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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

 

Facility Details

Facility Number: 5006081
Status: Active
Facility Name: Jay Sadhimaa Five, Inc.
Address: 152 W. Chestnut Street
Mason City, IL 62664
County: Mason
Property Parcel: 20-07-223-010
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Y002350
Green Tag Issue Date: 11/7/2023
Green Tag Expiration Date: 12/31/2025

Owner Details

Owner Name: Jay Sadhimaa Five, Inc.
Owner Address: 152 W. Chestnut Street
Mason City, IL 62664
Owner Status: Current Owner
Purchase Date: 10/5/2023
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 2/7/2025

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 11/7/2023 12/31/2025

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0041105 Jay Sadhimaa Five, Inc. Current Owner 10/5/2023
U0035972 Spring Hill Petroleum, Inc. Former Owner 10/6/2010
U0031126 Sunrise Ag. Service Company Former Owner 8/15/2003
U0029789 Clark Retail Enterprises, Inc. Former Owner 3/6/2001
U0015984 Wareco Service, Inc. 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: 8300 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 12/27/1985 Abandoned Material:
Current Age: 39 Abandoned Date:
Install Date: 12/27/1984 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Sacrificial Anode Flex Connector 3/23/2021 3/23/2024
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank STIP3 Cathodic Protection with Dielectric Coating 3/23/2021 3/23/2024
Leak Detect - Piping Electronic Pressurized Line Leak Detection 2/22/2023 2/22/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD 2/22/2023 2/22/2024
Overfill Prev Device Overfill Drop Tube Valve 1/25/2022 1/25/2025
Piping Fiberglass Single Wall Piping Ameron N/A N/A
Piping Not Installed STP/Tanktop Sump N/A N/A
Spill Contain Device Single Wall Spill Bucket 1/25/2022 1/25/2025
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 2

Capacity: 8300 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 12/27/1985 Abandoned Material:
Current Age: 39 Abandoned Date:
Install Date: 12/27/1984 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Sacrificial Anode Flex Connector 3/23/2021 3/23/2024
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank STIP3 Cathodic Protection with Dielectric Coating 3/23/2021 3/23/2024
Leak Detect - Piping Electronic Pressurized Line Leak Detection 2/22/2023 2/22/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD 2/22/2023 2/22/2024
Overfill Prev Device Overfill Drop Tube Valve 1/25/2022 1/25/2025
Piping Fiberglass Single Wall Piping Ameron N/A N/A
Piping Not Installed STP/Tanktop Sump N/A N/A
Spill Contain Device Single Wall Spill Bucket 1/25/2022 1/25/2025
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 3

Capacity: 8300 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 12/27/1985 Abandoned Material:
Current Age: 39 Abandoned Date:
Install Date: 12/27/1984 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Sacrificial Anode Flex Connector 3/23/2021 3/23/2024
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank STIP3 Cathodic Protection with Dielectric Coating 3/23/2021 3/23/2024
Leak Detect - Piping Electronic Pressurized Line Leak Detection 2/22/2023 2/22/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD 2/22/2023 2/22/2024
Overfill Prev Device Overfill Drop Tube Valve 1/25/2022 1/25/2025
Piping Fiberglass Single Wall Piping Ameron N/A N/A
Piping Not Installed STP/Tanktop Sump N/A N/A
Spill Contain Device Single Wall Spill Bucket 1/25/2022 1/25/2025
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 4

Capacity: 4000 Petroleum Use:
Product: Kerosene CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 12/27/1985 Abandoned Material:
Current Age: 39 Abandoned Date:
Install Date: 12/27/1984 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Sacrificial Anode Flex Connector 3/23/2021 3/23/2024
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank STIP3 Cathodic Protection with Dielectric Coating 3/23/2021 3/23/2024
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 2/22/2023 2/22/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD 2/22/2023 2/22/2024
Overfill Prev Device Overfill Drop Tube Valve 1/25/2022 1/25/2025
Piping Fiberglass Single Wall Piping Ameron N/A N/A
Piping Not Installed STP/Tanktop Sump N/A N/A
Spill Contain Device Single Wall Spill Bucket 1/25/2022 1/25/2025
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping Ameron Precision Test Pass 2/24/2023

Dispenser Information



Name\ID 1/2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 9

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A

MFD Motorfuel Dispensing Forms

No Forms Found

Office of the Illinois State Fire Marshal
1035 Stevenson Dr. Springfield, IL 62704 | (217) 785-0969 | Contact Us