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:
2005758
Status:
Closed
Facility Name:
Antioch Mobil
Address:
1170 South Main Street
Antioch, IL 60002
County:
Lake
Property Parcel:
Facility Type:
Attended Self-Service Station
Owner Type:
Private
Green Tag Decal:
G000138
Green Tag Issue Date:
12/1/2005
Green Tag Expiration Date:
12/31/2008
Owner Details
Owner Name:
Donald Kosh d/b/a Llad Ent
Owner Address:
3925 Medford Circle
Northbrook, IL 60062
Owner Status:
Current Owner
Purchase Date:
8/27/1992
Type of Financial Responsibility:
Designated Savings Account
Financial Responsibility Reporting Due Date:
11/8/2008
Motor Fuel Dispensing Permits
MFD Permit Type
Issue Date
Expiration Date
Self Service
12/1/2005
12/31/2008
Owner Summary
Click for Facility/Tank Ownership history
Owner Number
Owner Name
Owner Status
Purchase Date
U0022339
Donald Kosh d/b/a Llad Ent
Current Owner
8/27/1992
U0001342
Bell Fuels, Inc.
Former Owner
12/31/1967
Permits (Unexpired)
Click for permit history
No Active Permits Found
Notice of Violations (Current)
No Notice of Violations Found
IEMA Numbers Associated with the Facility
IEMA Number
Inspection Date
Inspection Type
Permit Number
08-0287
3/4/2008
Removal Log
00242-2008REM
LUST
Fund Eligibility and Deductibility Determinations
IEMA Number
Status
OSFM Received Date
OSFM Response Date
Deductible
Letter
08-0287
Eligible
8/7/2008
8/20/2008
$10,000
Pay Tank Fees Online
Tank Information
Tank Number 1
Capacity:
12000
Petroleum Use:
Product:
Gasoline
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
3/4/2008
OSFM
First Notify Date:
6/23/1987
Abandoned Material:
Current Age:
21
Abandoned Date:
Install Date:
1/1/1987
Red Tag Issue Date:
Last Used Date:
1/15/2008
Fee Due:
$0.00
Product Date:
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 with Dielectric Coating Bonding additional sacrificial anodes to STI P3 tank
Leak Detect - Tank
Automatic Tank Gauging
Piping
Fiberglass Double Wall
N/A
N/A
Tank
STIP3 Single Wall
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 2
Capacity:
6000
Petroleum Use:
Product:
Gasoline
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
3/4/2008
OSFM
First Notify Date:
6/23/1987
Abandoned Material:
Current Age:
21
Abandoned Date:
Install Date:
1/1/1987
Red Tag Issue Date:
Last Used Date:
1/15/2008
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:
6000
Petroleum Use:
Product:
Gasoline
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
3/4/2008
OSFM
First Notify Date:
6/23/1987
Abandoned Material:
Current Age:
21
Abandoned Date:
Install Date:
1/1/1987
Red Tag Issue Date:
Last Used Date:
1/15/2008
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:
2000
Petroleum Use:
Product:
Diesel Fuel
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
3/4/2008
OSFM
First Notify Date:
6/23/1987
Abandoned Material:
Current Age:
21
Abandoned Date:
Install Date:
1/1/1987
Red Tag Issue Date:
Last Used Date:
1/15/2008
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:
2000
Petroleum Use:
Product:
Diesel Fuel
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
3/4/2008
OSFM
First Notify Date:
6/23/1987
Abandoned Material:
Current Age:
21
Abandoned Date:
Install Date:
1/1/1987
Red Tag Issue Date:
Last Used Date:
1/15/2008
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
Dispenser Information
MFD
Motorfuel Dispensing Forms
No Forms Found
