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:	5022072
Status:	Closed
Facility Name:	Jerseyville Retail Associates, LLC
Address:	309 S. State Street Jerseyville, IL 62052
County:	Jersey
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	O001980
Green Tag Issue Date:	4/1/2013
Green Tag Expiration Date:	12/31/2015

Owner Details

Owner Name:	Jerseyville Retail Associates, LLC
Owner Address:	1765 Merriman Rd. Akron, OH 443135251
Owner Status:	Current Owner
Purchase Date:	2/19/2015
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	4/1/2013	12/31/2015

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0037644	Jerseyville Retail Associates, LLC	Current Owner	2/19/2015
U0008112	Joseph F. Boente & Sons	Former Owner	8/24/1990

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
15-0334	3/31/2015	Removal Log	00128-2015REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
97-1716	Eligible	9/24/1998	10/28/1998	$15,000
15-0334	Eligible	9/14/2015	10/9/2015	$5,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	6000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/31/2015
OSFM First Notify Date:	4/15/1986		Abandoned Material:
Current Age:	44		Abandoned Date:
Install Date:	1/1/1971		Red Tag Issue Date:
Last Used Date:	2/19/2015		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	Sacrificial Anode Flex Connector	4/26/2012	4/26/2015
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	4/26/2012	4/26/2013
Leak Detect - Tank	Automatic Tank Gauging Incon TS 1001
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	Fiberglass 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:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/31/2015
OSFM First Notify Date:	4/15/1986		Abandoned Material:
Current Age:	44		Abandoned Date:
Install Date:	1/1/1971		Red Tag Issue Date:
Last Used Date:	2/19/2015		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	Sacrificial Anode Flex Connector	4/26/2012	4/26/2015
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	4/26/2012	4/26/2013
Leak Detect - Tank	Automatic Tank Gauging Incon TS 1001
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	Fiberglass 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:	3/31/2015
OSFM First Notify Date:	4/15/1986		Abandoned Material:
Current Age:	44		Abandoned Date:
Install Date:	1/1/1971		Red Tag Issue Date:
Last Used Date:	2/19/2015		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	Sacrificial Anode Flex Connector	4/26/2012	4/26/2015
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	4/26/2012	4/26/2013
Leak Detect - Tank	Automatic Tank Gauging Incon TS 1001
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	Fiberglass 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:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/31/2015
OSFM First Notify Date:	8/29/1990		Abandoned Material:
Current Age:	28		Abandoned Date:
Install Date:	1/1/1987		Red Tag Issue Date:
Last Used Date:	2/19/2015		Fee Due:	$0.00
Product Date:	1/1/1987

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Isolation Boots Flex Connector	N/A	N/A
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	4/26/2012	4/26/2015
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	4/26/2012	4/26/2015
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	4/26/2012	4/26/2013
Leak Detect - Tank	Automatic Tank Gauging Incon TS 1001
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	STIP3 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