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:	5006044
Status:	Active
Facility Name:	Mac's #1216
Address:	121 South Hibbard Staunton, IL 62088
County:	Macoupin
Property Parcel:	01-001-387-00
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	X000057
Green Tag Issue Date:	5/27/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	Mac's Convenience Stores, LLC
Owner Address:	1100 Situs Court, Suite 100 Raleigh, NC 27606
Owner Status:	Current Owner
Purchase Date:	8/29/2003
Type of Financial Responsibility:	Guarantee
Financial Responsibility Reporting Due Date:	10/27/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	5/27/2022	12/31/2024

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0030949	Mac's Convenience Stores, LLC	Current Owner	8/29/2003
U0029789	Clark Retail Enterprises, Inc.	Former Owner	3/7/2001
U0015991	Wareco Service, Inc.	Former Owner	7/30/1998

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
98-0593	Eligible	7/14/1998	8/4/1998	$10,000
98-0593	Withdrawn	9/14/2006	10/4/2006	$Not Selected
98-0593	Eligible	5/31/2007	6/25/2007	$10,000
20210127	Eligible	4/2/2021	4/3/2021	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/27/1998
OSFM First Notify Date:	12/26/1985		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:	1/1/1976		Red Tag Issue Date:
Last Used Date:	7/27/1998		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Abandoned in place		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/26/1985		Abandoned Material:	Inert material mixed with portland cement
Current Age:	48		Abandoned Date:	7/30/1998
Install Date:	1/1/1976		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Abandoned in place		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/26/1985		Abandoned Material:	Inert material mixed with portland cement
Current Age:	48		Abandoned Date:	7/30/1998
Install Date:	1/1/1976		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	10000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Abandoned in place		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/26/1985		Abandoned Material:	Inert material mixed with portland cement
Current Age:	48		Abandoned Date:	7/27/1998
Install Date:	1/1/1976		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	2000		Petroleum Use:
Product:	Kerosene		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/27/1998
OSFM First Notify Date:	12/26/1985		Abandoned Material:
Current Age:	15		Abandoned Date:
Install Date:	1/1/1983		Red Tag Issue Date:
Last Used Date:	7/27/1998		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 6

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/22/1998		Abandoned Material:
Current Age:	25		Abandoned Date:
Install Date:	7/30/1998		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/30/1998

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	Electronic Pressurized Line Leak Detection	1/8/2024	1/8/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	1/8/2024	1/8/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	1/8/2024	1/8/2025
Overfill Prev Device	Overfill Drop Tube Valve	1/8/2024	1/8/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/19/2022	4/19/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	1/8/2024	1/8/2025
Spill Contain Device	Double Wall Spill Bucket	1/8/2024	1/8/2027
Tank	Fiberglass Double Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	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	1/8/2024
Piping	Flexible Double Wall	Precision Test	Pass	1/21/2021
Tank	Fiberglass Double Wall	Precision Test (Tank)	Pass	3/12/2021

Tank Number 7

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/22/1998		Abandoned Material:
Current Age:	25		Abandoned Date:
Install Date:	7/30/1998		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/30/1998

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	Electronic Pressurized Line Leak Detection	1/8/2024	1/8/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	1/8/2024	1/8/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	1/8/2024	1/8/2025
Overfill Prev Device	Overfill Drop Tube Valve	3/13/2024	3/13/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/19/2022	4/19/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	1/8/2024	1/8/2025
Spill Contain Device	Single Wall Spill Bucket	1/8/2024	1/8/2027
Tank	Fiberglass Double Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	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	1/8/2024
Piping	Flexible Double Wall	Precision Test	Pass	1/21/2021
Tank	Fiberglass Double Wall	Precision Test (Tank)	Pass	3/12/2021

Tank Number 8

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/22/1998		Abandoned Material:
Current Age:	25		Abandoned Date:
Install Date:	7/30/1998		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/30/1998

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	Electronic Pressurized Line Leak Detection	1/8/2024	1/8/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	1/8/2024	1/8/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	1/8/2024	1/8/2025
Overfill Prev Device	Overfill Drop Tube Valve	2/7/2024	2/7/2027
Piping	Flexible Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/19/2022	4/19/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	1/8/2024	1/8/2025
Spill Contain Device	Double Wall Spill Bucket	1/8/2024	1/8/2027
Tank	Fiberglass Double Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall	Precision Test	Pass	1/8/2024
Tank	Fiberglass Double Wall	Precision Test (Tank)	Pass	3/12/2021

Tank Number 9

Capacity:	8000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/22/1998		Abandoned Material:
Current Age:	25		Abandoned Date:
Install Date:	7/30/1998		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/30/1998

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	Electronic Pressurized Line Leak Detection	1/8/2024	1/8/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	1/8/2024	1/8/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	1/8/2024	1/8/2025
Overfill Prev Device	Overfill Drop Tube Valve	1/8/2024	1/8/2027
Piping	Flexible Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/19/2022	4/19/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	1/8/2024	1/8/2025
Spill Contain Device	Single Wall Spill Bucket	1/8/2024	1/8/2027
Tank	Fiberglass Double Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall	Precision Test	Pass	1/8/2024
Tank	Fiberglass Double Wall	Precision Test (Tank)	Pass	3/12/2021

Tank Number 10

Capacity:	3000		Petroleum Use:
Product:	Kerosene		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/22/1998		Abandoned Material:
Current Age:	25		Abandoned Date:
Install Date:	7/30/1998		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/30/1998

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	Electronic Pressurized Line Leak Detection	1/8/2024	1/8/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	1/8/2024	1/8/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	1/8/2024	1/8/2025
Overfill Prev Device	Overfill Drop Tube Valve	4/8/2024	4/8/2027
Piping	Flexible Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/19/2022	4/19/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	1/8/2024	1/8/2025
Spill Contain Device	Double Wall Spill Bucket	1/8/2024	1/8/2027
Tank	Fiberglass Double Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall	Precision Test	Pass	1/8/2024
Tank	Fiberglass Double Wall	Precision Test (Tank)	Pass	3/12/2021

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	Sump Sensor with positive shutdown	1/8/2024	1/8/2025

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/19/2022	4/19/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	1/8/2024	1/8/2025

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Sump Sensor with positive shutdown	1/8/2024	1/8/2025

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Sump Sensor with positive shutdown	1/8/2024	1/8/2025

Name\ID K-1

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Sump Sensor with positive shutdown	1/8/2024	1/8/2025

MFD Motorfuel Dispensing Forms

No Forms Found