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

Facility Details

Facility Number:	2043308
Status:	Active
Facility Name:	Costco Wholesale Retail Fueling Facility #647
Address:	9915 W. 159th Street Orland Park, IL 60467
County:	Cook
Property Parcel:	27-21-200-007
Facility Type:	Unattended Self-Service Station
Owner Type:	Private
Green Tag Decal:	X002933
Green Tag Issue Date:	3/22/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	Costco Wholesale Corporation
Owner Address:	P.O. Box 35005 Seattle, WA 98124
Owner Status:	Current Owner
Purchase Date:	11/16/2006
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	3/22/2022	12/31/2024
Self Service	5/9/2018	12/31/2020

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0029489	Costco Wholesale Corporation	Current Owner	11/16/2006
U0033512	Costco Wholesale Corporation	Former Owner

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:	30000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	11/28/2006		Abandoned Material:
Current Age:	17		Abandoned Date:
Install Date:	8/15/2006		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/16/2006

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	Electronic Pressurized Line Leak Detection	7/12/2023	7/12/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R with CSLD	7/12/2023	7/12/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	7/12/2023	7/12/2024
Overfill Prev Device	Overfill Alarm	7/13/2022	7/13/2025
Overfill Prev Device	Overfill Drop Tube Valve	7/13/2022	7/13/2025
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	7/12/2021	7/12/2024
Leak Detect - Piping	Non-Discriminating Sump Sensor	8/27/2020	8/27/2021
Leak Detect - Piping	Non-Discriminating Sump Sensor with positive shutdown	8/5/2021	7/13/2022
Leak Detect - Piping	Sump Sensor with positive shutdown	7/12/2023	7/12/2024
Piping	Single Wall Transition Sump	7/12/2021	7/12/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/12/2023	7/12/2024
Spill Contain Device	Single Wall Spill Bucket	11/19/2021	11/19/2024
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test	Pass	7/12/2023

Tank Number 2

Capacity:	30000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	11/28/2006		Abandoned Material:
Current Age:	17		Abandoned Date:
Install Date:	8/15/2006		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/16/2006

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	Electronic Pressurized Line Leak Detection	7/12/2023	7/12/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R with CSLD	7/12/2023	7/12/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	7/12/2023	7/12/2024
Overfill Prev Device	Overfill Alarm	7/13/2022	7/13/2025
Overfill Prev Device	Overfill Drop Tube Valve	7/13/2022	7/13/2025
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	7/12/2021	7/12/2024
Leak Detect - Piping	Non-Discriminating Sump Sensor	8/27/2020	8/27/2021
Leak Detect - Piping	Discriminating Sump Sensor with positive shutdown	7/13/2022	7/13/2023
Leak Detect - Piping	Sump Sensor with positive shutdown	7/12/2023	7/12/2024
Piping	Single Wall Transition Sump	7/12/2021	7/12/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/12/2023	7/12/2024
Spill Contain Device	Single Wall Spill Bucket	11/19/2021	11/19/2024
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test	Pass	7/12/2023

Tank Number 3

Capacity:	30000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	11/28/2006		Abandoned Material:
Current Age:	17		Abandoned Date:
Install Date:	8/15/2006		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/16/2006

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	Electronic Pressurized Line Leak Detection	7/12/2023	7/12/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R with CSLD	7/12/2023	7/12/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	7/12/2023	7/12/2024
Overfill Prev Device	Overfill Alarm	7/13/2022	7/13/2025
Overfill Prev Device	Overfill Drop Tube Valve	7/13/2022	7/13/2025
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	7/12/2021	7/12/2024
Leak Detect - Piping	Non-Discriminating Sump Sensor with positive shutdown	7/13/2022	7/13/2023
Leak Detect - Piping	Sump Sensor with positive shutdown	7/12/2023	7/12/2024
Piping	Single Wall Transition Sump	7/12/2021	7/12/2024
Leak Detect - Piping	Non-Discriminating Sump Sensor with positive shutdown	7/13/2022	7/13/2023
Leak Detect - Piping	Sump Sensor with positive shutdown	7/12/2023	7/12/2024
Spill Contain Device	Single Wall Spill Bucket	11/19/2021	11/19/2024
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test	Pass	7/12/2023

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:	9/28/2011		Abandoned Material:
Current Age:	12		Abandoned Date:
Install Date:	8/24/2011		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/12/2011

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	7/12/2023	7/12/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R with CSLD	7/12/2023	7/12/2024
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	9/5/2023	9/5/2024
Overfill Prev Device	Overfill Alarm	7/13/2022	7/13/2025
Overfill Prev Device	Overfill Drop Tube Valve	7/13/2022	7/13/2025
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	7/12/2021	7/12/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/12/2023	7/12/2024
Spill Contain Device	Single Wall Spill Bucket	11/19/2021	11/19/2024
Tank	Fiberglass Double Wall Fluid Containment Brine Filled	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	7/12/2023

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	12/7/2021	12/7/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/12/2023	7/12/2024

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	12/7/2021	12/7/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/12/2023	7/12/2024

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	12/7/2021	12/7/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/12/2023	7/12/2024

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	12/7/2021	12/7/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/12/2023	7/12/2024

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	12/7/2021	12/7/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/12/2023	7/12/2024

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	12/7/2021	12/7/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/12/2023	7/12/2024

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
2043308	Costco Wholesale Retail Fueling Facility #647	Orland Park	02/12/2020	Letter Form