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

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Facility Details

Facility Number:	5005987
Status:	Closed
Facility Name:	Former Couch's Service Station
Address:	406 East Main Clayton, IL 62324
County:	Adams
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	K002407
Green Tag Issue Date:	12/10/2008
Green Tag Expiration Date:	12/31/2011

Owner Details

Owner Name:	Mike Harper
Owner Address:	313 E. LaFayette Street Clayton, IL 62324
Owner Status:	Current Owner
Purchase Date:	1/4/2013
Type of Financial Responsibility:	Designated Savings Account
Financial Responsibility Reporting Due Date:	2/8/2014

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0036786	Harper, Mike	Current Owner	1/4/2013
U0003466	Couch's Service Station	Former Owner

Permits (Unexpired)

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No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
13-0161	3/27/2013	Removal Log	00163-2013REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
13-0161	Eligible	3/4/2013	3/28/2013	$5,000

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Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	2000	Gasoline	Removed	Federal		$0.00	12/26/2000 - REM
2	1000	Gasoline	Removed	Federal		$0.00	03/27/2013 - REM
3	1000	Diesel Fuel	Removed	Federal		$0.00	03/27/2013 - REM
4	1000	Diesel Fuel	Removed	Exempt			06/24/1987 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found