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:	7025365
Status:	Closed
Facility Name:	Jerry's Polebarn
Address:	378 State Hwy. 37 Kell, IL 62853
County:	Marion
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	13664
Green Tag Issue Date:	10/4/1999
Green Tag Expiration Date:	12/31/2002

Owner Details

Owner Name:	Jerry's Polebarn, Inc.
Owner Address:	378 State Rt. 37 Kell, IL 62853
Owner Status:	Current Owner
Purchase Date:	9/1/2006
Type of Financial Responsibility:	Letter of Credit
Financial Responsibility Reporting Due Date:	5/6/2016

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0035160	Jerry's Polebarn, Inc.	Current Owner	9/1/2006
U0028983	Bunnell, Elaine	Former Owner
U0006948	Holmes Leroy	Former Owner

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
14-1192	11/18/2014	Removal Log	01026-2014REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
89-2378	Eligible	2/17/2009	3/12/2009	$15,000
14-1192	Eligible	5/6/2015	6/2/2015	$5,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	1000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/16/1989
OSFM First Notify Date:	11/30/1989		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	11/17/1989		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 2

Capacity:	1000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/16/1989
OSFM First Notify Date:	11/30/1989		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	11/17/1989		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 3

Capacity:	1000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/16/1989
OSFM First Notify Date:	11/30/1989		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	11/17/1989		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 4

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/18/2014
OSFM First Notify Date:	12/8/1989		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	12/4/1989		Red Tag Issue Date:
Last Used Date:	10/4/1999		Fee Due:	$0.00
Product Date:	12/4/1989

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:	3000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/18/2014
OSFM First Notify Date:	12/8/1989		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	12/4/1989		Red Tag Issue Date:
Last Used Date:	10/4/1999		Fee Due:	$0.00
Product Date:	12/4/1989

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:	3000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/18/2014
OSFM First Notify Date:	12/8/1989		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	12/4/1989		Red Tag Issue Date:
Last Used Date:	10/4/1999		Fee Due:	$0.00
Product Date:	12/4/1989

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