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:	4021645
Status:	Closed
Facility Name:	A-1 Food
Address:	101 West Fayette Avenue Effingham, IL 62401
County:	Effingham
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	K002907
Green Tag Issue Date:	7/28/2009
Green Tag Expiration Date:	12/31/2011

Owner Details

Owner Name:	Effingham Shakti Corporation
Owner Address:	412 St. Anthony Ave. Effingham, IL 62401
Owner Status:	Current Owner
Purchase Date:	5/17/2006
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	7/28/2009	12/31/2011

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0036202	Effingham Shakti Corporation	Current Owner	5/17/2006
U0034379	Shakti Corporation	Former Owner
U0009763	Martin & Bayley, Inc.	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
11-0110	3/1/2011	Removal Log	00113-2011REM
11-0110	3/2/2011	Removal Log	00113-2011REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
11-0110	Returned	4/12/2011	6/7/2011	$Not Selected
11-0110	Eligible	6/13/2011	8/12/2011	$5,000
92-2457	Eligible	5/4/2012	6/15/2012	$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	Gasoline	Removed	Federal		$0.00	03/01/2011 - REM
2	10000	Gasoline	Removed	Federal		$0.00	03/02/2011 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found