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:	6019211
Status:	Active
Facility Name:	CC Food Mart
Address:	550 S. Madison Lebanon, IL 62254
County:	St. Clair
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y000173
Green Tag Issue Date:	5/17/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Clinton County Oil Company, Inc.
Owner Address:	P.O. Box 155 Breese, IL 62230
Owner Status:	Current Owner
Purchase Date:	12/1/1984
Type of Financial Responsibility:	Letter of Credit
Financial Responsibility Reporting Due Date:	1/23/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	5/17/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0003121	Clinton County Oil Company, Inc.	Current Owner	12/1/1984

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
04-1693	Eligible	10/24/2005	11/28/2005	$10,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Abandoned in place		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	4/1/1986		Abandoned Material:	Inert material mixed with portland cement
Current Age:	51		Abandoned Date:	3/9/2005
Install Date:	8/1/1972		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/1/1972

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:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Abandoned in place		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	4/1/1986		Abandoned Material:	Inert material mixed with portland cement
Current Age:	51		Abandoned Date:	3/9/2005
Install Date:	8/1/1972		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/1/1972

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:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Abandoned in place		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	4/1/1986		Abandoned Material:	Inert material mixed with portland cement
Current Age:	51		Abandoned Date:	3/9/2005
Install Date:	8/1/1972		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/1/1972

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:	8000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Abandoned in place		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	4/1/1986		Abandoned Material:	Inert material mixed with portland cement
Current Age:	46		Abandoned Date:	3/9/2005
Install Date:	9/1/1977		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/1/1977

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:	10000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Abandoned in place		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	4/1/1986		Abandoned Material:	Inert material mixed with portland cement
Current Age:	39		Abandoned Date:	10/3/2013
Install Date:	4/1/1985		Red Tag Issue Date:
Last Used Date:	6/1/2013		Fee Due:	$0.00
Product Date:	4/1/1985

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Isolation Boots Flex Connector	N/A	N/A
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Impressed Current Cathodic Protection	2/24/2011	2/24/2012
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	2/24/2011	2/24/2012
Leak Detect - Piping	Sump Sensor	2/24/2011	2/24/2012
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Overfill Prev Device	Ball Float Vent Valve
Piping	Fiberglass Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass 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 6

Capacity:	13000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	3/4/2005		Abandoned Material:
Current Age:	19		Abandoned Date:
Install Date:	12/9/2004		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/9/2004

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Isolation Boots Flex Connector	N/A	N/A
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	3/6/2024	3/6/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	3/6/2024	3/6/2025
Overfill Prev Device	Ball Float Vent Valve	1/18/2022	1/18/2025
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	1/18/2022	1/18/2025
Leak Detect - Piping	Sump Sensor	3/6/2024	3/6/2025
Spill Contain Device	Single Wall Spill Bucket	1/18/2022	1/18/2025
Tank	Fiberglass 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 7

Capacity:	5000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	3/4/2005		Abandoned Material:
Current Age:	19		Abandoned Date:
Install Date:	12/9/2004		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/9/2004

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Isolation Boots Flex Connector	N/A	N/A
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	3/6/2024	3/6/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	3/6/2024	3/6/2025
Overfill Prev Device	Overfill Drop Tube Valve	1/18/2022	1/18/2025
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	1/18/2022	1/18/2025
Leak Detect - Piping	Sump Sensor	3/6/2024	3/6/2025
Spill Contain Device	Single Wall Spill Bucket	1/18/2022	1/18/2025
Tank	Fiberglass 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	Fiberglass Single Wall	Precision Test (Tank)	Pass	5/29/2019

Tank Number 8

Capacity:	12000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	9/6/2013		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:	8/14/2013		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/14/2013

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	3/6/2024	3/6/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	3/6/2024	3/6/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	3/6/2024	3/6/2025
Overfill Prev Device	Overfill Drop Tube Valve	1/18/2022	1/18/2025
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	1/18/2022	1/18/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	3/6/2024	3/6/2025
Spill Contain Device	Single Wall Spill Bucket	1/18/2022	1/18/2025
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	N/A	N/A

Name\ID 10S

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	1/18/2022	1/18/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	3/6/2024	3/6/2025

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	N/A	N/A

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	N/A	N/A

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	N/A	N/A

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 9S

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found