Information

JB Pritzker, Governor

Michele L Pankow, 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:	2002150
Status:	Active
Facility Name:	Sam's Mobil
Address:	2200 East Grand Avenue Lindenhurst, IL 60046
County:	Lake
Property Parcel:	06-02-400-022
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	AA00912
Green Tag Issue Date:	6/24/2025
Green Tag Expiration Date:	12/31/2027

Owner Details

Owner Name:	SMR Oil Company, Inc.
Owner Address:	2200 E. Grand Avenue Lindenhurst, IL 60046
Owner Status:	Current Owner
Purchase Date:	2/8/2016
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	4/23/2026

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	6/24/2025	12/31/2027

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0040839	SMR Oil Company, Inc.	Current Owner	2/8/2016
U0032478	OC Real Estate LLC	Former Owner	11/3/2004
U0014632	Streicher James H	Former Owner	12/31/1967
U0011329	Olson Oil Company, Inc.	Former Owner

Permits (Unexpired)

Click for permit history

No Active Permits Found

Notice of Violatlions (Current)

No Notice of Violations Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
97-1204	8/11/1997	Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
97-1204	Eligible	12/12/1997	12/19/1997	$10,000
97-1204	Partial Eligible	8/12/2013	9/11/2013	$10,000

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:	8/11/1997
OSFM First Notify Date:	3/14/1986		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	3/1/1976		Red Tag Issue Date:
Last Used Date:	7/1/1997		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:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/11/1997
OSFM First Notify Date:	3/14/1986		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	3/1/1976		Red Tag Issue Date:
Last Used Date:	7/1/1997		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:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/11/1997
OSFM First Notify Date:	3/14/1986		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	3/1/1976		Red Tag Issue Date:
Last Used Date:	7/1/1997		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:	8/11/1997
OSFM First Notify Date:	3/14/1986		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	3/1/1976		Red Tag Issue Date:
Last Used Date:	7/1/1997		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 5

Capacity:	1000		Petroleum Use:
Product:	Used Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/11/1997
OSFM First Notify Date:	3/14/1986		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	3/1/1976		Red Tag Issue Date:
Last Used Date:	7/1/1997		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 6

Capacity:	550		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	8/11/1997
OSFM First Notify Date:	8/21/1997		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/1/1961		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:	10000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/12/1997		Abandoned Material:
Current Age:	27		Abandoned Date:
Install Date:	9/5/1997		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	4/7/2023	4/7/2026
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	12/16/2024	12/16/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	12/16/2024	12/16/2025
Overfill Prev Device	Ball Float Vent Valve OPW 53	12/16/2024	12/16/2027
Overfill Prev Device	Overfill Alarm	12/16/2024	12/16/2027
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	1/2/2024	1/2/2027
Tank	Fiberglass Single Wall XERXES	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test (Piping)	Pass	12/16/2024
Tank	Fiberglass Single Wall XERXES	Precision Test (Tank)	Pass	10/12/2021

Tank Number 8

Capacity:	10000		Petroleum Use:	None
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/12/1997		Abandoned Material:
Current Age:	27		Abandoned Date:
Install Date:	9/5/1997		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	4/7/2023	4/7/2026
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	12/16/2024	12/16/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	12/16/2024	12/16/2025
Overfill Prev Device	Ball Float Vent Valve OPW 53	12/16/2024	12/16/2027
Overfill Prev Device	Overfill Alarm	12/16/2024	12/16/2027
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	1/2/2024	1/2/2027
Tank	Fiberglass Single Wall XERXES	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test (Piping)	Pass	12/16/2024
Tank	Fiberglass Single Wall XERXES	Precision Test (Tank)	Pass	1/2/2024

Tank Number 9

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/12/1997		Abandoned Material:
Current Age:	27		Abandoned Date:
Install Date:	9/5/1997		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	4/7/2023	4/7/2026
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	12/16/2024	12/16/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	12/16/2024	12/16/2025
Overfill Prev Device	Ball Float Vent Valve OPW 53	12/16/2024	12/16/2027
Overfill Prev Device	Overfill Alarm	12/16/2024	12/16/2027
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	1/2/2024	1/2/2027
Tank	Fiberglass Single Wall XERXES	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test (Piping)	Pass	12/16/2024
Tank	Fiberglass Single Wall XERXES	Precision Test (Tank)	Pass	10/12/2021

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found