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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:	3010138
Status:	Closed
Facility Name:	National Petroleum #169
Address:	3401 Avenue of the Cities Moline, IL 61265
County:	Rock Island
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	B002175
Green Tag Issue Date:	4/9/2001
Green Tag Expiration Date:	12/31/2003

Owner Details

Owner Name:	Requet Boys, LLC
Owner Address:	P.O. Box 5302 Rock Island, IL 612045302
Owner Status:	Current Owner
Purchase Date:	6/1/2008
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	11/24/2009

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0035112	Requet Boys, LLC	Current Owner	6/1/2008
U0024983	Clark Refining & Marketing, Inc.	Former Owner	1/10/1997
U0006488	Anett Harold & Ruth	Former Owner	12/31/1967
U0027936	Wisconsin North, LLC	Former Owner

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
11-1164	10/31/2011	Removal Log	00996-2011REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
99-0423	Eligible	4/9/1999	4/27/1999	$10,000
99-0423	Eligible	4/6/2009	4/15/2009	$10,000

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	7500	Gasoline	Removed	Federal		$0.00	10/31/2011 - REM
2	7500	Gasoline	Removed	Federal		$0.00	10/31/2011 - REM
3	10000	Gasoline	Removed	Federal		$0.00	10/31/2011 - REM
4	1200	Gasoline	Removed	Federal		$0.00	10/31/2011 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found