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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

Pay Tank Fees Online Print Detail Page Export to Excel

Facility Details

Facility Number:	4041694
Status:	Active
Facility Name:	Sam's Club #4815
Address:	2151 Shepherd Road Normal, IL 61761
County:	McLean
Property Parcel:	14-23-402-004
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	X002744
Green Tag Issue Date:	10/18/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	Sam's West, Inc.
Owner Address:	2101 SE Simple Savings Drive Bentonville, AR 727160745
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	4/29/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	10/20/2022	12/31/2024

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0029973	Sam's West, Inc.	Current Owner
U0031303	Wal-Mart Stores, Inc.	Former Owner

Permits (Unexpired)

Click for permit history

Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
00102-2024UPG	Upgrade	Approved / Issued	1/26/2024	1/27/2024	7/29/2024	Documents

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	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	20000	Gasoline - Regular	Currently in use	Federal		$0.00
2	20000	Gasoline - Regular	Currently in use	Federal		$0.00
3	20000	Gasoline - Premium	Currently in use	Federal		$0.00

Dispenser Information

Name\ID	Status
1/2	Active
3/4	Active
5/6	Active
7/8	Active
9/10	Active
11/12	Active

MFD Motorfuel Dispensing Forms

No Forms Found