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:	7003772
Status:	Active
Facility Name:	Discount Food Mart
Address:	22797 E. IL Hwy. 15 Bluford, IL 62814
County:	Jefferson
Property Parcel:	06-10-100-018
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	X002502
Green Tag Issue Date:	8/10/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	Shri G.R.V., Inc.
Owner Address:	22797 E. IL Hwy. 15 Bluford, IL 62814
Owner Status:	Current Owner
Purchase Date:	6/4/2012
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	8/23/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	8/10/2022	12/31/2024

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0036554	Shri G.R.V., Inc.	Current Owner	6/4/2012
U0031428	Buttrum, Robert/Kristen	Former Owner	9/29/2002
U0010284	Midway Farm Market	Former Owner	9/29/2002

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

NOV Number: E0020240760 (Referred to Legal) Issue Date: 3/13/2024 Expiration Date: 5/12/2024 View NOV Form

Tanks	Deficiency
Facility	A/B operator retraining required as a result of issuance of the Notice of Violation
Facility	Missing copies of current testing certificates for operator training - At least one class C Operator shall be on site while dispensing to the public (Jennifer Parson)
Facility	Missing list of designated Class A/B & C Operators - Update list.
6	Spill prevention equipment contains liquid/debris and must be cleared of materials and maintained clean and dry.

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
13-1192	11/21/2013	Removal Log	01137-2013REM
90-1762	6/28/1990	Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
13-1192	Eligible	12/13/2013	12/30/2013	$5,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/21/2013
OSFM First Notify Date:	3/24/1986		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	1/1/1983		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	11/21/2008	11/21/2013
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300c
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel 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 2

Capacity:	8000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/21/2013
OSFM First Notify Date:	3/24/1986		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	1/1/1983		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	11/21/2008	11/21/2013
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300c
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel 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 3

Capacity:	550		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	6/1/1990
OSFM First Notify Date:	3/24/1986		Abandoned Material:	Inert material mixed with portland cement
Current Age:			Abandoned Date:	12/1/1982
Install Date:			Red Tag Issue Date:
Last Used Date:	12/1/1982		Fee Due:
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 4

Capacity:	550		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	6/1/1990
OSFM First Notify Date:	3/24/1986		Abandoned Material:	Inert material mixed with portland cement
Current Age:			Abandoned Date:	12/1/1982
Install Date:			Red Tag Issue Date:
Last Used Date:	12/1/1982		Fee Due:
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:	10000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	2/4/2014		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:	11/26/2013		Red Tag Issue Date:	5/15/2024
Last Used Date:			Fee Due:
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	1/23/2024	1/23/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	1/23/2024	1/23/2025
Overfill Prev Device	Overfill Drop Tube Valve	1/23/2024	1/23/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	1/23/2024	1/23/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	1/23/2024	1/23/2025
Spill Contain Device	Single Wall Spill Bucket	1/23/2024	1/23/2027
Tank	Composite Double Wall Glasteel II	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
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test	Pass	1/23/2024
Tank	Composite Double Wall Glasteel II	Precision Test (Tank)	Pass	9/4/2020

Tank Number 6

Capacity:	6000		Petroleum Use:	None
Product:	B-11		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	2/4/2014		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:	11/26/2013		Red Tag Issue Date:	5/15/2024
Last Used Date:			Fee Due:
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	1/23/2024	1/23/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	1/23/2024	1/23/2025
Overfill Prev Device	Overfill Drop Tube Valve	1/23/2024	1/23/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	1/23/2024	1/23/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	1/23/2024	1/23/2025
Spill Contain Device	Single Wall Spill Bucket	1/23/2024	1/23/2027
Tank	Composite Double Wall Glasteel II	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
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test	Pass	1/23/2024
Tank	Composite Double Wall Glasteel II	Precision Test (Tank)	Pass	9/4/2020

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	1/23/2024	1/23/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	1/23/2024	1/23/2025

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	1/23/2024	1/23/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	1/23/2024	1/23/2025

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
7003772	Discount Food Mart	Bluford	03/02/2021	Letter Form