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

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Facility Details

Facility Number:	3000688
Status:	Active
Facility Name:	Andalusia Mart
Address:	121 6th Avenue Andalusia, IL 61232
County:	Rock Island
Property Parcel:	15-27-137-008
Facility Type:	Private Institution
Owner Type:	Private
Green Tag Decal:	Z003497
Green Tag Issue Date:	3/22/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Pathibhara, LLC
Owner Address:	121 6th Avenue E Andalusia, IL 61232
Owner Status:	Current Owner
Purchase Date:	1/10/2023
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	3/13/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	3/22/2024	12/31/2026

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0041148	Pathibhara, LLC	Current Owner	1/10/2023
U0014542	Steve Bragg Standard	Former Owner	6/11/1980
U0036380	Grocery Saver, LLC	Former Owner / Operator	6/6/2011
U0036144	Steve Bragg d/b/a Ft. Bragg Trading Post	Former Owner / Operator	9/7/1984
U0037427	Madel, LLC	Former Owner / Operator

Permits (Unexpired)

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Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
00172-2024UPG	Upgrade	Approved / Issued	2/14/2024	2/14/2024	8/14/2024	Documents

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
11-0510	Eligible	6/2/2011	7/27/2011	$5,000
20210495	Eligible	5/6/2022	5/7/2022	$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	8200	Gasoline - Regular	Currently in use	Federal		$0.00
2	6000	Gasoline - Mid-grade	Currently in use	Federal		$0.00
3	3000	Gasoline - Premium	Currently in use	Federal		$0.00
4	2000	Diesel Fuel	Removed	Federal		$0.00	03/09/1999 - REM
5	2000	Used Oil	Removed	Federal		$0.00	03/09/1999 - REM
6	2000	Gasoline	Removed	Federal		$0.00	03/09/1999 - REM
7	2000	Diesel Fuel	Currently in use	Federal		$0.00

Dispenser Information

Name\ID	Status
1/2	Active
3/4	Active

MFD Motorfuel Dispensing Forms

No Forms Found