Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 4018083
Status: Active
Facility Name: Evergreen FS
Address: R R #1 17289 N 300 East Rd
Flanagan, IL 61740
County: Livingston
Property Parcel:
Facility Type: Unattended Self-Service Station
Owner Type: Private
Green Tag Decal: X003583
Green Tag Issue Date: 7/27/2022
Green Tag Expiration Date: 12/31/2024

Owner Details

Owner Name: Evergreen FS, Inc.
Owner Address: P.O. Box 1367
Bloomington, IL 61702
Owner Status: Current Owner
Purchase Date:
Type of Financial Responsibility: Self-Insurance
Financial Responsibility Reporting Due Date: 2/27/2025

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Unattended Self Service 7/27/2022 12/31/2024
Self Service 9/29/2008 12/31/2010

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0027569 Evergreen FS, Inc. Current Owner
U0009270 Livingston Service Company Former Owner

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information



Tank Number 1

Capacity: 6000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 3/27/1986 Abandoned Material:
Current Age: 39 Abandoned Date:
Install Date: 3/27/1985 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank STIP3 Cathodic Protection with Dielectric Coating 7/15/2021 7/15/2024
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 6/19/2023 6/19/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 6/19/2023 6/19/2024
Overfill Prev Device Overfill Alarm 7/15/2021 7/15/2024
Overfill Prev Device Overfill Drop Tube Valve 7/15/2021 7/15/2024
Piping Flexible Double Wall N/A N/A
Piping Single Wall STP/Tanktop Sump 7/16/2020 7/16/2023
Leak Detect - Piping Sump Sensor 6/19/2023 6/19/2024
Spill Contain Device Single Wall Spill Bucket Insert 5/12/2020 5/12/2023
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall Precision Test Pass 6/19/2023



Tank Number 2

Capacity: 10000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 3/27/1986 Abandoned Material:
Current Age: 39 Abandoned Date:
Install Date: 3/27/1985 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank STIP3 Cathodic Protection with Dielectric Coating 7/15/2021 7/15/2024
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 6/19/2023 6/19/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 6/19/2023 6/19/2024
Overfill Prev Device Overfill Alarm 7/15/2021 7/15/2024
Piping Flexible Double Wall N/A N/A
Piping Single Wall STP/Tanktop Sump 7/16/2020 7/16/2023
Leak Detect - Piping Sump Sensor 6/19/2023 6/19/2024
Spill Contain Device Single Wall Spill Bucket 2/20/2020 2/20/2023
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall Precision Test Pass 6/19/2023



Tank Number 3

Capacity: 10000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 3/27/1986 Abandoned Material:
Current Age: 39 Abandoned Date:
Install Date: 3/27/1985 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Sacrificial Anode Cathodic Protection 7/15/2021 7/15/2024
Corrosion Prot - Tank STIP3 Cathodic Protection with Dielectric Coating 7/15/2021 7/15/2024
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 6/19/2023 6/19/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 6/19/2023 6/19/2024
Overfill Prev Device Overfill Alarm 7/15/2021 7/15/2024
Overfill Prev Device Overfill Drop Tube Valve 7/15/2021 7/15/2024
Piping Steel Single Wall Piping N/A N/A
Piping Single Wall STP/Tanktop Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated Not Installed N/A N/A
Spill Contain Device Single Wall Spill Bucket Insert 5/12/2020 5/12/2023
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Steel Single Wall Piping Precision Test Pass 6/19/2023



Tank Number 4

Capacity: 15000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 9/17/1992 Abandoned Material:
Current Age: 33 Abandoned Date:
Install Date: 8/20/1990 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 8/20/1990

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Sacrificial Anode Cathodic Protection 7/15/2021 7/15/2024
Corrosion Prot - Tank STIP3 Cathodic Protection with Dielectric Coating 7/15/2021 7/15/2024
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 6/19/2023 6/19/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 6/19/2023 6/19/2024
Overfill Prev Device Overfill Alarm 7/15/2021 7/15/2024
Overfill Prev Device Overfill Drop Tube Valve 7/15/2021 7/15/2024
Piping Steel Single Wall Piping N/A N/A
Piping Not Installed STP/Tanktop Sump N/A N/A
Spill Contain Device Single Wall Spill Bucket 2/20/2020 2/20/2023
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Steel Single Wall Piping Precision Test Pass 6/19/2023

Dispenser Information



Name\ID 1/2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated Not Installed N/A N/A



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated Not Installed N/A N/A



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated Not Installed N/A N/A

MFD Motorfuel Dispensing Forms

No Forms Found