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:	4010745
Status:	Closed
Facility Name:	Circle K #4700038
Address:	809 W. Green Street Urbana, IL 61801
County:	Champaign
Property Parcel:	92-21-17-103-001
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	U001612
Green Tag Issue Date:	3/12/2019
Green Tag Expiration Date:	12/27/2021

Owner Details

Owner Name:	Mac's Convenience Stores, LLC
Owner Address:	1100 Situs Court, Suite 100 Raleigh, NC 27606
Owner Status:	Current Owner
Purchase Date:	6/29/2021
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	4/22/2021	12/31/2023

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0030949	Mac's Convenience Stores, LLC	Current Owner	6/29/2021
U0030260	Kooshtard Property V, LLC	Former Owner	6/21/2001
U0023515	Johnson Oil Company, L.L.C.	Former Owner	9/14/1994
U0023012	Amoco Oil Co	Former Owner	6/2/1994
U0014431	Amoco Oil Company	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
21-0884	10/20/2021	Removal Log	01121-2021REM
21-0884	10/21/2021	Removal Log	01121-2021REM
900883	5/27/1992	Initial Inspection
900883	6/22/1992	Removal Log	3707-92
900883	6/23/1992	Removal Log	3707-92

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
90-0883	Eligible	5/22/1997	6/26/1997	$10,000
20210884	Eligible	4/4/2022	4/6/2022	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	6000	Gasoline	Removed	Federal		$0.00	05/27/1992 - REM
2	6000	Gasoline	Removed	Federal		$0.00	05/27/1992 - REM
3	8000	Gasoline	Removed	Federal		$0.00	05/27/1992 - REM
4	1000	Used Oil	Removed	Federal		$0.00	05/27/1992 - REM
5	1000	Used Oil	Removed	Federal		$0.00	05/27/1992 - REM
6	12000	Gasoline - Regular	Removed	Federal		$0.00	10/20/2021 - REM
7	12000	Gasoline - Mid-grade	Removed	Federal		$0.00	10/21/2021 - REM
8	12000	Gasoline - Premium	Removed	Federal		$0.00	10/21/2021 - REM
9	1000	Gasoline	Removed	Exempt			06/23/1992 - REM
10	1000	Gasoline	Removed	Exempt			06/23/1992 - REM
11	1000	Gasoline	Removed	Exempt			06/23/1992 - REM
12	2000		Removed	Exempt			06/23/1992 - REM
13	2000	Gasoline	Removed	Exempt			06/23/1992 - REM
14	500	Used Oil	Removed	Exempt			06/23/1992 - REM
15	500	Used Oil	Removed	Exempt			06/23/1992 - REM

Dispenser Information

Name\ID	Status
1/2	Active
3/4	Active
5/6	Active
7/8	Active
9/10	Active
11/12	Active

MFD Motorfuel Dispensing Forms

No Forms Found