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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:	3006053
Status:	Active
Facility Name:	Mac's #1212
Address:	1827 18th Avenue East Moline, IL 62144
County:	Rock Island
Property Parcel:	09-30-320-010
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y001389
Green Tag Issue Date:	11/3/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Mac's Convenience Stores, LLC
Owner Address:	1100 Situs Court, Suite 100 Raleigh, NC 27606
Owner Status:	Current Owner
Purchase Date:	8/19/2003
Type of Financial Responsibility:	Guarantee
Financial Responsibility Reporting Due Date:	10/27/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	11/3/2023	12/31/2025

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0030949	Mac's Convenience Stores, LLC	Current Owner	8/19/2003
U0029789	Clark Retail Enterprises, Inc.	Former Owner	3/7/2001
U0015986	Wareco Service, Inc.	Former Owner	3/7/2001

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
932665	7/6/1994	Removal Log	1144-94

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
93-2665	Eligible	11/13/1998	1/5/1999	$15,000
93-2665	Eligible	6/19/2012	8/9/2012	$15,000
20220162	Eligible	8/15/2022	8/17/2022	$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	10000	Gasoline	Removed	Federal		$0.00	07/06/1994 - REM
2	10000	Gasoline	Removed	Federal		$0.00	07/06/1994 - REM
3	10000	Gasoline	Removed	Federal		$0.00	07/06/1994 - REM
4	1000	Gasoline	Removed	Federal		$0.00	07/06/1994 - REM
5	2000	Diesel Fuel	Removed	Federal		$0.00	07/06/1994 - REM
6	10000	Ethylene Glycol	Removed	Federal		$0.00	07/06/1994 - REM
7	275	Used Oil	Removed	Federal		$0.00	07/06/1994 - REM
8	10000	Gasoline - Regular	Currently in use	Federal		$0.00
9	10000	Diesel Fuel	Currently in use	Federal		$0.00
10	10000	Gasoline - Premium	Currently in use	Federal		$0.00
11	8000	Diesel Fuel	Out of service	Federal		$0.00

Dispenser Information

Name\ID	Status
14/16	Active
3/6	Active
7/10	Active
8/11	Active
9/12	Active
1/4	Active
2/5	Active

MFD Motorfuel Dispensing Forms

No Forms Found