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:	7006061
Status:	Active
Facility Name:	Circle K #4701209
Address:	2701 Broadway Mount Vernon, IL 62864
County:	Jefferson
Property Parcel:	06-25-482-003
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y000007
Green Tag Issue Date:	1/3/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Mac's Convenience Stores, LLC
Owner Address:	1100 Situs Court, Suite 100 Raleigh, NC 27606
Owner Status:	Current Owner
Purchase Date:	6/29/2021
Type of Financial Responsibility:	Guarantee
Financial Responsibility Reporting Due Date:	10/27/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	3/7/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0030949	Mac's Convenience Stores, LLC	Current Owner	6/29/2021
U0029789	Clark Retail Enterprises, Inc.	Former Owner	3/7/2001
U0002262	Wareco Service, Inc.	Former Owner	1/1/1974

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

NOV Number: E0020241155 (Pending) Issue Date: 4/18/2024 Expiration Date: 6/17/2024 View NOV Form

Tanks	Deficiency
11	Annual electronic line leak detector test not completed.
9, 11, 12	Tank interstitial sensors in alarm or failed test, must repair or replace. - Tank 9 (Regular West) interstitial sensor out alarm. Tanks 11 & 12 (Regular East & B-11) interstitial sensor failed test/fuel alarm.
10	Tank monitor does not appear to function properly and requires maintenance. - Tank 10 Premium Probe Out Alarm. Q1: PLLD Shutdown Alarm.

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
98-2308	9/17/1998	Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
92-2862	Eligible	3/19/1997	4/29/1997	$10,000
96-1805	Eligible	8/24/1999	9/7/1999	$10,000

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:	9/17/1998
OSFM First Notify Date:	1/10/1986		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	1/1/1974		Red Tag Issue Date:
Last Used Date:	9/14/1998		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 2

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/17/1998
OSFM First Notify Date:	1/10/1986		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	1/1/1974		Red Tag Issue Date:
Last Used Date:	9/14/1998		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 3

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/17/1998
OSFM First Notify Date:	1/10/1986		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	1/1/1974		Red Tag Issue Date:
Last Used Date:	9/14/1998		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:	500		Petroleum Use:
Product:	Kerosene		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/12/1998		Abandoned Material:
Current Age:	46		Abandoned Date:
Install Date:	1/1/1978		Red Tag Issue Date:
Last Used Date:	9/14/1998		Fee Due:	$0.00
Product Date:	1/1/1978

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:	12000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	3/26/1999
OSFM First Notify Date:			Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			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 6

Capacity:	12000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	3/26/1999
OSFM First Notify Date:			Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			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 7

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	3/26/1999
OSFM First Notify Date:			Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			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 8

Capacity:	6000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	3/26/1999
OSFM First Notify Date:			Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			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 9

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/26/1999		Abandoned Material:
Current Age:	25		Abandoned Date:
Install Date:	4/1/1999		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	4/1/1999

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	1/13/2024	1/13/2027
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	4/12/2024	4/12/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	4/12/2024	4/12/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	4/12/2024	4/12/2025
Overfill Prev Device	Overfill Drop Tube Valve	4/12/2024	4/12/2027
Piping	Flexible Double Wall	N/A	N/A
Piping	Flex Connector Steel	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	5/4/2022	5/4/2025
Tank	Fiberglass Double 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
Piping	Flexible Double Wall	Precision Test	Pass	4/12/2024

Tank Number 10

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/26/1999		Abandoned Material:
Current Age:	25		Abandoned Date:
Install Date:	4/1/1999		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	4/1/1999

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	1/13/2024	1/13/2027
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	4/12/2024	4/12/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	4/12/2024	4/12/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	4/12/2024	4/12/2025
Overfill Prev Device	Overfill Drop Tube Valve	4/12/2024	4/12/2027
Piping	Flexible Double Wall	N/A	N/A
Piping	Flex Connector Steel	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	1/19/2023	1/19/2026
Tank	Fiberglass Double 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
Piping	Flexible Double Wall	Precision Test	Pass	4/12/2024
Tank	Fiberglass Double Wall	Precision Test (Tank)	Pass	8/19/2021

Tank Number 11

Capacity:	6000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/26/1999		Abandoned Material:
Current Age:	25		Abandoned Date:
Install Date:	4/1/1999		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	4/1/1999

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	1/13/2024	1/13/2027
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	4/14/2023	4/14/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	4/14/2023	4/12/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	4/14/2023	4/12/2024
Overfill Prev Device	Overfill Drop Tube Valve	4/12/2024	4/12/2027
Piping	Flexible Double Wall	N/A	N/A
Piping	Flex Connector Steel	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	1/19/2023	1/19/2026
Tank	Fiberglass Double 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
Piping	Flexible Double Wall	Precision Test	Pass	4/12/2024

Tank Number 12

Capacity:	6000		Petroleum Use:
Product:	B-11		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/26/1999		Abandoned Material:
Current Age:	25		Abandoned Date:
Install Date:	4/1/1999		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	4/1/1999

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	1/13/2024	1/13/2027
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	4/12/2024	4/12/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	4/12/2024	4/12/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	4/14/2023	4/12/2024
Overfill Prev Device	Overfill Drop Tube Valve	4/12/2024	4/12/2027
Piping	Flexible Double Wall	N/A	N/A
Piping	Flex Connector Steel	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	1/19/2023	1/19/2026
Tank	Fiberglass Double 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
Piping	Flexible Double Wall	Precision Test	Pass	4/12/2024
Tank	Fiberglass Double Wall	Precision Test (Tank)	Pass	11/3/2023

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found