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:	6005617
Status:	Closed
Facility Name:	Arlyn's Service Center
Address:	210 East Pine Percy, IL 62272
County:	Randolph
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	E001525
Green Tag Issue Date:	4/16/2003
Green Tag Expiration Date:	12/31/2006

Owner Details

Owner Name:	Arlyn D. Fisk
Owner Address:	P.O. Box 250 210 East Pine Percy, IL 62272
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0005224	Arlyn D. Fisk,	Current Owner
U0001084	Baker Brothers II, 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
05-0237	4/25/2005	Removal Log	00108-2005REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
05-0237	Eligible	6/2/2005	6/27/2005	$10,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	560		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/5/2005
OSFM First Notify Date:	1/16/1986		Abandoned Material:
Current Age:	25		Abandoned Date:
Install Date:	1/1/1980		Red Tag Issue Date:
Last Used Date:	4/1/2005		Fee Due:	$0.00
Product Date:	1/1/1980

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:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/5/2005
OSFM First Notify Date:	3/21/1986		Abandoned Material:
Current Age:	20		Abandoned Date:
Install Date:	1/1/1985		Red Tag Issue Date:
Last Used Date:	4/1/2005		Fee Due:	$0.00
Product Date:	1/1/1985

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:	4/5/2005
OSFM First Notify Date:	1/16/1986		Abandoned Material:
Current Age:	32		Abandoned Date:
Install Date:	1/1/1973		Red Tag Issue Date:
Last Used Date:	4/1/2005		Fee Due:	$0.00
Product Date:	1/1/1973

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:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/5/2005
OSFM First Notify Date:	1/16/1986		Abandoned Material:
Current Age:	32		Abandoned Date:
Install Date:	1/1/1973		Red Tag Issue Date:
Last Used Date:	4/1/2005		Fee Due:	$0.00
Product Date:	1/1/1973

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found