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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:	4009945
Status:	Closed
Facility Name:	Clark #5596
Address:	1001 West Fayette Effingham, IL 62401
County:	Effingham
Property Parcel:
Facility Type:	Attended Self-Service/Unattended Self-Service
Owner Type:	Private
Green Tag Decal:	C003198
Green Tag Issue Date:	12/13/2001
Green Tag Expiration Date:	12/31/2004

Owner Details

Owner Name:	Niebrugge Oil Company
Owner Address:	P.O. Box 165 2101 South Banker Street Effingham, IL 624012814
Owner Status:	Current Owner
Purchase Date:	8/27/2002
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
U0017339	Niebrugge Oil Company	Current Owner	8/27/2002
U0020686	A-Jay Enterprises	Former Owner	1/27/1998
U0003073	Clark Retail Enterprises, Inc.	Former Owner	12/31/1967

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
03-0004	3/19/2003	Removal Log	02211-2003REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
03-0004	Eligible	2/14/2003	3/6/2003	$10,000
20030004	Eligible	2/6/2019	2/6/2019	$10,000	Letter

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	03/19/2003 - REM
2	7500	Gasoline	Removed	Federal		$0.00	03/19/2003 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found