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

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Facility Details

Facility Number:	6027455
Status:	Closed
Facility Name:	Gas Mart #45
Address:	207 North Bradford Lane Waterloo, IL 62298
County:	Monroe
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	N002564
Green Tag Issue Date:	3/28/2012
Green Tag Expiration Date:	12/31/2014

Owner Details

Owner Name:	Dickerson Petroleum
Owner Address:	920 North Illinois Street Belleville, IL 62220
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	2/2/2013

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	3/28/2012	12/31/2014

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0004080	Dickerson Petroleum	Current Owner
U0033333	Gas N' Grab, Inc.	Former Owner	3/1/2005

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
13-0183	3/14/2013	Removal Log	00167-2013REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
13-0183	Eligible	4/4/2013	5/21/2013	$5,000

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Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	12000	Gasoline	Removed	Federal		$0.00	03/14/2013 - REM
2	10000	Gasoline	Removed	Federal		$0.00	03/14/2013 - REM
3	10000	Gasoline	Removed	Federal		$0.00	03/14/2013 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found