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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

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Facility Details

Facility Number:	6009989
Status:	Closed
Facility Name:	Clark #5567
Address:	419 S Buchanan Edwardsville, IL 62025
County:	Madison
Property Parcel:
Facility Type:	Other
Owner Type:
Green Tag Decal:	C002920
Green Tag Issue Date:	6/26/2001
Green Tag Expiration Date:	12/31/2004

Owner Details

Owner Name:	A-Jay Enterprises
Owner Address:	PO Box 460 #15 Aaron Drive Jacksonville, IL 62651
Owner Status:	Current Owner
Purchase Date:	1/27/1998
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0020686	A-Jay Enterprises	Current Owner	1/27/1998
U0023845	Clark Refining & Marketing Inc	Former Owner	12/31/1967

Permits (Unexpired)

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No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
01-	10/10/2011	Removal Log	00645-2001REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
89-1045	Eligible	4/21/1995	5/3/1995	$50,000

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Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	7500	Gasoline	Removed	Federal		$0.00	10/10/2001 - REM
2	7500	Gasoline	Removed	Federal		$0.00	10/10/2001 - REM
3	10000	Gasoline	Removed	Federal		$0.00	10/10/2001 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found