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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

 

Facility Details

Facility Number: 2046083
Status: Inactive
Facility Name: Wal-Mart SuperCenter #5404
Address: 17550 S. Halsted Street
Homewood, IL 60430
County: Cook
Property Parcel: 27-24-202-009-0000
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: X002928
Green Tag Issue Date: 3/3/2022
Green Tag Expiration Date: 12/31/2024

Owner Details

Owner Name: Wal-Mart Stores, Inc.
Owner Address: 2101 SE Simple Savings Drive
Bentonville, AR 727160745
Owner Status: Current Owner
Purchase Date: 4/21/2016
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 3/3/2022 12/31/2024

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0017352 Wal-Mart Stores, Inc. Current Owner 4/21/2016

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: Out of service CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 10/21/2016 Abandoned Material:
Current Age: 7 Abandoned Date:
Install Date: 4/21/2016 Red Tag Issue Date:
Last Used Date: 3/10/2023 Fee Due: $0.00
Product Date: 10/5/2016

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 Mechanical Pressurized Line Leak Detection 9/7/2022 9/7/2023
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 9/7/2022 9/7/2023
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 9/7/2022 9/7/2023
Overfill Prev Device Overfill Drop Tube Valve 9/7/2022 9/7/2025
Piping Polyethylene Chase N/A N/A
Piping Flexible Double Wall OPW Flexworks N/A N/A
Piping Chase Secondary Containment OPW AXP - 4" secondary chase piping N/A N/A
Piping Single Wall STP/Tanktop Sump 8/11/2022 8/11/2025
Leak Detect - Piping Sump Sensor with positive shutdown 9/7/2022 9/7/2023
Spill Contain Device Double Wall Spill Bucket 9/7/2022 9/7/2025
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Chase Secondary Containment OPW AXP - 4" secondary chase piping Precision Test Pass 9/7/2022
Piping Flexible Double Wall OPW Flexworks Precision Test Pass 9/7/2022
Piping Polyethylene Chase Precision Test Pass 9/7/2022
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 9/14/2021



Tank Number 2

Capacity: 12000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Out of service CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 10/21/2016 Abandoned Material:
Current Age: 7 Abandoned Date:
Install Date: 4/21/2016 Red Tag Issue Date:
Last Used Date: 3/10/2023 Fee Due: $0.00
Product Date: 10/5/2016

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 Mechanical Pressurized Line Leak Detection 9/7/2022 9/7/2023
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 9/7/2022 9/7/2023
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 9/7/2022 9/7/2023
Overfill Prev Device Overfill Drop Tube Valve 9/7/2022 9/7/2025
Piping Polyethylene Chase N/A N/A
Piping Flexible Double Wall OPW Flexworks N/A N/A
Piping Chase Secondary Containment OPW AXP - 4" secondary chase piping N/A N/A
Piping Single Wall STP/Tanktop Sump 8/11/2022 8/11/2025
Leak Detect - Piping Sump Sensor with positive shutdown 9/7/2022 9/7/2023
Spill Contain Device Double Wall Spill Bucket 9/7/2022 9/7/2025
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Chase Secondary Containment OPW AXP - 4" secondary chase piping Precision Test Pass 9/7/2022
Piping Flexible Double Wall OPW Flexworks Precision Test Pass 9/7/2022
Piping Polyethylene Chase Precision Test Pass 9/7/2022
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 9/14/2021



Tank Number 3

Capacity: 8000 Petroleum Use: None
Product: Diesel Fuel CERCLA Substance:
Status: Out of service CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 10/21/2016 Abandoned Material:
Current Age: 7 Abandoned Date:
Install Date: 4/21/2016 Red Tag Issue Date:
Last Used Date: 3/10/2023 Fee Due: $0.00
Product Date: 10/5/2016

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 Mechanical Pressurized Line Leak Detection 9/7/2022 9/7/2023
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 9/7/2022 9/7/2023
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 9/7/2022 9/7/2023
Overfill Prev Device Overfill Drop Tube Valve 9/7/2022 9/7/2025
Piping Polyethylene Chase N/A N/A
Piping Flexible Double Wall OPW Flexworks N/A N/A
Piping Chase Secondary Containment OPW AXP - 4" secondary chase piping N/A N/A
Piping Single Wall STP/Tanktop Sump 8/11/2022 8/11/2025
Leak Detect - Piping Sump Sensor with positive shutdown 9/7/2022 9/7/2023
Spill Contain Device Double Wall Spill Bucket 9/7/2022 9/7/2025
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Chase Secondary Containment OPW AXP - 4" secondary chase piping Precision Test Pass 9/7/2022
Piping Flexible Double Wall OPW Flexworks Precision Test Pass 9/7/2022
Piping Polyethylene Chase Precision Test Pass 9/7/2022
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 9/14/2021

Dispenser Information



Name\ID 1/2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/11/2022 8/11/2025
Leak Detect - Piping Sump Sensor 9/7/2022 9/7/2023



Name\ID 11/12

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/11/2022 8/11/2025
Leak Detect - Piping Sump Sensor 9/7/2022 9/7/2023



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/11/2022 8/11/2025
Leak Detect - Piping Sump Sensor 9/7/2022 9/7/2023



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/11/2022 8/11/2025
Leak Detect - Piping Sump Sensor 9/7/2022 9/7/2023



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/11/2022 8/11/2025
Leak Detect - Piping Sump Sensor 9/7/2022 9/7/2023



Name\ID 9/10

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/11/2022 8/11/2025
Leak Detect - Piping Sump Sensor 9/7/2022 9/7/2023

MFD Motorfuel Dispensing Forms

Facility Number Name City Received Date Letter
2046083 Wal-Mart SuperCenter #5404 Homewood 10/21/2016 Letter Form
Office of the Illinois State Fire Marshal
1035 Stevenson Dr. Springfield, IL 62704 | (217) 785-0969 | Contact Us