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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:	2045315
Status:	Closed
Facility Name:	Sam's Club Fueling Station #6237
Address:	460 South Weber Road Romeoville, IL 60544
County:	Will
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	S000528
Green Tag Issue Date:	5/25/2017
Green Tag Expiration Date:	12/31/2019

Owner Details

Owner Name:	Sam's West, Inc.
Owner Address:	2101 SE Simple Savings Drive Bentonville, AR 727160745
Owner Status:	Current Owner
Purchase Date:	10/3/2013
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	5/3/2019

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	5/25/2017	12/31/2019

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0029973	Sam's West, Inc.	Current Owner	10/3/2013

Permits (Unexpired)

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No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
N/A	3/12/2019	Removal Log	01339-2018REM
N/A	3/11/2019	Removal Log	01339-2018REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
20190261	Eligible	8/7/2020	8/10/2020	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	20000	Gasoline	Removed	Federal		$0.00	03/12/2019 - REM
2	20000	Gasoline	Removed	Federal		$0.00	03/11/2019 - REM
3	12000	Gasoline	Removed	Federal		$0.00	03/11/2019 - REM
4	8000	Diesel Fuel	Removed	Federal		$0.00	03/11/2019 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found