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:	5021648
Status:	Active
Facility Name:	Shiva Gas, Inc.
Address:	1151 N. MacArthur Blvd. Springfield, IL 62702
County:	Sangamon
Property Parcel:	14-28.0-103-042
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y002315
Green Tag Issue Date:	8/8/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Shiva Gas, Inc.
Owner Address:	1151 N. MacArthur Blvd. Springfield, IL 62702
Owner Status:	Current Owner
Purchase Date:	2/3/2022
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	2/27/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	8/8/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0040845	Shiva Gas, Inc.	Current Owner	2/3/2022
U0038613	SS Foodmart, Inc.	Former Owner	10/18/2016
U0034592	Anna's Place, Inc.	Former Owner	6/1/2007
U0033264	Asad Asad Catalena Asad	Former Owner	2/17/2006
U0009763	Martin & Bayley, Inc.	Former Owner

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
12-0028	2/21/2012	Abandonment Log	00123-2012ABN
12-0028	3/5/2012	Removal Log	00122-2012REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
08-0054	Eligible	7/6/2011	7/11/2011	$10,000
12-0028	Eligible	1/18/2012	3/15/2012	$5,000

Pay Tank Fees Online

Tank Information

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:	2/23/1988		Abandoned Material:	Inert material mixed with portland cement
Current Age:	36		Abandoned Date:	2/21/2012
Install Date:	1/1/1988		Red Tag Issue Date:
Last Used Date:	12/20/2007		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Isolation Boots Flex Connector	N/A	N/A
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Impressed Current Cathodic Protection	3/5/2009	3/5/2010
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	3/8/2007	3/8/2008
Leak Detect - Tank	Automatic Tank Gauging Incon TS 750
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass 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:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/5/2012
OSFM First Notify Date:	5/5/1986		Abandoned Material:
Current Age:	33		Abandoned Date:
Install Date:	9/14/1978		Red Tag Issue Date:
Last Used Date:	5/1/2011		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Isolation Boots Flex Connector	N/A	N/A
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Impressed Current Cathodic Protection	3/5/2009	3/5/2010
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	6/12/2009	6/12/2010
Leak Detect - Tank	Automatic Tank Gauging Incon TS 750
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass 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:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/5/2012
OSFM First Notify Date:	5/5/1986		Abandoned Material:
Current Age:	33		Abandoned Date:
Install Date:	9/14/1978		Red Tag Issue Date:
Last Used Date:	5/1/2011		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Isolation Boots Flex Connector	N/A	N/A
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Impressed Current Cathodic Protection	3/5/2009	3/5/2010
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	6/12/2009	6/12/2010
Leak Detect - Tank	Automatic Tank Gauging Incon TS 750
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass 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 6

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/7/2012		Abandoned Material:
Current Age:	11		Abandoned Date:
Install Date:	8/2/2012		Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:

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	Mechanical Pressurized Line Leak Detection	7/20/2023	7/20/2024
Leak Detect - Tank	Automatic Tank Gauging Incon TS 750	7/20/2023	7/20/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	7/20/2023	7/20/2024
Overfill Prev Device	Ball Float Vent Valve EBW 308	7/12/2022	7/12/2025
Piping	Flexible Double Wall A.P.T. Poly Tech P150SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	7/12/2022	7/12/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	7/20/2023	7/20/2024
Spill Contain Device	Single Wall Spill Bucket	7/12/2022	7/12/2025
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	7/12/2022	7/12/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	7/20/2023	7/20/2024

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	7/12/2022	7/12/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	7/20/2023	7/20/2024

MFD Motorfuel Dispensing Forms

No Forms Found