Information

JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
Employment Opportunities
Ready Illinois
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Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	6000108
Status:	Active
Facility Name:	Collinsville Mini Mart
Address:	601 West Main St. Collinsville, IL 62234
County:	Madison
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y000187
Green Tag Issue Date:	6/26/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Bhavani Investment, Inc.
Owner Address:	601 West Main St. Collinsville, IL 62234
Owner Status:	Current Owner
Purchase Date:	4/12/2017
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	1/22/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	6/26/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0038646	Bhavani Investment, Inc.	Current Owner	4/12/2017
U0030949	Mac's Convenience Stores, LLC	Former Owner	2/15/2013
U0004080	Dickerson Petroleum	Former Owner	9/4/1980

Permits (Unexpired)

Click for permit history

Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
00460-2024UPG	Upgrade	Approved / Issued	4/24/2024	4/24/2024	10/24/2024	Documents

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
17-0177	3/7/2017	Removal Log	01550-2016REM
17-0177	3/8/2017	Removal Log	01550-2016REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
20170177	Eligible	6/27/2017	6/27/2017	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/8/2017
OSFM First Notify Date:	12/30/1985		Abandoned Material:
Current Age:	36		Abandoned Date:
Install Date:	9/4/1980		Red Tag Issue Date:
Last Used Date:	3/6/2017		Fee Due:	$0.00
Product Date:	9/4/1980

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	12/13/2011	12/13/2016
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	12/22/2015	12/22/2016
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC with CSLD
Overfill Prev Device	Ball Float Vent Valve
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 2

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/7/2017
OSFM First Notify Date:	12/30/1985		Abandoned Material:
Current Age:	36		Abandoned Date:
Install Date:	9/4/1980		Red Tag Issue Date:
Last Used Date:	3/6/2017		Fee Due:	$0.00
Product Date:	9/4/1980

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	12/13/2011	12/13/2016
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	12/22/2015	12/22/2016
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC with CSLD
Overfill Prev Device	Ball Float Vent Valve
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 3

Capacity:	10000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/7/2017
OSFM First Notify Date:	12/30/1985		Abandoned Material:
Current Age:	36		Abandoned Date:
Install Date:	9/4/1980		Red Tag Issue Date:
Last Used Date:	3/6/2017		Fee Due:	$0.00
Product Date:	9/4/1980

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	12/13/2011	12/13/2016
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	12/22/2015	12/22/2016
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC with CSLD
Overfill Prev Device	Ball Float Vent Valve
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:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	12/1/1979
OSFM First Notify Date:	5/3/1986		Abandoned Material:
Current Age:	37		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/1/1978		Fee Due:
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 5

Capacity:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	12/1/1979
OSFM First Notify Date:	5/3/1986		Abandoned Material:
Current Age:	37		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/1/1978		Fee Due:
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 6

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	12/1/1979
OSFM First Notify Date:	5/3/1986		Abandoned Material:
Current Age:	37		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/1/1978		Fee Due:
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 7

Capacity:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	12/1/1979
OSFM First Notify Date:	5/3/1986		Abandoned Material:
Current Age:	27		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/1/1978		Fee Due:
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 8

Capacity:	560		Petroleum Use:
Product:	Used Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	12/1/1979
OSFM First Notify Date:	5/3/1986		Abandoned Material:
Current Age:	37		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/1/1978		Fee Due:
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 9

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/5/2017		Abandoned Material:
Current Age:	7		Abandoned Date:
Install Date:	4/12/2017		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	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	7/31/2023	7/31/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	7/31/2023	7/31/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	7/31/2023	7/31/2024
Overfill Prev Device	Overfill Drop Tube Valve	8/19/2023	8/19/2026
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/19/2023	8/19/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	7/31/2023	7/31/2024
Spill Contain Device	Single Wall Spill Bucket	8/19/2023	8/19/2026
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 10

Capacity:	4000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/5/2017		Abandoned Material:
Current Age:	7		Abandoned Date:
Install Date:	4/12/2017		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	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	7/31/2023	7/31/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	7/31/2023	7/31/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	7/31/2023	7/31/2024
Overfill Prev Device	Overfill Drop Tube Valve	8/19/2023	8/19/2026
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/19/2023	8/19/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	7/31/2023	7/31/2024
Spill Contain Device	Single Wall Spill Bucket	8/19/2023	8/19/2026
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 11

Capacity:	4000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/5/2017		Abandoned Material:
Current Age:	7		Abandoned Date:
Install Date:	4/12/2017		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	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	4/29/2024	4/29/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	7/31/2023	7/31/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	7/31/2023	7/31/2024
Overfill Prev Device	Overfill Drop Tube Valve	8/19/2023	8/19/2026
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/19/2023	8/19/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	7/31/2023	7/31/2024
Spill Contain Device	Single Wall Spill Bucket	8/19/2023	8/19/2026
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test	Pass	4/29/2024

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/19/2023	8/19/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	7/31/2023	7/31/2024

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/19/2023	8/19/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	7/31/2023	7/31/2024

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/19/2023	8/19/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	7/31/2023	7/31/2024

MFD Motorfuel Dispensing Forms

No Forms Found