Information
JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety
State of Illinois
Employment Opportunities
Ready Illinois
Find us on Facebook

Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 2046001
Status: Active
Facility Name: W Cermak Cicero, LLC
Address: 5800 W. Cermak Rd.
Cicero, IL 60804
County: Cook
Property Parcel: 16-20-428-024-0000
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: X001113
Green Tag Issue Date: 3/30/2022
Green Tag Expiration Date: 12/31/2024

Owner Details

Owner Name: W Cermak Cicero, LLC
Owner Address: 1983 Route 52
Hopewell Junction, NY 12533
Owner Status: Current Owner
Purchase Date: 3/30/2023
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 4/12/2025

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 3/30/2022 12/31/2024
Self Service 3/30/2022 12/31/2024

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0040876 W Cermak Cicero, LLC Current Owner 3/30/2023
U0025560 Proviso Petroleum Company Former Owner 10/13/2015

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: 3/31/2016 Abandoned Material:
Current Age: 8 Abandoned Date:
Install Date: 10/13/2015 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 3/21/2016

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 1/22/2024 1/22/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 1/22/2024 1/22/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 1/22/2024 1/22/2025
Overfill Prev Device Overfill Drop Tube Valve 1/14/2021 1/14/2024
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX N/A N/A
Piping Single Wall STP/Tanktop Sump 3/6/2023 3/6/2026
Leak Detect - Piping Sump Sensor with positive shutdown 1/22/2024 1/22/2025
Piping Ball Valves N/A N/A
Spill Contain Device Single Wall Spill Bucket 3/6/2023 3/6/2026
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 1/30/2023



Tank Number 2

Capacity: 6000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 3/31/2016 Abandoned Material:
Current Age: 8 Abandoned Date:
Install Date: 10/13/2015 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 3/21/2016

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 1/22/2024 1/22/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 1/22/2024 1/22/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 1/22/2024 1/22/2025
Overfill Prev Device Overfill Drop Tube Valve 1/14/2021 1/14/2024
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX N/A N/A
Piping Single Wall STP/Tanktop Sump 3/6/2023 3/6/2026
Leak Detect - Piping Sump Sensor with positive shutdown 1/22/2024 1/22/2025
Piping Ball Valves N/A N/A
Spill Contain Device Single Wall Spill Bucket 3/6/2023 3/6/2026
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 1/30/2023

Dispenser Information



Name\ID 1/2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 3/6/2023 3/6/2026
Leak Detect - Piping Sump Sensor with positive shutdown 1/22/2024 1/22/2025



Name\ID 11/12

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 3/6/2023 3/6/2026
Leak Detect - Piping Sump Sensor with positive shutdown 1/22/2024 1/22/2025



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 3/6/2023 3/6/2026
Leak Detect - Piping Sump Sensor with positive shutdown 1/22/2024 1/22/2025



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 3/6/2023 3/6/2026
Leak Detect - Piping Sump Sensor with positive shutdown 1/22/2024 1/22/2025



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 3/6/2023 3/6/2026
Leak Detect - Piping Sump Sensor with positive shutdown 1/22/2024 1/22/2025



Name\ID 9/10

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 3/6/2023 3/6/2026
Leak Detect - Piping Sump Sensor with positive shutdown 1/22/2024 1/22/2025

MFD Motorfuel Dispensing Forms

No Forms Found

Office of the Illinois State Fire Marshal
1035 Stevenson Dr. Springfield, IL 62704 | (217) 785-0969 | Contact Us