Information
JB Pritzker, Governor
Michele L Pankow, State Fire Marshal
Division of Petroleum & Chemical Safety
State of Illinois
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Division of Petroleum & Chemical Safety
Facility Details
Facility Number:
2012960
Status:
Active
Facility Name:
Fairfield #109
Address:
1115 Fairfield Rd. Round Lake Beach, IL 60073
County:
Lake
Property Parcel:
Facility Type:
Attended Self-Service Station
Owner Type:
Private
Green Tag Decal:
Z000775
Green Tag Issue Date:
5/17/2024
Green Tag Expiration Date:
12/31/2026
Owner Details
Owner Name:
Graham C-Stores Co.
Owner Address:
39109 N. US Hwy 41 Wadsworth, IL 60083
Owner Status:
Current Owner
Purchase Date:
Type of Financial Responsibility:
Commercial Insurance
Financial Responsibility Reporting Due Date:
7/30/2026
Motor Fuel Dispensing Permits
MFD Permit Type
Issue Date
Expiration Date
Self Service
5/17/2024
12/31/2026
Owner Summary
Click for Facility/Tank Ownership history
Owner Number
Owner Name
Owner Status
Purchase Date
U0025940
Graham C-Stores Co.
Current Owner
U0027627
Graham C-Stores Co.
Former Owner
7/15/1992
U0006038
Graham C-Stores Company
Former Owner
12/31/1967
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
No IEMA Numbers Found
LUST
Fund Eligibility and Deductibility Determinations
IEMA Number
Status
OSFM Received Date
OSFM Response Date
Deductible
Letter
20200280
Eligible
4/21/2020
4/22/2020
$5,000
Letter
20230758
Eligible
3/13/2024
3/14/2024
$5,000
Letter
Pay Tank Fees Online
Tank Information
Tank Number 1
Capacity:
6000
Petroleum Use:
None
Product:
Diesel Fuel
CERCLA Substance:
Status:
Currently in use
CAS Code:
Regulated Status:
Federal
Removed Date:
OSFM
First Notify Date:
4/30/1986
Abandoned Material:
Current Age:
39
Abandoned Date:
Install Date:
4/1/1986
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
Fiberglass Non-Corrosive
N/A
N/A
Corrosion Prot - Tank
Fiberglass Non-Corrosive
N/A
N/A
Leak Detect - Piping
Electronic Pressurized Line Leak Detection
10/10/2024
10/10/2025
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 350 with CSLD
10/10/2024
10/10/2025
Overfill Prev Device
Overfill Alarm
11/7/2023
11/7/2026
Overfill Prev Device
Overfill Drop Tube Valve
11/7/2023
11/7/2026
Piping
Flexible Double Wall NUPI Smartflex
N/A
N/A
Piping
Single Wall STP/Tanktop Sump
10/3/2023
10/3/2026
Leak Detect - Piping
Sump Sensor with positive shutdown
10/10/2024
10/10/2025
Spill Contain Device
Single Wall Spill Bucket
10/3/2023
10/3/2026
Tank
Fiberglass Single Wall Owens Corning
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Piping
Fiberglass Single Wall Piping
Precision Test (Piping)
Pass
6/15/2023
Piping
Flexible Double Wall NUPI Smartflex
Precision Test (Piping)
Pass
10/10/2024
Tank
Fiberglass Single Wall Owens Corning
Precision Test (Tank)
Pass
11/7/2023
Tank Number 2
Capacity:
6000
Petroleum Use:
Product:
Gasoline - Premium
CERCLA Substance:
Status:
Currently in use
CAS Code:
Regulated Status:
Federal
Removed Date:
OSFM
First Notify Date:
4/30/1986
Abandoned Material:
Current Age:
39
Abandoned Date:
Install Date:
4/1/1986
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
Fiberglass Non-Corrosive
N/A
N/A
Corrosion Prot - Tank
Fiberglass Non-Corrosive
N/A
N/A
Leak Detect - Piping
Electronic Pressurized Line Leak Detection
10/10/2024
10/10/2025
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 350 with CSLD
10/10/2024
10/10/2025
Overfill Prev Device
Overfill Alarm
11/7/2023
11/7/2026
Overfill Prev Device
Overfill Drop Tube Valve
11/7/2023
11/7/2026
Piping
Flexible Double Wall NUPI Smartflex
N/A
N/A
Piping
Single Wall STP/Tanktop Sump
10/3/2023
10/3/2026
Leak Detect - Piping
Sump Sensor with positive shutdown
10/10/2024
10/10/2025
Spill Contain Device
Single Wall Spill Bucket
10/3/2023
10/3/2026
Tank
Fiberglass Single Wall Owens Corning
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Piping
Fiberglass Single Wall Piping
Precision Test (Piping)
Pass
6/15/2023
Piping
Flexible Double Wall NUPI Smartflex
Precision Test (Piping)
Pass
10/10/2024
Tank
Fiberglass Single Wall Owens Corning
Precision Test (Tank)
Pass
11/7/2023
Tank Number 3
Capacity:
12000
Petroleum Use:
Product:
Gasoline - Regular
CERCLA Substance:
Status:
Currently in use
CAS Code:
Regulated Status:
Federal
Removed Date:
OSFM
First Notify Date:
4/30/1986
Abandoned Material:
Current Age:
39
Abandoned Date:
Install Date:
4/1/1986
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
Fiberglass Non-Corrosive
N/A
N/A
Corrosion Prot - Tank
Fiberglass Non-Corrosive
N/A
N/A
Leak Detect - Piping
Electronic Pressurized Line Leak Detection
10/10/2024
10/10/2025
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 350 with CSLD
10/10/2024
10/10/2025
Overfill Prev Device
Overfill Alarm
11/7/2023
11/7/2026
Overfill Prev Device
Overfill Drop Tube Valve
11/7/2023
11/7/2026
Piping
Flexible Double Wall NUPI Smartflex
N/A
N/A
Piping
Single Wall STP/Tanktop Sump
10/3/2023
10/3/2026
Leak Detect - Piping
Sump Sensor with positive shutdown
10/10/2024
10/10/2025
Spill Contain Device
Single Wall Spill Bucket
10/3/2023
10/3/2026
Tank
Fiberglass Single Wall Owens Corning
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Piping
Fiberglass Single Wall Piping
Precision Test (Piping)
Pass
6/15/2023
Piping
Flexible Double Wall NUPI Smartflex
Precision Test (Piping)
Pass
10/10/2024
Tank
Fiberglass Single Wall Owens Corning
Precision Test (Tank)
Pass
11/7/2023
Tank Number 4
Capacity:
4000
Petroleum Use:
Product:
Kerosene
CERCLA Substance:
Status:
Abandoned in place
CAS Code:
Regulated Status:
Federal
Removed Date:
OSFM
First Notify Date:
4/30/1986
Abandoned Material:
Inert material mixed with portland cement
Current Age:
18
Abandoned Date:
5/7/2020
Install Date:
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
Impressed Current Cathodic Protection
10/12/2017
10/12/2018
Corrosion Prot - Tank
Impressed Current Cathodic Protection
10/12/2017
10/12/2018
Leak Detect - Piping
European with No Test Req Suction
N/A
N/A
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 350 with CSLD
9/18/2019
9/18/2020
Overfill Prev Device
Overfill Drop Tube Valve
9/18/2019
9/18/2022
Piping
Steel Single Wall Piping
N/A
N/A
Spill Contain Device
Single Wall Spill Bucket
9/18/2019
9/18/2022
Tank
Steel Single Wall
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Dispenser Information
Name\ID 1/2
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
10/3/2023
10/3/2026
Leak Detect - Piping
Sump Sensor with positive shutdown
10/10/2024
10/10/2025
Name\ID 3/4
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
10/3/2023
10/3/2026
Leak Detect - Piping
Sump Sensor with positive shutdown
10/10/2024
10/10/2025
Name\ID 5/6
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
10/3/2023
10/3/2026
Leak Detect - Piping
Sump Sensor with positive shutdown
10/10/2024
10/10/2025
Name\ID 7/8
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
10/3/2023
10/3/2026
Leak Detect - Piping
Sump Sensor with positive shutdown
10/10/2024
10/10/2025
MFD
Motorfuel Dispensing Forms
No Forms Found
