sensor with positive shutdown 7/11/2023 7/11/2024



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 6/28/2021 6/28/2024
Leak Detect - Piping Sump Sensor with positive shutdown 7/11/2023 7/11/2024



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 6/28/2021 6/28/2024
Leak Detect - Piping Sump Sensor with positive shutdown 7/11/2023 7/11/2024



Name\ID 9/10

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 6/28/2021 6/28/2024
Leak Detect - Piping Sump Sensor with positive shutdown 7/11/2023 7/11/2024

MFD Motorfuel Dispensing Forms

Facility Number Name City Received Date Letter
2042053 Costco Gasoline #774 Lake in the Hills 02/12/2020 Letter Form
Office of the Illinois State Fire Marshal
1035 Stevenson Dr. Springfield, IL 62704 | (217) 785-0969 | Contact Us