Information

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:	4010275
Status:	Closed
Facility Name:	Friendly Food Mart
Address:	1321 Lakeland Blvd. Mattoon, IL 61938
County:	Coles
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	J002663
Green Tag Issue Date:	6/16/2008
Green Tag Expiration Date:	12/31/2010

Owner Details

Owner Name:	Mutasimbillah Abukittah
Owner Address:	P.O. Box 359 Bremen, GA 30110
Owner Status:	Current Owner
Purchase Date:	4/8/2011
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	6/16/2008	12/31/2010

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0036344	Abukittah, Mutasimbillah	Current Owner	4/8/2011
U0032919	Capital Business Management LLC	Former Owner	12/9/2004
U0027539	Z A Corporation	Former Owner	8/12/1997
U0014462	Atlantic Western Corporation	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
12-0020	1/11/2012	Removal Log	01157-2011REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
12-0020	Eligible	3/7/2013	3/29/2013	$5,000

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	01/11/2012 - REM
2	10000	Gasoline	Removed	Federal		$0.00	01/11/2012 - REM
3	4000	Diesel Fuel	Removed	Federal		$0.00	01/11/2012 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found