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James A. Rivera, State Fire Marshal
Division of Petroleum & Chemical Safety
State of Illinois
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Facility Details
Facility Number:
6014791
Status:
Closed
Facility Name:
Clifford Polczynski
Address:
384 W. Broadway
4th & Broadway Streets
Dubois, IL 62831
County:
Washington
Property Parcel:
Facility Type:
None
Owner Type:
Private
Green Tag Decal:
Green Tag Issue Date:
Green Tag Expiration Date:
Owner Details
Owner Name:
Clifford Polczynski
Owner Address:
384 W. Broadway
Dubois, IL 62831
Owner Status:
Current Owner
Purchase Date:
1/1/1989
Type of Financial Responsibility:
Letter of Credit
Financial Responsibility Reporting Due Date:
5/25/2008
Motor Fuel Dispensing Permits
No MFD Permits Found
Owner Summary
Click for Facility/Tank Ownership history
Owner Number
Owner Name
Owner Status
Purchase Date
U0034183
Polczynski, Clifford
Current Owner
1/1/1989
U0012017
Polczynski Sr , Dominic
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
07-1613
12/11/2007
Removal Log
01510-2007REM
LUST
Fund Eligibility and Deductibility Determinations
IEMA Number
Status
OSFM Received Date
OSFM Response Date
Deductible
Letter
07-1219
Eligible
10/3/2007
10/23/2007
$10,000
Pay Tank Fees Online
Tank Information
Tank Number
Capacity
Product
Status
Regulated Status
Red Tag Issued
Fee Due
Abandon/Removal Date
1
1000
Gasoline
Removed
Federal
$0.00
12/11/2007 - REM
2
560
Gasoline
Removed
Federal
$0.00
12/11/2007 - REM
Dispenser Information
Name\ID
Status
MFD
Motorfuel Dispensing Forms
No Forms Found
