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:	2046815
Status:	Closed
Facility Name:	William Hagstrom III
Address:	1020 Anita Avenue Antioch, IL 60002
County:	Lake
Property Parcel:
Facility Type:	Industrial / Manufacturing
Owner Type:	Private
Green Tag Decal:
Green Tag Issue Date:
Green Tag Expiration Date:

Owner Details

Owner Name:	William Hagstrom III
Owner Address:	29725 49th Street Salem, WI 53168
Owner Status:	Current Owner
Purchase Date:	1/1/1985
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0039495	Hagstrom III, William	Current Owner	1/1/1985

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
19-0324	4/30/2019	Removal Log	00694-2019REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
20190324	Eligible	3/24/2020	3/24/2020	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	1000		Petroleum Use:	None
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/30/2019
OSFM First Notify Date:	4/5/2019		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	11/11/1986		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	2000		Petroleum Use:	None
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/30/2019
OSFM First Notify Date:	4/5/2019		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	11/11/1986		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found