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:	4030014
Status:	Closed
Facility Name:	Fas Mart #558
Address:	1104 W. Fayette Ave. Effingham, IL 62401
County:	Effingham
Property Parcel:	03-16-029-044
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	W003819
Green Tag Issue Date:	6/23/2021
Green Tag Expiration Date:	12/22/2022

Owner Details

Owner Name:	GPM Gas Mart Realty Co., LLC
Owner Address:	8565 Magellan Pkwy, Ste. 400 Richmond, VA 23227
Owner Status:	Current Owner
Purchase Date:	2/18/2016
Type of Financial Responsibility:	Surety Bond
Financial Responsibility Reporting Due Date:	4/26/2023

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	4/12/2021	12/31/2023

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0038213	GPM Gas Mart Realty Co., LLC	Current Owner	2/18/2016
U0036467	Aving-Rice, LLC	Former Owner	2/23/2012
U0033412	SNC JJ Effingham V, LLC	Former Owner	4/10/2006
U0017339	Niebrugge Oil Company	Former Owner	12/21/1992

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
14-0464	5/16/2014	Abandonment Log	00351-2014ABN
22-1118	12/20/2022	Removal Log	01285-2022REM
22-1118	12/21/2022	Removal Log	01285-2022REM
22-1118	12/22/2022	Removal Log	01285-2022REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
06-0861	Eligible	9/25/2006	10/13/2006	$10,000
06-0861	Eligible	6/11/2012	8/3/2012	$10,000
14-0404	Eligible	6/12/2014	7/29/2014	$5,000
20140404	Eligible	6/30/2016	6/30/2016	$5,000	Letter
20060861	Eligible	6/30/2016	7/1/2016	$5,000	Letter
20221118	Eligible	2/7/2023	2/22/2023	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	12/20/2022
OSFM First Notify Date:	3/2/1993		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	12/21/1992		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/21/1992

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Isolation Boots Flex Connector	N/A	N/A
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Impressed Current Cathodic Protection	1/19/2022	1/19/2023
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	12/1/2022	12/1/2023
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	1/19/2022	1/19/2023
Overfill Prev Device	Ball Float Vent Valve	1/19/2022	1/19/2025
Piping	Flexible Double Wall A.P.T. Poly Tech S175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/22/2021	4/22/2024
Leak Detect - Piping	Sump Sensor	1/19/2022	1/19/2023
Piping	Single Wall Transition Sump	4/20/2021	4/20/2024
Leak Detect - Piping	Non-Discriminating Sump Sensor	1/25/2021	1/25/2022
Spill Contain Device	Single Wall Spill Bucket	1/19/2022	1/19/2025
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
Piping	Flexible Double Wall A.P.T. Poly Tech S175SC	Precision Test	Pass	12/1/2022
Tank	Steel Single Wall	Precision Test (Tank)	Pass	12/1/2022

Tank Number 2

Capacity:	8000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	12/21/2022
OSFM First Notify Date:	3/2/1993		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	12/21/1992		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/21/1992

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Isolation Boots Flex Connector	N/A	N/A
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Impressed Current Cathodic Protection	1/19/2022	1/19/2023
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	12/1/2022	12/1/2023
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	1/19/2022	1/19/2023
Overfill Prev Device	Ball Float Vent Valve	1/19/2022	1/19/2025
Piping	Flexible Double Wall A.P.T. Poly Tech S175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/22/2021	4/22/2024
Leak Detect - Piping	Sump Sensor	1/19/2022	1/19/2023
Piping	Single Wall Transition Sump	4/20/2021	4/20/2024
Leak Detect - Piping	Non-Discriminating Sump Sensor	1/25/2021	1/25/2022
Spill Contain Device	Single Wall Spill Bucket	1/19/2022	1/19/2025
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
Piping	Flexible Double Wall A.P.T. Poly Tech S175SC	Precision Test	Pass	12/1/2022
Tank	Steel Single Wall	Precision Test (Tank)	Pass	12/1/2022

Tank Number 3

Capacity:	4000		Petroleum Use:	None
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	12/20/2022
OSFM First Notify Date:	3/2/1993		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	12/21/1992		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/21/1992

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Isolation Boots Flex Connector	N/A	N/A
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Impressed Current Cathodic Protection	1/19/2022	1/19/2023
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	12/1/2022	12/1/2023
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	1/19/2022	1/19/2023
Overfill Prev Device	Overfill Drop Tube Valve	1/19/2022	1/19/2025
Piping	Flexible Double Wall A.P.T. Poly Tech S175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/22/2021	4/22/2024
Leak Detect - Piping	Sump Sensor	1/19/2022	1/19/2023
Piping	Single Wall Transition Sump	4/20/2021	4/20/2024
Leak Detect - Piping	Non-Discriminating Sump Sensor	1/25/2021	1/25/2022
Spill Contain Device	Single Wall Spill Bucket	1/19/2022	1/19/2025
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
Piping	Flexible Double Wall A.P.T. Poly Tech S175SC	Precision Test	Pass	12/1/2022
Tank	Steel Single Wall	Precision Test (Tank)	Pass	12/1/2022

Tank Number 4

Capacity:	2000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	12/20/2022
OSFM First Notify Date:	6/4/1993		Abandoned Material:
Current Age:	29		Abandoned Date:
Install Date:	4/3/1993		Red Tag Issue Date:
Last Used Date:	5/10/2017		Fee Due:	$0.00
Product Date:	5/3/1993

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Isolation Boots Flex Connector	N/A	N/A
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Impressed Current Cathodic Protection	1/19/2022	1/19/2023
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	1/19/2022	1/19/2023
Leak Detect - Piping	Sump Sensor	1/19/2022	1/19/2023
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	1/19/2022	1/19/2023
Overfill Prev Device	Overfill Drop Tube Valve	1/19/2022	1/19/2025
Piping	Flexible Double Wall A.P.T. Poly Tech S175SC	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Spill Contain Device	Single Wall Spill Bucket	1/19/2022	1/19/2025
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
Piping	Fiberglass Single Wall Piping	Precision Test	Pass	1/19/2022
Piping	Flexible Double Wall A.P.T. Poly Tech S175SC	Precision Test	Pass	1/19/2022

Tank Number 5

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	12/22/2022
OSFM First Notify Date:	4/20/1986		Abandoned Material:	Inert material mixed with portland cement
Current Age:	41		Abandoned Date:	5/16/2014
Install Date:	1/1/1981		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	Isolation Boots Flex Connector	N/A	N/A
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	10/24/2012	10/24/2015
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	10/24/2012	10/24/2017
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	10/24/2013	10/24/2014
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD
Overfill Prev Device	Ball Float Vent 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 6

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	12/21/2022
OSFM First Notify Date:	4/20/1986		Abandoned Material:	Inert material mixed with portland cement
Current Age:	41		Abandoned Date:	5/16/2014
Install Date:	1/1/1981		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	Isolation Boots Flex Connector	N/A	N/A
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	10/24/2012	10/24/2015
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	10/24/2012	10/24/2017
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	10/24/2013	10/24/2014
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD
Overfill Prev Device	Ball Float Vent 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

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/22/2021	4/22/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	1/19/2022	1/19/2023

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/22/2021	4/22/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	1/19/2022	1/19/2023

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/22/2021	4/22/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	1/19/2022	1/19/2023

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/22/2021	4/22/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	1/19/2022	1/19/2023

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/22/2021	4/22/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	1/19/2022	1/19/2023

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/22/2021	4/22/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	1/19/2022	1/19/2023

MFD Motorfuel Dispensing Forms

No Forms Found