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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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Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 4037163
Status: Active
Facility Name: Forrest Fuel 24
Address: 901 N Center
Rt. 47 North
Forrest, IL 61741
County: Livingston
Property Parcel:
Facility Type: Unattended Self-Service Station
Owner Type: Private
Green Tag Decal: Y002679
Green Tag Issue Date: 6/12/2023
Green Tag Expiration Date: 12/31/2025

Owner Details

Owner Name: Evergreen FS, Inc.
Owner Address: P.O. Box 1367
Bloomington, IL 61702
Owner Status: Current Owner
Purchase Date:
Type of Financial Responsibility: Self-Insurance
Financial Responsibility Reporting Due Date: 2/27/2025

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Unattended Self Service 6/12/2023 12/31/2025
Self Service 9/11/2007 12/31/2009
Self Service 9/11/2007 12/31/2009

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0027569 Evergreen FS, Inc. Current Owner
U0010025 Evergreen F S Former Owner
U0009270 Livingston Service 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

No Applications Found

Pay Tank Fees Online

Tank Information



Tank Number 1

Capacity: 12000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 2/2/1999 Abandoned Material:
Current Age: 25 Abandoned Date:
Install Date: 11/12/1998 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 11/12/1998

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 4/23/2024 4/23/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 4/23/2024 4/23/2025
Overfill Prev Device Overfill Alarm 4/27/2023 4/27/2026
Overfill Prev Device Overfill Drop Tube Valve 4/27/2023 4/27/2026
Piping Flexible Double Wall Total Containment Enviroflex non-corrosive
Piping Single Wall STP/Tanktop Sump 4/27/2023 4/27/2026
Leak Detect - Piping Sump Sensor 4/23/2024 4/23/2025
Spill Contain Device Single Wall Spill Bucket 4/27/2023 4/27/2026
Tank Fiberglass Single Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall Total Containment Enviroflex non-corrosive Precision Test Pass 4/23/2024
Tank Fiberglass Single Wall XERXES Precision Test (Tank) Pass 8/15/2019



Tank Number 2

Capacity: 12000 Petroleum Use:
Product: Gasoline - Non Ethanol CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 2/2/1999 Abandoned Material:
Current Age: 25 Abandoned Date:
Install Date: 11/12/1998 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 11/12/1998

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 4/23/2024 4/23/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 4/23/2024 4/23/2025
Overfill Prev Device Overfill Alarm 4/27/2023 4/27/2026
Overfill Prev Device Overfill Drop Tube Valve 4/27/2023 4/27/2026
Piping Flexible Double Wall Total Containment Enviroflex non-corrosive
Piping Single Wall STP/Tanktop Sump 4/27/2023 4/27/2026
Leak Detect - Piping Sump Sensor 4/23/2024 4/23/2025
Spill Contain Device Single Wall Spill Bucket 4/27/2023 4/27/2026
Tank Fiberglass Single Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall Total Containment Enviroflex non-corrosive Precision Test Pass 4/23/2024
Tank Fiberglass Single Wall XERXES Precision Test (Tank) Pass 8/15/2019



Tank Number 3

Capacity: 12000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 2/2/1999 Abandoned Material:
Current Age: 25 Abandoned Date:
Install Date: 11/12/1998 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 11/12/1998

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 4/23/2024 4/23/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 4/23/2024 4/23/2025
Overfill Prev Device Overfill Alarm 4/27/2023 4/27/2026
Overfill Prev Device Overfill Drop Tube Valve 4/27/2023 4/27/2026
Piping Flexible Double Wall Total Containment Enviroflex non-corrosive
Piping Single Wall STP/Tanktop Sump 4/27/2023 4/27/2026
Leak Detect - Piping Sump Sensor 4/23/2024 4/23/2025
Spill Contain Device Single Wall Spill Bucket 4/27/2023 4/27/2026
Tank Fiberglass Single Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall Total Containment Enviroflex non-corrosive Precision Test Pass 4/23/2024
Tank Fiberglass Single Wall XERXES Precision Test (Tank) Pass 8/15/2019

Dispenser Information



Name\ID 1/2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/27/2023 4/27/2026
Leak Detect - Piping Sump Sensor 4/23/2024 4/23/2025



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/27/2023 4/27/2026
Leak Detect - Piping Sump Sensor 4/23/2024 4/23/2025



Name\ID 5 slave

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/27/2023 4/27/2026
Leak Detect - Piping Sump Sensor 4/23/2024 4/23/2025



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/27/2023 4/27/2026
Leak Detect - Piping Sump Sensor 4/23/2024 4/23/2025



Name\ID 6 slave

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/27/2023 4/27/2026
Leak Detect - Piping Sump Sensor 4/23/2024 4/23/2025

MFD Motorfuel Dispensing Forms

No Forms Found

Office of the Illinois State Fire Marshal
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