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

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

Click for Facility/Tank Ownership history

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)

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
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 1

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/1/2011
OSFM First Notify Date:	5/5/1986		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	7/1/1980		Red Tag Issue Date:
Last Used Date:	11/24/2010		Fee Due:	$0.00
Product Date:	7/1/1980

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	7/28/2009	7/28/2012
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	3/18/2005	3/18/2010
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	12/17/2008	12/17/2009
Leak Detect - Tank	Automatic Tank Gauging Incon TS 1001
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel 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:	3/2/2011
OSFM First Notify Date:	5/5/1986		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	7/1/1980		Red Tag Issue Date:
Last Used Date:	2/9/2010		Fee Due:	$0.00
Product Date:	7/1/1980

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	7/28/2009	7/28/2012
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	3/18/2005	3/18/2010
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	12/17/2008	12/17/2009
Leak Detect - Tank	Automatic Tank Gauging Incon TS 1001
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel 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

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found