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:	7034213
Status:	Active
Facility Name:	TEJ 321, Inc.
Address:	11005 Highway 4 Ava, IL 62907
County:	Jackson
Property Parcel:	02-25-101-005
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	X003514
Green Tag Issue Date:	3/17/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	TEJ 321, Inc.
Owner Address:	981 State Route 4 Willisville, IL 62997
Owner Status:	Current Owner
Purchase Date:	8/31/2021
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	1/3/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	3/17/2022	12/31/2024

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0040507	TEJ 321, Inc.	Current Owner	8/31/2021
U0032492	Fleetwoods General Stores, Inc.	Former Owner	12/10/2004
U0024137	Hepp Frank	Former Owner	10/11/1999
U0029541	Stephenson, Joey & Teresa	Former Owner	10/1/1999

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	5/10/2011	Removal Log	00384-2011REM

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

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:	3/20/2008
OSFM First Notify Date:	7/7/1995		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	7/1/1986		Red Tag Issue Date:
Last Used Date:	3/18/2008		Fee Due:	$0.00
Product Date:	7/1/1986

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating
Leak Detect - Piping	Pressurized Line Leak Detection
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Manhole Field Constructed
Tank	STIP3 Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/7/1995		Abandoned Material:
Current Age:	37		Abandoned Date:
Install Date:	7/1/1986		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/1/1986

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Sacrificial Anode Cathodic Protection	12/9/2020	12/9/2023
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	3/10/2022	3/10/2025
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	8/23/2023	8/23/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	8/23/2023	8/23/2024
Overfill Prev Device	Overfill Drop Tube Valve	3/10/2022	3/10/2025
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Not Installed STP/Tanktop Sump	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	3/10/2022	3/10/2025
Tank	STIP3 Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Single Wall Piping	Precision Test	Pass	8/23/2023
Tank	STIP3 Single Wall	Precision Test (Tank)	Pass	3/10/2022

Tank Number 3

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Mid-grade		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/7/1995		Abandoned Material:
Current Age:	37		Abandoned Date:
Install Date:	7/1/1986		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/1/1986

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Sacrificial Anode Cathodic Protection	12/9/2020	12/9/2023
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	3/10/2022	3/10/2025
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	8/23/2023	8/23/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	8/23/2023	8/23/2024
Overfill Prev Device	Overfill Drop Tube Valve	3/10/2022	3/10/2025
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Not Installed STP/Tanktop Sump	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	3/10/2022	3/10/2025
Tank	STIP3 Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Single Wall Piping	Precision Test	Pass	8/23/2023
Tank	STIP3 Single Wall	Precision Test (Tank)	Pass	3/10/2022

Tank Number 4

Capacity:	10000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	5/10/2011
OSFM First Notify Date:	7/7/1995		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	7/1/1986		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/1/1986

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	4/15/2009	4/15/2012
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	4/15/2009	4/15/2012
Leak Detect - Piping	Pressurized Line Leak Detection	4/15/2009	4/15/2010
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	4/15/2009	4/15/2010
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Fiberglass Single Wall Piping Ameron	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Manhole Field Constructed
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

Tank Number 5

Capacity:	3000		Petroleum Use:	None
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/7/1995		Abandoned Material:
Current Age:	37		Abandoned Date:
Install Date:	7/1/1986		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/1/1986

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Sacrificial Anode Cathodic Protection	12/9/2020	12/9/2023
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	3/10/2022	3/10/2025
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	8/23/2023	8/23/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	8/23/2023	8/23/2024
Overfill Prev Device	Overfill Drop Tube Valve	3/10/2022	3/10/2025
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Not Installed STP/Tanktop Sump	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	3/10/2022	3/10/2025
Tank	STIP3 Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Single Wall Piping	Precision Test	Pass	8/23/2023
Tank	STIP3 Single Wall	Precision Test (Tank)	Pass	3/10/2022

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	N/A	N/A

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	N/A	N/A

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found