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:	4029571
Status:	Closed
Facility Name:	Colonial Pantry #3
Address:	813 West Springfield Avenue Champaign, IL 61820
County:	Champaign
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	K002774
Green Tag Issue Date:	7/22/2009
Green Tag Expiration Date:	12/31/2011

Owner Details

Owner Name:	Colonial Pantry, LTD
Owner Address:	811 W. Springfield Avenue, Suite 201 Champaign, IL 61820
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	11/28/2012

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	7/22/2009	12/31/2011

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0018266	Colonial Pantry, LTD	Current Owner
U0018948	1St Of American Bk Champaign	Former Owner	12/31/1967
U0018897	Colonial Pantry, LTD.	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
03-0275	3/3/2003	Removal Log	02397-2003REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
92-1215	Eligible	12/18/2002	12/23/2002	$10,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	500		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	5/6/1992
OSFM First Notify Date:	3/17/1992		Abandoned Material:
Current Age:	31		Abandoned Date:
Install Date:	7/1/1960		Red Tag Issue Date:
Last Used Date:	2/1/1982		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 2

Capacity:	285		Petroleum Use:
Product:	Used Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	5/6/1992
OSFM First Notify Date:	3/17/1992		Abandoned Material:
Current Age:	40		Abandoned Date:
Install Date:	1/1/1952		Red Tag Issue Date:
Last Used Date:	11/1/1970		Fee Due:
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 3

Capacity:	12000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/22/2011
OSFM First Notify Date:	9/14/1993		Abandoned Material:
Current Age:	18		Abandoned Date:
Install Date:	6/8/1993		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	6/8/1993

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	10/14/2009	10/14/2012
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Jacketed Steel Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	7/28/2011	7/28/2012
Leak Detect - Tank	Automatic Tank Gauging Red Jacket RLM 5000
Overfill Prev Device	Ball Float Vent Valve
Piping	Flexible Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Jacketed Steel Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	4000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/22/2011
OSFM First Notify Date:	9/14/1993		Abandoned Material:
Current Age:	18		Abandoned Date:
Install Date:	6/8/1993		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	6/8/1993

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	10/14/2009	10/14/2012
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Jacketed Steel Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	7/28/2011	7/28/2012
Leak Detect - Tank	Automatic Tank Gauging Red Jacket RLM 5000
Overfill Prev Device	Ball Float Vent Valve
Piping	Flexible Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Jacketed Steel Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/22/2011
OSFM First Notify Date:	9/14/1993		Abandoned Material:
Current Age:	18		Abandoned Date:
Install Date:	6/8/1993		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	6/8/1993

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	10/14/2009	10/14/2012
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Jacketed Steel Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	7/28/2011	7/28/2012
Leak Detect - Tank	Automatic Tank Gauging Red Jacket RLM 5000
Overfill Prev Device	Ball Float Vent Valve
Piping	Flexible Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Jacketed Steel Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 6

Capacity:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	1/1/1993
OSFM First Notify Date:	10/7/2002		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/1/1966		Fee Due:
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:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	1/1/1993
OSFM First Notify Date:	10/7/2002		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/1/1966		Fee Due:
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 8

Capacity:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	1/1/1977
OSFM First Notify Date:	10/7/2002		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:	6/1/1966		Red Tag Issue Date:
Last Used Date:	1/1/1977		Fee Due:
Product Date:	6/1/1966

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:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	1/1/1977
OSFM First Notify Date:	10/7/2002		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:	6/1/1966		Red Tag Issue Date:
Last Used Date:	1/1/1977		Fee Due:
Product Date:	6/1/1966

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:	1000		Petroleum Use:
Product:	Unknown		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	3/7/2003
OSFM First Notify Date:			Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	12/31/1973		Fee Due:
Product Date:

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