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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:	3001612
Status:	Closed
Facility Name:	7-Eleven Store #34454
Address:	1000 78th Avenue West Rock Island, IL 61201
County:	Rock Island
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	N004515
Green Tag Issue Date:	2/1/2013
Green Tag Expiration Date:	12/31/2014

Owner Details

Owner Name:	7-Eleven, Inc.
Owner Address:	3200 Hackberry Road - Gas Compliance Irving, TX 75063
Owner Status:	Current Owner
Purchase Date:	2/15/2010
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	12/5/2013

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	2/1/2013	12/31/2014

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0014207	7-Eleven, Inc.	Current Owner	2/15/2010
U0010646	Mother Hubbard's Cupboard	Former Owner	12/31/1967
U0033923	MHC Convenience LLC, Series 1	Former Owner / Operator	11/8/2006
U0035445	MHC Realty, LLC	Former Owner / Operator
U0022049	1000 - 78th W., Inc.	Former Owner / Operator

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
13-0575	5/16/2013	Removal Log	00297-2013REM
13-0575	5/17/2013	Removal Log	00297-2013REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
03-1505	Eligible	3/9/2004	3/17/2004	$10,000

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	10000	Diesel Fuel	Removed	Federal		$0.00	05/17/2013 - REM
2	10000	Gasoline	Removed	Federal		$0.00	05/16/2013 - REM
3	10000	Gasoline	Removed	Federal		$0.00	05/15/2013 - REM
4	6000	Gasoline	Removed	Federal		$0.00	05/15/2013 - REM
5	8000	Bio-Diesel	Removed	Federal		$0.00	05/15/2013 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found