Information

JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety

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

Facility Details

Facility Number:	4038834
Status:	Active
Facility Name:	Pilot Travel Center #165
Address:	2500 North 3rd Street Effingham, IL 62401
County:	Effingham
Property Parcel:	03-11-009-030
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	X002564
Green Tag Issue Date:	11/7/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	Pilot Travel Centers, LLC
Owner Address:	5508 Lonas Rd. Knoxville, TN 37909
Owner Status:	Current Owner
Purchase Date:	4/19/2001
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	8/24/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	4/25/2022	12/31/2024

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0011913	Pilot Travel Centers, LLC	Current Owner	4/19/2001

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
03-1303	Eligible	3/16/2004	3/24/2004	$10,000
09-0241	Eligible	4/30/2009	5/19/2009	$10,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	4000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Does Not Exist		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:			Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection
Leak Detect - Piping	Sump Sensor
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors
Overfill Prev Device	Ball Float Vent Valve OPW 53VML
Piping	Fiberglass Double Wall Ameron	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Brine Filled Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	10/23/2000		Abandoned Material:
Current Age:	23		Abandoned Date:
Install Date:	8/1/2000		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	10/1/2000

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	11/13/2023	11/13/2024
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors with monitor	11/13/2023	11/13/2024
Overfill Prev Device	Overfill Drop Tube Valve	11/14/2023	11/14/2026
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	5/8/2022	5/8/2025
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test	Pass	11/13/2023
Tank	Fiberglass Double Wall	Precision Test (Tank)	Pass	3/4/2021
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	Sensor Functional	Pass	3/1/2008

Tank Number 3

Capacity:	15000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	10/23/2000		Abandoned Material:
Current Age:	23		Abandoned Date:
Install Date:	8/1/2000		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	10/1/2000

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	8/11/2022	8/11/2025
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	11/13/2023	11/13/2024
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors with monitor	11/13/2023	11/13/2024
Overfill Prev Device	Overfill Drop Tube Valve	11/14/2023	11/14/2026
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	5/8/2022	5/8/2025
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test	Pass	11/13/2023
Tank	Fiberglass Double Wall	Precision Test (Tank)	Pass	3/4/2021
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	Sensor Functional	Pass	3/1/2008

Tank Number 4

Capacity:	20000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	10/23/2000		Abandoned Material:
Current Age:	23		Abandoned Date:
Install Date:	8/1/2000		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	10/1/2000

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	11/13/2023	11/13/2024
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	11/13/2023	11/13/2024
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors with monitor	11/13/2023	11/13/2024
Overfill Prev Device	Overfill Drop Tube Valve	11/14/2023	11/14/2026
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/21/2022	10/21/2025
Leak Detect - Piping	Sump Sensor	11/13/2023	11/13/2024
Spill Contain Device	Single Wall Spill Bucket	5/8/2022	5/8/2025
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test	Pass	11/13/2023
Tank	Fiberglass Double Wall	Precision Test (Tank)	Pass	10/21/2021
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	Sensor Functional	Pass	3/1/2008

Tank Number 5

Capacity:	20000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	10/23/2000		Abandoned Material:
Current Age:	23		Abandoned Date:
Install Date:	8/1/2000		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	10/1/2000

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	11/13/2023	11/13/2024
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors with monitor	11/13/2023	11/13/2024
Overfill Prev Device	Overfill Drop Tube Valve	11/14/2023	11/14/2026
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/21/2022	10/21/2025
Leak Detect - Piping	Sump Sensor	11/13/2023	11/13/2024
Spill Contain Device	Single Wall Spill Bucket	5/8/2022	5/8/2025
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test	Pass	11/13/2023
Tank	Fiberglass Double Wall	Precision Test (Tank)	Pass	10/21/2021
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	Sensor Functional	Pass	3/1/2008

Tank Number 6

Capacity:	20000		Petroleum Use:
Product:	B-99		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	8/8/2006		Abandoned Material:
Current Age:	18		Abandoned Date:
Install Date:	5/25/2006		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	5/25/2006

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Other Non-vented check valve	N/A	N/A
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors with monitor	11/13/2023	11/13/2024
Overfill Prev Device	Overfill Drop Tube Valve	11/14/2023	11/14/2026
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/21/2022	10/21/2025
Leak Detect - Piping	Sump Sensor	11/13/2023	11/13/2024
Piping	Single Wall Transition Sump	10/21/2022	10/21/2025
Leak Detect - Piping	Sump Sensor	11/13/2023	11/13/2024
Spill Contain Device	Single Wall Spill Bucket	5/8/2022	5/8/2025
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test	Pass	3/4/2021
Tank	Fiberglass Double Wall	Precision Test (Tank)	Pass	3/4/2021
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	Sensor Functional	Pass	3/1/2008
Leak Detect - Piping	Non-Discriminating Sump Sensor	Sensor Functional	Pass	3/1/2008

Tank Number 7

Capacity:	20000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	9/28/2010		Abandoned Material:
Current Age:	14		Abandoned Date:
Install Date:	7/8/2009		Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:	7/8/2009

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	11/13/2023	11/13/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	11/13/2023	11/13/2024
Overfill Prev Device	Overfill Drop Tube Valve	11/28/2023	11/28/2026
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/21/2022	10/21/2025
Leak Detect - Piping	Sump Sensor	11/13/2023	11/13/2024
Spill Contain Device	Single Wall Spill Bucket	5/8/2022	5/8/2025
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test	Pass	11/13/2023
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	3/4/2021
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	Sensor Functional	Pass	7/8/2009
Leak Detect - Piping	Non-Discriminating Sump Sensor	Sensor Functional	Pass	7/8/2009

Tank Number 8

Capacity:	20000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	9/28/2010		Abandoned Material:
Current Age:	14		Abandoned Date:
Install Date:	7/8/2009		Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:	7/8/2009

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	11/13/2023	11/13/2024
Overfill Prev Device	Overfill Drop Tube Valve	11/28/2023	11/28/2026
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	7/27/2019	7/27/2022
Leak Detect - Piping	Non-Discriminating Sump Sensor	2/17/2022	2/17/2023
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	5/8/2022	5/8/2025
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test	Pass	11/13/2023
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	3/4/2021
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	Sensor Functional	Pass	7/8/2009
Leak Detect - Piping	Non-Discriminating Sump Sensor	Sensor Functional	Pass	7/8/2009

Tank Number 9

Capacity:	20000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Entered in error		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:			Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			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

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 17/18

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 17sat

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	10/21/2022	10/21/2025
Leak Detect - Piping	Sump Sensor	11/13/2023	11/13/2024

Name\ID 18/19

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 19/20

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 20/21

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 21/22

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 22/23

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 23/24

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 24m

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found