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:	5013011
Status:	Closed
Facility Name:	Steven Bergman
Address:	10131 NCR 3850 E Mason City, IL 62664
County:	Mason
Property Parcel:
Facility Type:	Farm
Owner Type:	Private
Green Tag Decal:
Green Tag Issue Date:
Green Tag Expiration Date:

Owner Details

Owner Name:	Steven Bergman
Owner Address:	1031 NCR 3850 E Mason City, IL 62664
Owner Status:	Current Owner
Purchase Date:	1/10/1990
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0028130	Bergman, Steven	Current Owner	1/10/1990
U0010554	Montgomery Dohn	Former Owner	1/10/1990
U0010554	Montgomery Dohn	Former Owner	1/10/1900
U0010554	Montgomery Dohn	Former Owner

Permits (Unexpired)

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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:	4000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	1/23/2001
OSFM First Notify Date:	5/8/1987		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	12/22/1998		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

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found