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:	4040650
Status:	Active
Facility Name:	Jack Flash - Lake Land
Address:	4920 Lake Land Court Mattoon, IL 61938
County:	Coles
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	X002666
Green Tag Issue Date:	6/30/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	Jack Flash Properties, LLC
Owner Address:	P.O. Box 217 Effingham, IL 62401
Owner Status:	Current Owner
Purchase Date:	9/21/2012
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	6/29/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	6/30/2022	12/31/2024

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0036728	Jack Flash Properties, LLC	Current Owner	9/21/2012
U0036467	Aving-Rice, LLC	Former Owner	2/23/2012
U0033421	SNC JJ Mattoon III, LLC	Former Owner	4/10/2006
U0017339	Niebrugge 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

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:	8/22/2002		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:	10/30/2001		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/1/2001

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	6/14/2021	6/14/2024
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	6/9/2023	6/9/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	6/9/2023	6/9/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root CSLD option only	6/9/2023	6/9/2024
Overfill Prev Device	Ball Float Vent Valve OPW 53V	10/2/2021	10/2/2024
Piping	Fiberglass Single Wall Piping Ameron	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	10/2/2021	10/2/2024
Tank	Fiberglass Single Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Single Wall Piping Ameron	Precision Test	Pass	6/9/2023

Tank Number 2

Capacity:	6000		Petroleum Use:
Product:	B-11		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	8/22/2002		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:	10/30/2001		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/1/2001

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	6/14/2021	6/14/2024
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	6/9/2023	6/9/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	6/9/2023	6/9/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root CSLD option only	6/9/2023	6/9/2024
Overfill Prev Device	Ball Float Vent Valve OPW 53V	10/2/2021	10/2/2024
Piping	Fiberglass Single Wall Piping Ameron	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	10/2/2021	10/2/2024
Tank	Fiberglass Single Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Single Wall Piping Ameron	Precision Test	Pass	6/9/2023

Tank Number 3

Capacity:	5000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	8/22/2002		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:	10/30/2001		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/1/2001

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	6/14/2021	6/14/2024
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	6/9/2023	6/9/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	6/9/2023	6/9/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root CSLD option only	6/9/2023	6/9/2024
Overfill Prev Device	Ball Float Vent Valve OPW 53V	10/2/2021	10/2/2024
Piping	Fiberglass Single Wall Piping Ameron	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	10/2/2021	10/2/2024
Tank	Fiberglass Single Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Single Wall Piping Ameron	Precision Test	Pass	6/9/2023

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 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