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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:	3018343
Status:	Closed
Facility Name:	Forest Hill Service
Address:	2701 23rd Avenue of the Cities Moline, IL 61265
County:	Rock Island
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	09061
Green Tag Issue Date:	6/28/1999
Green Tag Expiration Date:	12/31/2002

Owner Details

Owner Name:	Haloh, L.L.C.
Owner Address:
Owner Status:	Current Owner
Purchase Date:	4/19/2005
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0032696	Haloh, L.L.C.	Current Owner	4/19/2005
U0028323	Forrest Hill Service	Former Owner	11/1/1997
U0016170	Welch Michael J	Former Owner	5/27/1977

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
05-0777	6/7/2005	Removal Log	00432-2005REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
05-0777	Eligible	7/21/2005	8/9/2005	$15,000

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	06/07/2005 - REM
2	4000	Gasoline	Removed	Federal		$0.00	05/12/1989 - REM
3	4000	Gasoline	Removed	Federal		$0.00	05/12/1989 - REM
4	6000	Gasoline	Removed	Federal		$0.00	06/07/2005 - REM
5	6000	Gasoline	Removed	Federal		$0.00	06/07/2005 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found