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:	4021684
Status:	Closed
Facility Name:	Gas Station
Address:	1601 S. Banker Street Effingham, IL 62401
County:	Effingham
Property Parcel:	03-16-055-084
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	O003198
Green Tag Issue Date:	11/19/2013
Green Tag Expiration Date:	12/31/2015

Owner Details

Owner Name:	City of Effingham
Owner Address:	201 E. Jefferson Ave. Effingham, IL 62401
Owner Status:	Current Owner
Purchase Date:	10/30/2019
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	8/16/2011	12/31/2013

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0032178	City of Effingham	Current Owner	10/30/2019
U0036196	Effin, Inc.	Former Owner	4/27/2011
U0030970	Kabani, Hussihn	Former Owner	10/15/2002
U0000120	Fanning Oil Company	Former Owner	10/15/2002
U0009763	Martin & Bayley, Inc.	Former Owner	12/31/1967
U0034421	Gill, Ajit	Former Owner
U0032323	Mathew, Shaju & Chirayl, John	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
20200060	2/13/2020	Removal Log	00138-2020REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
20200060	Eligible	3/24/2020	3/24/2020	$5,000	Letter

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:	2/13/2020
OSFM First Notify Date:	5/5/1986		Abandoned Material:
Current Age:	35		Abandoned Date:
Install Date:	5/1/1984		Red Tag Issue Date:
Last Used Date:	10/21/2014		Fee Due:	$0.00
Product Date:	5/1/1984

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	8/3/2011	8/3/2014
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	10/1/2013	10/1/2018
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	10/15/2013	10/15/2014
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Double Wall steel	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	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:	2/13/2020
OSFM First Notify Date:	5/5/1986		Abandoned Material:
Current Age:	35		Abandoned Date:
Install Date:	5/1/1984		Red Tag Issue Date:
Last Used Date:	10/21/2014		Fee Due:	$0.00
Product Date:	5/1/1984

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	8/3/2011	8/3/2014
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	10/1/2013	10/1/2018
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	10/15/2013	10/15/2014
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Double Wall steel	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	2/13/2020
OSFM First Notify Date:	5/5/1986		Abandoned Material:	Inert material mixed with portland cement
Current Age:	35		Abandoned Date:	3/6/2008
Install Date:	5/1/1984		Red Tag Issue Date:
Last Used Date:	7/31/2007		Fee Due:	$0.00
Product Date:	5/1/1984

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Tank	Lining Materials Internal

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found