Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	2016443
Status:	Active
Facility Name:	1234 Food Mart, Inc.
Address:	1234 North Sheridan Rd. North Chicago, IL 60064
County:	Lake
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	AA00823
Green Tag Issue Date:	1/23/2025
Green Tag Expire Date:	12/31/2027
MFD Type:	Self Service

Owner Details

Owner Name:	Jiwani Investment, LLC
Owner Address:	1649 Patriot Blvd. Glenview, IL 60026
Owner Status:	Current Owner
Purchase Date:	5/15/2018
Type of Financial Responsibility:	Certificate of Deposit
Financial Responsibility Reporting Due Date:	7/8/2027

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0039187	Jiwani Investment, LLC	Current Owner	5/15/2018
U0038616	Petrogreen, Inc.	Former Owner	12/21/2016
U0025164	BAPA, LLC & PT, LLC	Former Owner	6/4/2004
U0003477	Country Pantry, Inc.	Former Owner	12/19/1996
U0000651	B.A.P.A., LLC & PT, LLC	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
07-0348	4/19/2007	Removal Log	00437-2007REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
07-0147	Eligible	3/21/2007	4/5/2007	$10,000
07-0348	Eligible	3/28/2007	4/12/2007	$10,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	3000	Petroleum Use:
Product:	Gasoline	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	Federal	Removed Date:	12/1/1988
OSFM First Notify Date:	1/6/1986	Abandoned Material:
Current Age:	18	Abandoned Date:
Install Date:	1/1/1970	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:

Equipment Information

No Equipment Listed

Additional Tests

No Tests Listed

Tank Number 2

Capacity:	3000	Petroleum Use:
Product:	Gasoline	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	Federal	Removed Date:	12/1/1988
OSFM First Notify Date:	1/6/1986	Abandoned Material:
Current Age:	18	Abandoned Date:
Install Date:	1/1/1970	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:

Equipment Information

No Equipment Listed

Additional Tests

No Tests Listed

Tank Number 3

Capacity:	3000	Petroleum Use:
Product:	Gasoline	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	Federal	Removed Date:	12/1/1988
OSFM First Notify Date:	1/6/1986	Abandoned Material:
Current Age:	18	Abandoned Date:
Install Date:	1/1/1970	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:

Equipment Information

No Equipment Listed

Additional Tests

No Tests Listed

Tank Number 4

Capacity:	6250	Petroleum Use:
Product:	Gasoline	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	Federal	Removed Date:	12/1/1988
OSFM First Notify Date:	1/6/1986	Abandoned Material:
Current Age:	18	Abandoned Date:
Install Date:	1/1/1970	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:

Equipment Information

No Equipment Listed

Additional Tests

No Tests Listed

Tank Number 5

Capacity:	550	Petroleum Use:
Product:	Used Oil	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	Federal	Removed Date:	2/1/1988
OSFM First Notify Date:	1/6/1986	Abandoned Material:
Current Age:	18	Abandoned Date:
Install Date:	1/1/1970	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:

Equipment Information

No Equipment Listed

Additional Tests

No Tests Listed

Tank Number 6

Capacity:	10000	Petroleum Use:
Product:	Gasoline	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	Federal	Removed Date:	4/19/2007
OSFM First Notify Date:	12/19/1988	Abandoned Material:
Current Age:	18	Abandoned Date:
Install Date:	12/14/1988	Red Tag Issue Date:
Last Used Date:	10/1/2005	Fee Due:	$0.00
Product Date:

Equipment Information

No Equipment Listed

Additional Tests

No Tests Listed

Tank Number 7

Capacity:	12000	Petroleum Use:
Product:	Gasoline	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	Federal	Removed Date:	4/19/2007
OSFM First Notify Date:	12/19/1988	Abandoned Material:
Current Age:	18	Abandoned Date:
Install Date:	12/14/1988	Red Tag Issue Date:
Last Used Date:	10/1/2005	Fee Due:	$0.00
Product Date:

Equipment Information

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Tank	Fiberglass Single Wall	Not applicable	Not applicable

Additional Tests

No Tests Listed

Tank Number 8

Capacity:	12000	Petroleum Use:
Product:	Gasoline	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	Federal	Removed Date:	4/19/2007
OSFM First Notify Date:	12/19/1988	Abandoned Material:
Current Age:	18	Abandoned Date:
Install Date:	12/14/1988	Red Tag Issue Date:
Last Used Date:	10/1/2005	Fee Due:	$0.00
Product Date:

Equipment Information

No Equipment Listed

Additional Tests

No Tests Listed

Tank Number 9

Capacity:	10000	Petroleum Use:
Product:	Diesel Fuel	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	8/13/2007	Abandoned Material:
Current Age:	19	Abandoned Date:
Install Date:	4/24/2007	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	4/24/2007

Equipment Information

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	6/4/2025	6/4/2028
Corrosion Prot - Piping	Fiberglass Non-Corrosive	Not applicable	Not applicable
Corrosion Prot - Tank	Fiberglass Non-Corrosive	Not applicable	Not applicable
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	6/2/2026	6/2/2027
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	6/2/2026	6/2/2027
Overfill Prev Device	Overfill Alarm	6/12/2024	6/12/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Not applicable	Not applicable
Piping	Single Wall STP/Tanktop Sump	Not applicable	Not applicable
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Required	Not applicable	Not applicable
Spill Contain Device	Single Wall Spill Bucket	6/12/2024	6/12/2027
Tank	Fiberglass Single Wall XERXES	Not applicable	Not applicable

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test (Piping)	Pass	6/12/2024

Tank Number 10

Capacity:	12000	Petroleum Use:
Product:	Gasoline - Premium	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	8/13/2007	Abandoned Material:
Current Age:	19	Abandoned Date:
Install Date:	4/24/2007	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	4/24/2007

Equipment Information

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	6/4/2025	6/4/2028
Corrosion Prot - Piping	Fiberglass Non-Corrosive	Not applicable	Not applicable
Corrosion Prot - Tank	Fiberglass Non-Corrosive	Not applicable	Not applicable
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	6/2/2026	6/2/2027
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	6/2/2026	6/2/2027
Overfill Prev Device	Overfill Alarm	6/12/2024	6/12/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Not applicable	Not applicable
Piping	Single Wall STP/Tanktop Sump	Not applicable	Not applicable
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Required	Not applicable	Not applicable
Spill Contain Device	Single Wall Spill Bucket	6/12/2024	6/12/2027
Tank	Fiberglass Single Wall XERXES	Not applicable	Not applicable

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test (Piping)	Pass	6/12/2024

Tank Number 11

Capacity:	12000	Petroleum Use:
Product:	Gasoline - Regular	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	8/13/2007	Abandoned Material:
Current Age:	19	Abandoned Date:
Install Date:	4/24/2007	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	4/24/2007

Equipment Information

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	6/4/2025	6/4/2028
Corrosion Prot - Piping	Fiberglass Non-Corrosive	Not applicable	Not applicable
Corrosion Prot - Tank	Fiberglass Non-Corrosive	Not applicable	Not applicable
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	6/2/2026	6/2/2027
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	6/2/2026	6/2/2027
Overfill Prev Device	Overfill Alarm	6/12/2024	6/12/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Not applicable	Not applicable
Piping	Single Wall STP/Tanktop Sump	Not applicable	Not applicable
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Required	Not applicable	Not applicable
Spill Contain Device	Single Wall Spill Bucket	6/12/2024	6/12/2027
Tank	Fiberglass Single Wall XERXES	Not applicable	Not applicable

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test (Piping)	Pass	6/12/2024

Failed test = the latest test has failed.

Not applicable = a test does not apply to this equipment type or configuration.

No passing test found = a passing test is expected but was not found from the source data.

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	Not applicable	Not applicable
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Required	Not applicable	Not applicable

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	Not applicable	Not applicable
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Required	Not applicable	Not applicable

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	Not applicable	Not applicable
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Required	Not applicable	Not applicable

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	Not applicable	Not applicable
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Required	Not applicable	Not applicable

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	Not applicable	Not applicable
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Required	Not applicable	Not applicable

Failed test = the latest test has failed.

Not applicable = a test does not apply to this equipment type or configuration.

No passing test found = a passing test is expected but was not found from the source data.

MFD Motorfuel Dispensing Forms

No Forms Found