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:	5029957
Status:	Active
Facility Name:	Golden Convenient, LLC
Address:	200 Emminaga Road Golden, IL 62339
County:	Adams
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y000711
Green Tag Issue Date:	3/3/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Golden Convenient, LLC
Owner Address:	200 Emminaga Road Golden, IL 62339
Owner Status:	Current Owner
Purchase Date:	11/20/2016
Type of Financial Responsibility:	Designated Savings Account
Financial Responsibility Reporting Due Date:	12/26/2023

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	3/3/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0038678	Golden Convenient, LLC	Current Owner	11/20/2016
U0021278	Forman Enterprises, Inc.	Former Owner	12/2/1998
U0019435	R&P Quik Ser	Former Owner	9/15/1989
U0020646	Golden Pit Stop	Former Owner	12/31/1967

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:	2000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/12/1999
OSFM First Notify Date:	9/6/1989		Abandoned Material:
Current Age:	15		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	12/20/1998		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

Tank Number 2

Capacity:	2000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/12/1999
OSFM First Notify Date:	9/6/1989		Abandoned Material:
Current Age:	15		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	12/20/1998		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

Tank Number 3

Capacity:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/25/1999
OSFM First Notify Date:	9/6/1989		Abandoned Material:
Current Age:	15		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	12/20/1998		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

Tank Number 4

Capacity:	6000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	9/6/1989		Abandoned Material:
Current Age:	40		Abandoned Date:
Install Date:	9/6/1983		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	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	8/15/2022	8/15/2023
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350j with CSLD	8/15/2022	8/15/2023
Overfill Prev Device	Overfill Drop Tube Valve	8/15/2022	8/15/2025
Piping	Flexible Double Wall Environ Geo Flex	N/A	N/A
Piping	Flex Connector Steel	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/15/2022	8/15/2025
Leak Detect - Piping	Sump Sensor	8/15/2022	8/15/2023
Spill Contain Device	Single Wall Spill Bucket	8/15/2022	8/15/2025
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 5

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	1/6/2000		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	8/10/1999		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/10/1999

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	Electronic Pressurized Line Leak Detection	8/15/2022	8/15/2023
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350j with CSLD	8/15/2022	8/15/2023
Overfill Prev Device	Overfill Drop Tube Valve	8/15/2022	8/15/2025
Piping	Flexible Double Wall Environ Geo Flex	N/A	N/A
Piping	Flex Connector Steel	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	1/12/2021	1/12/2024
Leak Detect - Piping	Sump Sensor	8/15/2022	8/15/2023
Spill Contain Device	Single Wall Spill Bucket	8/15/2022	8/15/2025
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 6

Capacity:	4000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	1/26/2000		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	9/30/1999		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/30/1999

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	Electronic Pressurized Line Leak Detection	8/15/2022	8/15/2023
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350j with CSLD	8/15/2022	8/15/2023
Overfill Prev Device	Overfill Drop Tube Valve	8/15/2022	8/15/2025
Piping	Flexible Double Wall Environ Geo Flex	N/A	N/A
Piping	Flex Connector Steel	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	1/12/2021	1/12/2024
Leak Detect - Piping	Sump Sensor	8/15/2022	8/15/2023
Spill Contain Device	Single Wall Spill Bucket	8/15/2022	8/15/2025
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

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 7

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found