Division of Petroleum & Chemical Safety

 
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Facility Details

Facility Number: 2014091
Status: Active
Facility Name: Sam's Auto Service
Address: 4401 St Charles Road Bellwood, IL 60104
County: Cook
Property Parcel: 15-08-215-065-0000
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Z000059
Green Tag Issue Date: 5/29/2024
Green Tag Expire Date: 12/31/2026
MFD Type: Self Service

Owner Details

Owner Name: Bassam Shaheen
Owner Address: 4401 St Charles Road Bellwood, IL 60104
Owner Status: Current Owner
Purchase Date: 12/31/1984
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 6/17/2026

Owner Summary

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Owner Number Owner Name Owner Status Purchase Date
U0013806 Shaheen, Bassam Current Owner 12/31/1984
U0008295 Kayo Oil Co Former Owner 12/31/1967

Permits (Unexpired)

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No Active Permits Found

Notice of Violatlions (Current)

NOV Number: E0020261021 (Pending)    Issue Date: 4/16/2026    Expiration Date: 6/15/2026    View NOV Form

Tanks Violations
7, 8 Dispensers - hoses cracked, split or worn and require replacement
10 Failed to Empty the Tank to 1" or Less - Tank must be emptied to 1" or less
Facility Missing copies of 30 day Walkthrough Inspection Report.
Facility Missing copies of current testing certificates for operator training - Copies must be kept on site
10 Submit Notification Form For Tank Status Change - Tank is no longer used and must be placed out of service. The Notification Form is available at https://webapps.sfm.illinois.gov/USTPortal/NotificationForm

IEMA Numbers Associated with the Facility

IEMA Number Inspection Date Inspection Type Permit Number
94-2131 9/19/1994 Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number Status OSFM Received Date OSFM Response Date Deductible Letter
94-2131 Eligible 9/27/1994 10/13/1994 $15,000
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Tank Information

Tank Number Capacity Product Status Regulated Status Red Tag Issued Fee Due Abandon/Removal Date
1 8000 Gasoline Removed Federal $0.00 09/19/1994 - REM
2 8000 Gasoline Removed Federal $0.00 09/19/1994 - REM
3 8000 Diesel Fuel Removed Federal $0.00 09/19/1994 - REM
4 4000 Gasoline Removed Federal $0.00 09/19/1994 - REM
5 500 Used Oil Removed Federal $0.00 09/19/1994 - REM
6 500 Heating Oil Removed State $0.00 09/19/1994 - REM
7 10000 Gasoline - Regular Currently in use Federal $0.00
8 6000 Gasoline - Premium Currently in use Federal $0.00
9 4000 Diesel Fuel Currently in use Federal
10 500 Used Oil Currently in use Federal $0.00

Dispenser Information

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

MFD Motorfuel Dispensing Forms

No Forms Found