Division of Petroleum & Chemical Safety

 

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

Click for Facility/Tank Ownership history
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)

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
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 5

Capacity: 10000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 10/23/2019
OSFM First Notify Date: 6/16/1989 Abandoned Material:
Current Age: 30 Abandoned Date:
Install Date: 4/18/1989 Red Tag Issue Date:
Last Used Date: 10/15/2019 Fee Due: $0.00
Product Date: 4/19/1989

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Sacrificial Anode Cathodic Protection 11/18/2015 11/18/2018
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 11/12/2018 11/12/2019
Leak Detect - Piping Sump Sensor 11/12/2018 11/12/2019
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD 11/12/2018 11/12/2019
Overfill Prev Device Ball Float Vent Valve
Piping Fiberglass Single Wall Piping Ameron N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 6

Capacity: 10000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 10/23/2019
OSFM First Notify Date: 6/16/1989 Abandoned Material:
Current Age: 30 Abandoned Date:
Install Date: 4/18/1989 Red Tag Issue Date:
Last Used Date: 10/15/2019 Fee Due: $0.00
Product Date: 4/19/1989

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Sacrificial Anode Cathodic Protection 11/18/2015 11/18/2018
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 11/12/2018 11/12/2019
Leak Detect - Piping Sump Sensor 11/12/2018 11/12/2019
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD 11/12/2018 11/12/2019
Overfill Prev Device Ball Float Vent Valve
Piping Fiberglass Single Wall Piping Ameron N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 7

Capacity: 8000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 10/22/2019
OSFM First Notify Date: 6/16/1989 Abandoned Material:
Current Age: 30 Abandoned Date:
Install Date: 4/18/1989 Red Tag Issue Date:
Last Used Date: 10/15/2019 Fee Due: $0.00
Product Date: 4/19/1989

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Sacrificial Anode Cathodic Protection 11/18/2015 11/18/2018
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 11/12/2018 11/12/2019
Leak Detect - Piping Sump Sensor 11/12/2018 11/12/2019
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD 11/12/2018 11/12/2019
Overfill Prev Device Ball Float Vent Valve
Piping Fiberglass Single Wall Piping Ameron N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 8

Capacity: 6000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 5/2/1989
OSFM First Notify Date: 3/7/1986 Abandoned Material:
Current Age: 25 Abandoned Date:
Install Date: 1/1/1964 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 1/1/1964

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 9

Capacity: 6000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 5/2/1989
OSFM First Notify Date: 3/7/1986 Abandoned Material:
Current Age: 25 Abandoned Date:
Install Date: 1/1/1964 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 1/1/1964

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 10

Capacity: 8000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 5/2/1989
OSFM First Notify Date: 3/7/1986 Abandoned Material:
Current Age: 25 Abandoned Date:
Install Date: 1/1/1964 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 1/1/1964

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 11

Capacity: 10000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 5/2/1989
OSFM First Notify Date: 3/7/1986 Abandoned Material:
Current Age: 20 Abandoned Date:
Install Date: 1/1/1969 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 1/1/1969

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 12

Capacity: 15000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 4/22/2020 Abandoned Material:
Current Age: 4 Abandoned Date:
Install Date: 10/17/2019 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank Composite Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 5/8/2024 5/8/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 5/8/2024 5/8/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 5/8/2024 5/8/2025
Overfill Prev Device Overfill Drop Tube Valve 5/10/2022 5/10/2025
Piping Flexible Double Wall OPW Flexworks N/A N/A
Piping Single Wall STP/Tanktop Sump 5/10/2022 5/10/2025
Leak Detect - Piping Non-Discriminating Sump Sensor 4/30/2021 4/30/2022
Leak Detect - Piping Sump Sensor with positive shutdown 5/8/2024 5/8/2025
Spill Contain Device Single Wall Spill Bucket 5/10/2022 5/10/2025
Tank Composite Double Wall Glasteel II N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall OPW Flexworks Precision Test Pass 5/8/2024
Tank Composite Double Wall Glasteel II Precision Test (Tank) Pass 4/24/2020



Tank Number 13

Capacity: 5000 Petroleum Use:
Product: Gasoline - Non Ethanol CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 4/22/2020 Abandoned Material:
Current Age: 4 Abandoned Date:
Install Date: 10/17/2019 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank Composite Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 5/8/2024 5/8/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 5/8/2024 5/8/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 5/8/2024 5/8/2025
Overfill Prev Device Overfill Drop Tube Valve 5/10/2022 5/10/2025
Piping Flexible Double Wall OPW Flexworks N/A N/A
Piping Single Wall STP/Tanktop Sump 5/10/2022 5/10/2025
Leak Detect - Piping Non-Discriminating Sump Sensor 4/30/2021 4/30/2022
Leak Detect - Piping Sump Sensor with positive shutdown 5/8/2024 5/8/2025
Spill Contain Device Single Wall Spill Bucket 5/10/2022 5/10/2025
Tank Composite Double Wall Glasteel II N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall OPW Flexworks Precision Test Pass 5/8/2024
Tank Composite Double Wall Glasteel II Precision Test (Tank) Pass 4/24/2020



Tank Number 14

Capacity: 5000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 4/22/2020 Abandoned Material:
Current Age: 4 Abandoned Date:
Install Date: 10/17/2019 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank Composite Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 5/8/2024 5/8/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 5/8/2024 5/8/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 5/8/2024 5/8/2025
Overfill Prev Device Overfill Drop Tube Valve 5/10/2022 5/10/2025
Piping Flexible Double Wall OPW Flexworks N/A N/A
Piping Single Wall STP/Tanktop Sump 5/10/2022 5/10/2025
Leak Detect - Piping Non-Discriminating Sump Sensor 4/30/2021 4/30/2022
Leak Detect - Piping Sump Sensor with positive shutdown 5/8/2024 5/8/2025
Spill Contain Device Single Wall Spill Bucket 5/10/2022 5/10/2025
Tank Composite Double Wall Glasteel II N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall OPW Flexworks Precision Test Pass 5/8/2024
Tank Composite Double Wall Glasteel II Precision Test (Tank) Pass 4/24/2020



Tank Number 15

Capacity: 20000 Petroleum Use:
Product: B-11 CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 4/22/2020 Abandoned Material:
Current Age: 4 Abandoned Date:
Install Date: 10/17/2019 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank Composite Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 5/8/2024 5/8/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 5/8/2024 5/8/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 5/8/2024 5/8/2025
Overfill Prev Device Overfill Drop Tube Valve 5/10/2022 5/10/2025
Piping Flexible Double Wall OPW Flexworks N/A N/A
Piping Single Wall STP/Tanktop Sump 5/10/2022 5/10/2025
Leak Detect - Piping Non-Discriminating Sump Sensor 4/30/2021 4/30/2022
Leak Detect - Piping Sump Sensor with positive shutdown 5/8/2024 5/8/2025
Piping Single Wall STP/Tanktop Sump 5/10/2022 5/10/2025
Leak Detect - Piping Sump Sensor with positive shutdown 5/8/2024 5/8/2025
Spill Contain Device Single Wall Spill Bucket 5/10/2022 5/10/2025
Tank Composite Double Wall Glasteel II N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall OPW Flexworks Precision Test Pass 5/8/2024
Tank Composite Double Wall Glasteel II Precision Test (Tank) Pass 4/24/2020



Tank Number 16

Capacity: 6000 Petroleum Use:
Product: Diesel Exhaust Fluid (Non-Regulated) CERCLA Substance:
Status: Unknown CAS Code:
Regulated Status: Non-Regulated Removed Date:
OSFM First Notify Date: Abandoned Material:
Current Age: 4 Abandoned Date:
Install Date: 10/17/2019 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 4/22/2020 4/22/2021
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 4/22/2020 4/22/2021
Overfill Prev Device Ball Float Vent Valve 3/11/2020 3/11/2023
Piping Single Wall STP/Tanktop Sump 12/11/2019 12/11/2022
Spill Contain Device Field Constructed OPW 211 12/11/2019 12/11/2022

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date

Dispenser Information



Name\ID 1/2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 5/24/2023 5/24/2026
Leak Detect - Piping Sump Sensor with positive shutdown 5/8/2024 5/8/2025



Name\ID 11/12

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 5/24/2023 5/24/2026
Leak Detect - Piping Sump Sensor with positive shutdown 5/8/2024 5/8/2025



Name\ID 13/14

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 5/24/2023 5/24/2026
Leak Detect - Piping Sump Sensor with positive shutdown 5/8/2024 5/8/2025



Name\ID 15/16

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 5/24/2023 5/24/2026
Leak Detect - Piping Sump Sensor with positive shutdown 5/8/2024 5/8/2025



Name\ID 17 M

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump



Name\ID 17M

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 5/24/2023 5/24/2026
Leak Detect - Piping Sump Sensor with positive shutdown 5/8/2024 5/8/2025



Name\ID 18 M /18 S

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump



Name\ID 18 M/18 S

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 5/24/2023 5/24/2026
Leak Detect - Piping Sump Sensor with positive shutdown 5/8/2024 5/8/2025



Name\ID 19 M / 19 S

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump



Name\ID 19 M/19 S

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 5/24/2023 5/24/2026
Leak Detect - Piping Sump Sensor with positive shutdown 5/8/2024 5/8/2025



Name\ID 20 S

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 5/24/2023 5/24/2026
Leak Detect - Piping Sump Sensor with positive shutdown 5/8/2024 5/8/2025



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 5/24/2023 5/24/2026
Leak Detect - Piping Sump Sensor with positive shutdown 5/8/2024 5/8/2025



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 5/24/2023 5/24/2026
Leak Detect - Piping Sump Sensor with positive shutdown 5/8/2024 5/8/2025



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 5/24/2023 5/24/2026
Leak Detect - Piping Sump Sensor with positive shutdown 5/8/2024 5/8/2025



Name\ID 9/10

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 5/24/2023 5/24/2026
Leak Detect - Piping Sump Sensor with positive shutdown 5/8/2024 5/8/2025

MFD Motorfuel Dispensing Forms

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