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JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety
State of Illinois
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Ready Illinois
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Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 4034861
Status: Active
Facility Name: Champaign Mini Mart
Address: 1202 N. Mattis Ave.
Champaign, IL 61820
County: Champaign
Property Parcel: 44-20-14-308-001
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Z000972
Green Tag Issue Date: 5/1/2024
Green Tag Expiration Date: 12/31/2026

Owner Details

Owner Name: Jay Brahmani, LLC
Owner Address: 1202 N. Mattis Ave.
Champaign, IL 61821
Owner Status: Current Owner
Purchase Date: 2/1/2016
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 12/29/2024

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 5/1/2024 12/31/2026

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0038265 Jay Brahmani, LLC Current Owner 2/1/2016
U0036473 Patel, Mahendra(Nikki) Former Owner 2/1/2012
U0023261 Freedom Oil Company Former Owner

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

IEMA Number Status OSFM Received Date OSFM Response Date Deductible Letter
20200741 Eligible 2/3/2021 2/5/2021 $5,000 Letter
Pay Tank Fees Online

Tank Information



Tank Number 1

Capacity: 10000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 8/14/1996 Abandoned Material:
Current Age: 27 Abandoned Date:
Install Date: 7/3/1996 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 7/4/1996

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 10/2/2023 10/2/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 300c with CSLD 10/2/2023 10/2/2024
Overfill Prev Device Overfill Drop Tube Valve 10/6/2022 10/6/2025
Piping Flexible Double Wall A.P.T. Poly Tech S175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 10/6/2022 10/6/2025
Leak Detect - Piping Sump Sensor with positive shutdown 10/2/2023 10/2/2024
Spill Contain Device Single Wall Spill Bucket 10/6/2022 10/6/2025
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall Precision Test Pass 7/5/2019
Piping Flexible Double Wall A.P.T. Poly Tech S175SC Precision Test Pass 10/2/2023
Piping Flexible Double Wall A.P.T. Poly Tech S175SC Precision Test Pass 9/25/2020
Tank Fiberglass Single Wall Precision Test (Tank) Pass 9/25/2020



Tank Number 2

Capacity: 10000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 8/14/1996 Abandoned Material:
Current Age: 27 Abandoned Date:
Install Date: 7/3/1996 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 7/4/1996

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 10/2/2023 10/2/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 300c with CSLD 10/2/2023 10/2/2024
Overfill Prev Device Overfill Drop Tube Valve 10/6/2022 10/6/2025
Piping Flexible Double Wall A.P.T. Poly Tech S175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 10/6/2022 10/6/2025
Leak Detect - Piping Sump Sensor with positive shutdown 10/2/2023 10/2/2024
Spill Contain Device Single Wall Spill Bucket 10/6/2022 10/6/2025
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall Precision Test Pass 7/5/2019
Piping Flexible Double Wall A.P.T. Poly Tech S175SC Precision Test Pass 10/2/2023
Piping Flexible Double Wall A.P.T. Poly Tech S175SC Precision Test Pass 9/25/2020
Tank Fiberglass Single Wall Precision Test (Tank) Pass 9/25/2020



Tank Number 3

Capacity: 10000 Petroleum Use: None
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 8/14/1996 Abandoned Material:
Current Age: 27 Abandoned Date:
Install Date: 7/3/1996 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 7/4/1996

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 10/2/2023 10/2/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 300c with CSLD 10/2/2023 10/2/2024
Overfill Prev Device Overfill Drop Tube Valve 10/6/2022 10/6/2025
Piping Flexible Double Wall A.P.T. Poly Tech S175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 10/6/2022 10/6/2025
Leak Detect - Piping Sump Sensor with positive shutdown 10/2/2023 10/2/2024
Spill Contain Device Single Wall Spill Bucket 10/6/2022 10/6/2025
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall Precision Test Pass 7/5/2019
Piping Flexible Double Wall A.P.T. Poly Tech S175SC Precision Test Pass 9/25/2020
Piping Flexible Double Wall A.P.T. Poly Tech S175SC Precision Test Pass 10/2/2023
Tank Fiberglass Single Wall Precision Test (Tank) Pass 9/25/2020

Dispenser Information



Name\ID 1/2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 10/6/2022 10/6/2025
Leak Detect - Piping Sump Sensor with positive shutdown 10/2/2023 10/2/2024



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 10/6/2022 10/6/2025
Leak Detect - Piping Sump Sensor with positive shutdown 10/2/2023 10/2/2024



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 10/6/2022 10/6/2025
Leak Detect - Piping Sump Sensor with positive shutdown 10/2/2023 10/2/2024



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 10/6/2022 10/6/2025
Leak Detect - Piping Sump Sensor with positive shutdown 10/2/2023 10/2/2024

MFD Motorfuel Dispensing Forms

No Forms Found

Office of the Illinois State Fire Marshal
1035 Stevenson Dr. Springfield, IL 62704 | (217) 785-0969 | Contact Us