Division of Petroleum & Chemical Safety

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Facility Details

Facility Number:	5045985
Status:	Active
Facility Name:	Sam's Club #4999
Address:	710 North 54th St Quincy, IL 62305
County:	Adams
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y000718
Green Tag Issue Date:	3/14/2023
Green Tag Expiration Date:	12/31/2025

Owner Name:	Sam's West, Inc.
Owner Address:	2101 SE Simple Savings Drive Bentonville, AR 727160745
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	4/29/2025

MFD Permit Type	Issue Date	Expiration Date
Self Service	3/14/2023	12/31/2025

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0029973	Sam's West, Inc.	Current Owner

Click for permit history

No Active Permits Found

No Deficiencies Found

No IEMA Numbers Found

No Applications Found

Pay Tank Fees Online

Tank Number	Capacity	Product	Status	Regulated Status
1	20000	Gasoline - Regular	Currently in use	Federal
2	20000	Gasoline - Regular	Currently in use	Federal
3	12000	Gasoline - Premium	Currently in use	Federal
4	8000	Diesel Fuel	Currently in use	Federal

No Forms Found