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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:	4003222
Status:	Active
Facility Name:	Jack Flash - Altamont
Address:	1206 Main Street Altamont, IL 62411
County:	Effingham
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	X002556
Green Tag Issue Date:	7/1/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	Wortman Holdings, LLC
Owner Address:	P.O. Box 217 Effingham, IL 62401
Owner Status:	Current Owner
Purchase Date:	9/21/2012
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	6/29/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	8/22/8007	12/31/2009

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0036726	Wortman Holdings, LLC	Current Owner	9/21/2012
U0036467	Aving-Rice, LLC	Former Owner	2/23/2012
U0033426	SNC JJ Altamont I, LLC	Former Owner	4/10/2006
U0017339	Niebrugge Oil Company	Former Owner	7/15/1996
U0014659	Stuckeys Pecan Shoppe	Former Owner	1/1/1959

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
0988-19	10/22/2019	Removal Log	01833-2019REM
19-0988	10/23/2019	Removal Log	01833-2019REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
89-0714	Eligible	11/7/1995	12/26/1995	$10,000
89-0714	IEPA Election to Proceed	4/25/2011	6/22/2011	$50,000
89-0714	Eligible	6/11/2012	8/3/2012	$50,000
20190988	Eligible	11/22/2019	11/25/2019	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
5	10000	Gasoline - Regular	Removed	Federal		$0.00	10/23/2019 - REM
6	10000	Diesel Fuel	Removed	Federal		$0.00	10/23/2019 - REM
7	8000	Gasoline - Premium	Removed	Federal		$0.00	10/22/2019 - REM
8	6000	Gasoline	Removed	Federal		$0.00	05/02/1989 - REM
9	6000	Gasoline	Removed	Federal		$0.00	05/02/1989 - REM
10	8000	Gasoline	Removed	Federal		$0.00	05/02/1989 - REM
11	10000	Gasoline	Removed	Federal		$0.00	05/02/1989 - REM
12	15000	Gasoline - Regular	Currently in use	Federal		$0.00
13	5000	Gasoline - Non Ethanol	Currently in use	Federal		$0.00
14	5000	Gasoline - Premium	Currently in use	Federal		$0.00
15	20000	B-11	Currently in use	Federal		$0.00
16	6000	Diesel Exhaust Fluid (Non-Regulated)	Unknown	Non-Regulated		$0.00

Dispenser Information

Name\ID	Status
1/2	Active
3/4	Active
5/6	Active
7/8	Active
9/10	Active
11/12	Active
13/14	Active
15/16	Active
17M	Active
18 M/18 S	Active
19 M/19 S	Active
20 S	Active
17 M	Active
18 M /18 S	Active
19 M / 19 S	Active

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
4003222	Jack Flash - Altamont	Altamont	04/22/2020	Letter Form