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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:	4014553
Status:	Closed
Facility Name:	Jumpin' Jimmy's #79
Address:	1507 W. Fayette Effingham, IL 62401
County:	Effingham
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Q002694
Green Tag Issue Date:	11/16/2015
Green Tag Expiration Date:	12/31/2017

Owner Details

Owner Name:	Wortman Properties, Inc.
Owner Address:	1310 North Keller Effingham, IL 62401
Owner Status:	Current Owner
Purchase Date:	2/25/2016
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	6/29/2018

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	8/4/2015	12/31/2017

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0026848	Wortman Properties, Inc.	Current Owner	2/25/2016
U0036467	Aving-Rice, LLC	Former Owner	2/23/2012
U0033408	SNC JJ Effingham II, LLC	Former Owner	4/10/2006
U0017339	Niebrugge Oil Company	Former Owner	11/30/2001
U0011913	Pilot Travel Centers, LLC	Former Owner	9/1/2001
U0026552	Speedway, LLC	Former Owner

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
05-0758	7/20/2005	Removal Log	00614-2005REM
17-1032	11/9/2017	Removal Log	00560-2017REM
90-0394	3/23/1990	Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
90-0394	Eligible	7/29/1996	9/6/1996	$10,000
04-0784	Eligible	8/3/2004	9/1/2004	$10,000
05-0758	Eligible	6/9/2005	6/28/2005	$10,000
20050758	Eligible	5/16/2016	5/16/2016	$10,000	Letter
04-0784	Eligible	5/17/2016	5/27/2016	$10,000

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	10000	Diesel Fuel	Removed	Federal		$0.00	11/09/2017 - REM
2	10000	Gasoline	Removed	Federal		$0.00	11/09/2017 - REM
3	10000	Gasoline	Removed	Federal		$0.00	11/09/2017 - REM
4	10000	Gasoline	Removed	Federal		$0.00	03/23/1990 - REM
5	10000	Gasoline	Removed	Federal		$0.00	03/23/1990 - REM
6	10000	Gasoline	Removed	Federal		$0.00	03/23/1990 - REM
7	12000	Diesel Fuel	Removed	Federal		$0.00	07/20/2005 - REM
8	12000	Diesel Fuel	Removed	Federal		$0.00	07/20/2005 - REM
9	12000	Diesel Fuel	Removed	Federal		$0.00	07/20/2005 - REM
10	12000	Diesel Fuel	Removed	Federal		$0.00	07/20/2005 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found