Division of Petroleum & Chemical Safety

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Facility Details

Facility Number:	6045293
Status:	Active
Facility Name:	Sam's Club #4878
Address:	5 Illini Drive Glen Carbon, IL 62034
County:	Madison
Property Parcel:	14-2-15-23-04-401-016
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y001975
Green Tag Issue Date:	9/1/2023
Green Tag Expiration Date:	12/31/2025

Owner Name:	Sam's West, Inc.
Owner Address:	2101 SE Simple Savings Drive Bentonville, AR 727160745
Owner Status:	Current Owner
Purchase Date:	3/26/2013
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	4/29/2025

MFD Permit Type	Issue Date	Expiration Date
Self Service	9/1/2023	12/31/2025

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0029973	Sam's West, Inc.	Current Owner	3/26/2013
U0036780	Sam's West Inc.	Former Owner	3/26/2013

Click for permit history

No Active Permits Found

No Deficiencies Found

No IEMA Numbers Found

No Applications Found

Pay Tank Fees Online

Tank Number	Capacity	Product	Status	Regulated Status	Fee Due
1	20000	Gasoline - Regular	Currently in use	Federal	$0.00
2	20000	Gasoline - Regular	Currently in use	Federal	$0.00
3	12000	Gasoline - Premium	Currently in use	Federal	$0.00
4	8000	Diesel Fuel	Currently in use	Federal	$0.00

No Forms Found