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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:	7017602
Status:	Closed
Facility Name:	Country Store
Address:	510 Highway 127 Vergennes, IL 62994
County:	Jackson
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	G001251
Green Tag Issue Date:	10/3/2005
Green Tag Expiration Date:	12/31/2008

Owner Details

Owner Name:	Alan & Sabrina Alstat
Owner Address:	P O Box 40 Vergennes, IL 62994
Owner Status:	Current Owner
Purchase Date:	8/1/2000
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
U0030511	Alstat, Alan & Sabrina	Current Owner	8/1/2000
U0025685	Vergennes Equipment Inc	Former Owner	2/29/1996
U0016452	Williams Ra	Former Owner	12/31/1967

Permits (Unexpired)

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No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
97-0565	7/15/1997	Removal Log
N/A	5/19/2010	Removal Log	00459-2010REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
97-0565	Eligible	12/16/1997	1/2/1998	$10,000

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Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	6000	Gasoline	Removed	Federal			07/15/1997 - REM
2	3000	Gasoline	Removed	Federal			07/15/1997 - REM
3	3000	Gasoline	Removed	Federal			07/15/1997 - REM
4	1000	Diesel Fuel	Removed	Federal			07/15/1997 - REM
5	560	Used Oil	Removed	Federal			07/15/1997 - REM
6	8000	Gasoline	Removed	Federal		$0.00	05/19/2010 - REM
7	4000	Diesel Fuel	Removed	Federal		$0.00	05/19/2010 - REM
8	2000	Gasoline	Removed	Federal		$0.00	05/19/2010 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found