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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:	7034186
Status:	Active
Facility Name:	Circle K #1333
Address:	1710 S. 10th Street Mount Vernon, IL 62864
County:	Jefferson
Property Parcel:	07-32-356-022
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z001738
Green Tag Issue Date:	4/24/2024
Green Tag Expiration Date:	12/31/2026

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:	7/30/2012
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	4/24/2024	12/31/2026

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0030949	Mac's Convenience Stores, LLC	Current Owner	7/30/2012
U0024378	Karco, Inc.	Former Owner	1/1/1997
U0012830	Rkf Enterprises	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
21-0091	2/10/2021	Removal Log	00019-2021REM
21-0091	2/9/2021	Removal Log	00019-2021REM
21-0091	2/11/2021	Removal Log	00019-2021REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
20210091	Eligible	3/25/2021	3/26/2021	$5,000	Letter

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Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	20000	Gasoline - Regular	Removed	Federal		$0.00	02/11/2021 - REM
2	12000	Gasoline - Premium	Removed	Federal		$0.00	02/10/2021 - REM
3	10000	Diesel Fuel	Removed	Federal		$0.00	02/09/2021 - REM
4	20000	Gasoline - Regular	Currently in use	Federal		$0.00
5	12000	B-11	Currently in use	Federal		$0.00
6	8000	Gasoline - Premium	Currently in use	Federal		$0.00

Dispenser Information

Name\ID	Status
1/2	Active
3/4	Active
5/6	Active
7/8	Active
9/10	Active

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
7034186	Circle K #1333	Mount Vernon	03/16/2021	Letter Form