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:	6047676
Status:	Exempt
Facility Name:	Beau Moody General Dentistry
Address:	620 St. Louis Street Edwardsville, IL 62025
County:	Madison
Property Parcel:
Facility Type:	Commercial / Retail
Owner Type:	State
Green Tag Decal:
Green Tag Issue Date:
Green Tag Expiration Date:

Owner Details

Owner Name:	IDOT District #8
Owner Address:	1102 East Port Plaza Drive Collinsville, IL 62234
Owner Status:	Current Owner
Purchase Date:
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
U0007371	IDOT District #8	Current Owner

Permits (Unexpired)

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Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
01295-2023REM	Removal	Approved / Issued	11/2/2023	11/8/2023	5/8/2024	Documents

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
N/A	11/15/2023	Removal Log	01295-2023REM

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	550	Unknown	Removed	Exempt		$0.00	11/15/2023 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found