Information

JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
Employment Opportunities
Ready Illinois
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Division of Petroleum & Chemical Safety

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

Click for Facility/Tank Ownership history

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)

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
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 1

Capacity:	10000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/9/2017
OSFM First Notify Date:	4/18/1986		Abandoned Material:
Current Age:	36		Abandoned Date:
Install Date:	1/1/1981		Red Tag Issue Date:
Last Used Date:	2/25/2016		Fee Due:	$0.00
Product Date:	1/1/1981

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	8/18/2015	8/18/2018
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	8/18/2015	8/18/2016
Leak Detect - Piping	Sump Sensor	8/18/2015	8/18/2016
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Single Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/9/2017
OSFM First Notify Date:	4/18/1986		Abandoned Material:
Current Age:	36		Abandoned Date:
Install Date:	1/1/1981		Red Tag Issue Date:
Last Used Date:	2/25/2016		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	8/18/2015	8/18/2018
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	8/18/2015	8/18/2016
Leak Detect - Piping	Sump Sensor	8/18/2015	8/18/2016
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Single Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/9/2017
OSFM First Notify Date:	4/18/1986		Abandoned Material:
Current Age:	36		Abandoned Date:
Install Date:	1/1/1981		Red Tag Issue Date:
Last Used Date:	2/25/2016		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	8/18/2015	8/18/2018
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	8/18/2015	8/18/2016
Leak Detect - Piping	Sump Sensor	8/18/2015	8/18/2016
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Single Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/23/1990
OSFM First Notify Date:	4/18/1986		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	1/1/1981		Red Tag Issue Date:
Last Used Date:	3/1/1990		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/23/1990
OSFM First Notify Date:	4/18/1986		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	1/1/1981		Red Tag Issue Date:
Last Used Date:	3/1/1990		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 6

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/23/1990
OSFM First Notify Date:	4/18/1986		Abandoned Material:
Current Age:	5		Abandoned Date:
Install Date:	1/1/1985		Red Tag Issue Date:
Last Used Date:	3/1/1990		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 7

Capacity:	12000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/20/2005
OSFM First Notify Date:	4/11/1991		Abandoned Material:
Current Age:	15		Abandoned Date:
Install Date:	6/1/1990		Red Tag Issue Date:
Last Used Date:	7/18/2005		Fee Due:	$0.00
Product Date:	6/27/1990

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 8

Capacity:	12000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/20/2005
OSFM First Notify Date:	4/11/1991		Abandoned Material:
Current Age:	15		Abandoned Date:
Install Date:	6/1/1990		Red Tag Issue Date:
Last Used Date:	7/18/2005		Fee Due:	$0.00
Product Date:	6/27/1990

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:	12000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/20/2005
OSFM First Notify Date:	4/11/1991		Abandoned Material:
Current Age:	15		Abandoned Date:
Install Date:	6/1/1990		Red Tag Issue Date:
Last Used Date:	7/18/2005		Fee Due:	$0.00
Product Date:	6/27/1990

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:	12000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/20/2005
OSFM First Notify Date:	4/11/1991		Abandoned Material:
Current Age:	15		Abandoned Date:
Install Date:	6/1/1990		Red Tag Issue Date:
Last Used Date:	7/18/2005		Fee Due:	$0.00
Product Date:	6/27/1990

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found