Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 2015107
Status: Active
Facility Name: Arlington Simple Mart, Inc.
Address: 815 W. Rand Road
Arlington Heights, IL 60004
County: Cook
Property Parcel: 03-18-207-008-0000
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Y003389
Green Tag Issue Date: 1/12/2024
Green Tag Expiration Date: 12/31/2025

Owner Details

Owner Name: Combined Real Estate, LLC
Owner Address: 2401 Sanders Road
Northbrook, IL 60062
Owner Status: Current Owner
Purchase Date: 11/20/2013
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 9/23/2025

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 1/12/2024 12/31/2025

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0032209 Combined Real Estate, LLC Current Owner 11/20/2013
U0035982 Rand Energy, Inc. Former Owner 7/13/2010
U0036965 Indyco Real Estate Former Owner 6/21/2010
U0035022 GNS Petroleum, Inc. Former Owner 10/6/2008
U0032121 Nick Daya, Inc. Former Owner 12/16/2003
U0027957 Suburban Marathon of Arlington Hgts Inc. Former Owner 1/1/1989
U0014677 Harris Bank Palatine Trust #5458 Former Owner 1/1/1988
U0017925 Palatine Oil Co Former Owner

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
04-1383 10/5/2004 Removal Log 04908-2004REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number Status OSFM Received Date OSFM Response Date Deductible Letter
04-0155 Returned 4/28/2004 6/9/2004 $Not Selected
04-0155 Eligible 8/17/2004 9/9/2004 $15,000
04-1383 Eligible 6/30/2005 7/14/2005 $15,000
04-0155 Eligible 8/28/2013 8/30/2013 $15,000
Pay Tank Fees Online

Tank Information



Tank Number 1

Capacity: 6000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 3/1/1989
OSFM First Notify Date: 4/9/1986 Abandoned Material:
Current Age: 29 Abandoned Date:
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

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: 3/1/1989
OSFM First Notify Date: 4/9/1986 Abandoned Material:
Current Age: 29 Abandoned Date:
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

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: 3/1/1989
OSFM First Notify Date: 4/9/1986 Abandoned Material:
Current Age: 29 Abandoned Date:
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

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 4

Capacity: 4000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 3/1/1989
OSFM First Notify Date: 4/9/1986 Abandoned Material:
Current Age: 29 Abandoned Date:
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

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 5

Capacity: 500 Petroleum Use:
Product: Used Oil CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 3/1/1989
OSFM First Notify Date: 4/16/1989 Abandoned Material:
Current Age: 28 Abandoned Date:
Install Date: Red Tag Issue Date:
Last Used Date: 3/1/1989 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: 500 Petroleum Use: Consumptive Use on Premises for Heating
Product: Heating Oil CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: State Removed Date: 3/1/1989
OSFM First Notify Date: 4/16/1989 Abandoned Material:
Current Age: 28 Abandoned Date:
Install Date: Red Tag Issue Date:
Last Used Date: 3/1/1989 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: 8000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 8/16/1989 Abandoned Material:
Current Age: 35 Abandoned Date:
Install Date: 3/1/1989 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 10/29/2024 10/29/2025
Corrosion Prot - Tank Impressed Current Cathodic Protection 10/29/2024 10/29/2025
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 10/29/2024 10/29/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 10/29/2024 10/29/2025
Overfill Prev Device Overfill Drop Tube Valve 10/29/2024 10/29/2027
Piping Steel Single Wall Piping N/A N/A
Piping Not Installed STP/Tanktop Sump N/A N/A
Spill Contain Device Single Wall Spill Bucket 10/29/2024 10/29/2027
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Steel Single Wall Piping Precision Test (Piping) Pass 10/29/2024
Tank STIP3 Single Wall Precision Test (Tank) Pass 11/20/2023



Tank Number 8

Capacity: 6000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 8/16/1989 Abandoned Material:
Current Age: 35 Abandoned Date:
Install Date: 3/1/1989 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 10/29/2024 10/29/2025
Corrosion Prot - Tank Impressed Current Cathodic Protection 10/29/2024 10/29/2025
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 10/29/2024 10/29/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 10/29/2024 10/29/2025
Overfill Prev Device Overfill Drop Tube Valve 10/29/2024 10/29/2027
Piping Steel Single Wall Piping N/A N/A
Piping Not Installed STP/Tanktop Sump N/A N/A
Spill Contain Device Single Wall Spill Bucket 10/29/2024 10/29/2027
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Steel Single Wall Piping Precision Test (Piping) Pass 10/29/2024
Tank STIP3 Single Wall Precision Test (Tank) Pass 11/20/2023



Tank Number 9

Capacity: 6000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 8/16/1989 Abandoned Material:
Current Age: 35 Abandoned Date:
Install Date: 3/1/1989 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 10/29/2024 10/29/2025
Corrosion Prot - Tank Impressed Current Cathodic Protection 10/29/2024 10/29/2025
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 10/29/2024 10/29/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 10/29/2024 10/29/2025
Overfill Prev Device Overfill Drop Tube Valve 10/29/2024 10/29/2027
Piping Steel Single Wall Piping N/A N/A
Piping Not Installed STP/Tanktop Sump N/A N/A
Spill Contain Device Single Wall Spill Bucket 10/29/2024 10/29/2027
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Steel Single Wall Piping Precision Test (Piping) Pass 10/29/2024
Tank STIP3 Single Wall Precision Test (Tank) Pass 11/20/2023



Tank Number 10

Capacity: 4000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 8/16/1989 Abandoned Material:
Current Age: 35 Abandoned Date:
Install Date: 3/1/1989 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 10/29/2024 10/29/2025
Corrosion Prot - Tank Impressed Current Cathodic Protection 10/29/2024 10/29/2025
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 10/29/2024 10/29/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 10/29/2024 10/29/2025
Overfill Prev Device Overfill Drop Tube Valve 10/29/2024 10/29/2027
Piping Steel Single Wall Piping N/A N/A
Piping Not Installed STP/Tanktop Sump N/A N/A
Spill Contain Device Single Wall Spill Bucket 10/29/2024 10/29/2027
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Steel Single Wall Piping Precision Test (Piping) Pass 10/29/2024
Tank STIP3 Single Wall Precision Test (Tank) Pass 11/20/2023



Tank Number 11

Capacity: 1000 Petroleum Use:
Product: Used Oil CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 10/5/2004
OSFM First Notify Date: 8/16/1989 Abandoned Material:
Current Age: 15 Abandoned Date:
Install Date: 3/1/1989 Red Tag Issue Date:
Last Used Date: 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



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 11/12

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 Not Installed UDC Sump N/A N/A



Name\ID 5/6

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



Name\ID 9/10

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