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:	5008900
Status:	Closed
Facility Name:	16 West Quik Shop
Address:	406 W. Carpenter Street Rt. 16 West Jerseyville, IL 62052
County:	Jersey
Property Parcel:	04-208-001-00
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	K002310
Green Tag Issue Date:	7/16/2009
Green Tag Expiration Date:	12/31/2011

Owner Details

Owner Name:	The Estate of Mike Blasa
Owner Address:	701 Stryker Ave. Jerseyville, IL 62052
Owner Status:	Current Owner
Purchase Date:	9/8/2020
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	3/26/2009	12/31/2011

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0034288	The Estate of Mike Blasa	Current Owner	9/8/2020
U0026453	Phelan, Paul	Former Owner	2/20/1993
U0010575	Moore's Oil & Fertilizer, Inc.	Former Owner	10/8/1982

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
13-1019	10/8/2013	Removal Log	00946-2013REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
09-0762	Returned	10/1/2009	11/3/2009	$Not Selected
09-0762	Eligible	1/20/2010	2/16/2010	$10,000
13-1019	Eligible	10/1/2013	10/31/2013	$5,000
20131019	Eligible	7/7/2021	7/8/2021	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/8/2013
OSFM First Notify Date:	5/1/1986		Abandoned Material:
Current Age:	40		Abandoned Date:
Install Date:	1/1/1973		Red Tag Issue Date:
Last Used Date:	8/15/2011		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	4/15/2009	4/15/2010
Corrosion Prot - Tank	Impressed Current Cathodic Protection	4/15/2009	4/15/2010
Corrosion Prot - Tank	Lining Materials Internal	2/1/2005	2/1/2010
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging EBW Auto-Stik Jr.
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Galvanized Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single 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

Tank Number 2

Capacity:	8000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/8/2013
OSFM First Notify Date:	5/1/1986		Abandoned Material:
Current Age:	40		Abandoned Date:
Install Date:	1/1/1973		Red Tag Issue Date:
Last Used Date:	8/15/2011		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	4/15/2009	4/15/2010
Corrosion Prot - Tank	Impressed Current Cathodic Protection	4/15/2009	4/15/2010
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging EBW Auto-Stik Jr.
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Galvanized Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single 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

Tank Number 3

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/8/2013
OSFM First Notify Date:	5/1/1986		Abandoned Material:
Current Age:	40		Abandoned Date:
Install Date:	1/1/1973		Red Tag Issue Date:
Last Used Date:	12/1/2008		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	4/15/2009	4/15/2010
Corrosion Prot - Tank	Impressed Current Cathodic Protection	4/15/2009	4/15/2010
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging EBW Auto-Stik Jr.
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Galvanized Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single 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

Tank Number 4

Capacity:	1000		Petroleum Use:
Product:	Kerosene		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/8/2013
OSFM First Notify Date:	11/30/1993		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:	9/30/1991		Red Tag Issue Date:
Last Used Date:	1/1/2009		Fee Due:	$0.00
Product Date:	9/30/1991

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	4/15/2009	4/15/2010
Corrosion Prot - Tank	Impressed Current Cathodic Protection	4/15/2009	4/15/2010
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging EBW Auto-Stik Jr.
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Galvanized Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single 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

Tank Number 5

Capacity:	550		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/8/2013
OSFM First Notify Date:	11/30/1993		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:	9/30/1991		Red Tag Issue Date:
Last Used Date:	8/15/2011		Fee Due:	$0.00
Product Date:	9/30/1991

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	4/15/2009	4/15/2010
Corrosion Prot - Tank	Impressed Current Cathodic Protection	4/15/2009	4/15/2010
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging EBW Auto-Stik Jr.
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Galvanized Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single 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

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found