Information

JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
Employment Opportunities
Ready Illinois
Find us on Facebook

Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	7025271
Status:	Closed
Facility Name:	Carter Convenience Store
Address:	829 Loy Street Mill Shoals, IL 62862
County:	White
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	H001649
Green Tag Issue Date:	2/28/2006
Green Tag Expiration Date:	12/31/2009

Owner Details

Owner Name:	William Carter
Owner Address:	P.O. Box 505 Mill Shoals, IL 62862
Owner Status:	Current Owner / Operator
Purchase Date:	7/1/1999
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	11/1/2008

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0029365	Carter, William	Current Owner / Operator	7/1/1999
U0004682	Elledge Mary L	Former Owner / Operator

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
N/A	3/15/2011	Removal Log	01194-2010REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
00-0788	Eligible	2/11/2002	3/14/2002	$15,000
02-0190	Eligible	3/14/2002	3/15/2002	$15,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/19/2002
OSFM First Notify Date:	2/21/1990		Abandoned Material:
Current Age:	14		Abandoned Date:
Install Date:	1/1/1988		Red Tag Issue Date:
Last Used Date:	12/21/1998		Fee Due:	$0.00
Product Date:	1/1/1988

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:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/19/2002
OSFM First Notify Date:	2/21/1990		Abandoned Material:
Current Age:	14		Abandoned Date:
Install Date:	1/1/1988		Red Tag Issue Date:
Last Used Date:	12/21/1998		Fee Due:	$0.00
Product Date:	1/1/1988

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:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/19/2002
OSFM First Notify Date:	2/21/1990		Abandoned Material:
Current Age:	14		Abandoned Date:
Install Date:	1/1/1988		Red Tag Issue Date:
Last Used Date:	12/21/1998		Fee Due:	$0.00
Product Date:	1/1/1988

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:	2000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/19/2002
OSFM First Notify Date:	2/21/1990		Abandoned Material:
Current Age:	14		Abandoned Date:
Install Date:	1/1/1988		Red Tag Issue Date:
Last Used Date:	12/21/1998		Fee Due:	$0.00
Product Date:	1/1/1988

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:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Does Not Exist		CAS Code:
Regulated Status:	Federal		Removed Date:
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:	4000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Does Not Exist		CAS Code:
Regulated Status:	Federal		Removed Date:
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:	2000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Does Not Exist		CAS Code:
Regulated Status:	Federal		Removed Date:
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:	1000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/15/2011
OSFM First Notify Date:	2/8/2002		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	1/29/2002		Red Tag Issue Date:
Last Used Date:	10/1/2006		Fee Due:	$0.00
Product Date:	1/29/2002

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	601 - 2000 gallons Manual Tank Gauging & tank tightness testing
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flexible Double Wall Environ Geo Flex	N/A	N/A
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Composite Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 9

Capacity:	1000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/15/2011
OSFM First Notify Date:	2/8/2002		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	1/29/2002		Red Tag Issue Date:
Last Used Date:	10/1/2006		Fee Due:	$0.00
Product Date:	1/29/2002

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	601 - 2000 gallons Manual Tank Gauging & tank tightness testing
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flexible Double Wall Environ Geo Flex	N/A	N/A
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Composite Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 10

Capacity:	2000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/15/2011
OSFM First Notify Date:	4/2/2003		Abandoned Material:
Current Age:	8		Abandoned Date:
Install Date:	3/14/2003		Red Tag Issue Date:
Last Used Date:	10/1/2006		Fee Due:	$0.00
Product Date:	3/15/2003

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	601 - 2000 gallons Manual Tank Gauging & tank tightness testing
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flexible Double Wall Environ Geo Flex	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	STIP3 Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found