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:	7002475
Status:	Closed
Facility Name:	W. Russell Withers, Jr.
Address:	201 W. Main St. Carmi, IL 62821
County:	White
Property Parcel:	13-13-336-002; 13-13-336-001
Facility Type:	Attended Self-Service/Unattended Self-Service
Owner Type:	Private
Green Tag Decal:	C003328
Green Tag Issue Date:	4/25/2001
Green Tag Expiration Date:	12/31/2004

Owner Details

Owner Name:	W. Russell Withers, Jr.
Owner Address:	P.O. Box 1508 Mount Vernon, IL 62864
Owner Status:	Current Owner
Purchase Date:	6/22/2011
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	7/25/2012

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0036195	Withers, Jr., W. Russell	Current Owner	6/22/2011
U0031439	Jones, Justin & Cathy	Former Owner	7/23/2003
U0019223	Paulin Transportation, Inc.	Former Owner	4/6/1989
U0015664	Vaughan Sunoco Ser	Former Owner	12/31/1967

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
11-1369	1/5/2012	Removal Log	01272-2011REM
11-1369	1/6/2012	Removal Log	01272-2011REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
11-1363	Eligible	1/10/2012	3/10/2012	$5,000
20111363	Eligible	1/27/2022	1/28/2022	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	1/5/2012
OSFM First Notify Date:	3/17/1986		Abandoned Material:
Current Age:	36		Abandoned Date:
Install Date:	1/1/1976		Red Tag Issue Date:
Last Used Date:	6/1/2004		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Isolation Boots Flex Connector	N/A	N/A
Piping	Double Wall steel	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	1/5/2012
OSFM First Notify Date:	3/17/1986		Abandoned Material:
Current Age:	36		Abandoned Date:
Install Date:	1/1/1976		Red Tag Issue Date:
Last Used Date:	6/1/2004		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Isolation Boots Flex Connector	N/A	N/A
Piping	Double Wall steel	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	1/5/2012
OSFM First Notify Date:	3/17/1986		Abandoned Material:
Current Age:	38		Abandoned Date:
Install Date:	1/1/1974		Red Tag Issue Date:
Last Used Date:	6/1/2004		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Isolation Boots Flex Connector	N/A	N/A
Piping	Double Wall steel	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	300		Petroleum Use:
Product:	Kerosene		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	1/6/2012
OSFM First Notify Date:	3/17/1986		Abandoned Material:	Inert material mixed with portland cement
Current Age:	41		Abandoned Date:	8/31/1993
Install Date:	1/1/1971		Red Tag Issue Date:
Last Used Date:	7/21/1993		Fee Due:	$0.00
Product Date:

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:	560		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	1/6/2012
OSFM First Notify Date:	4/10/1992		Abandoned Material:	Inert material mixed with portland cement
Current Age:	36		Abandoned Date:	8/31/1993
Install Date:			Red Tag Issue Date:
Last Used Date:	4/1/1986		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found