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:	2025328
Status:	Closed
Facility Name:	Former Clark 2103
Address:	301 Town Line Road Mundelein, IL 60060
County:	Lake
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	O000341
Green Tag Issue Date:	10/8/2013
Green Tag Expiration Date:	12/31/2015

Owner Details

Owner Name:	The Premcor Refining Group, Inc..
Owner Address:	One Valero Way San Antonio, TX 78249
Owner Status:	Current Owner
Purchase Date:	3/5/1996
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	2/8/2014

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	10/8/2013	12/31/2015

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0031486	The Premcor Refining Group, Inc..	Current Owner	3/5/1996
U0031709	BTJ, Inc.	Former Owner	9/1/2003
U0032455	The Premcor Refining Group, Inc. c/o Valero Energy Corporation	Former Owner	3/5/1996
U0029789	Clark Retail Enterprises, Inc.	Former Owner	3/4/1996
U0003073	Clark Retail Enterprises, Inc.	Former Owner	3/4/1996
U0001342	Bell Fuels, Inc.	Former Owner	12/31/1967
U0028787	Clark Retail Enterprises, Inc.,	Former Owner

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

IEMA Number	Inspection Date	Inspection Type	Permit Number
15-1081	10/8/2015	Removal Log	01006-2015REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
01-0460	Eligible	5/21/2002	6/20/2002	$10,000
01-0460	Eligible	3/5/2007	3/19/2007	$10,000
15-1081	Eligible	4/18/2016	4/27/2016	$5,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/8/2015
OSFM First Notify Date:	10/27/1989		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	6/30/1989		Red Tag Issue Date:
Last Used Date:	11/1/2014		Fee Due:	$0.00
Product Date:	6/30/1989

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	9/23/2014	9/23/2015
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	9/23/2014	9/23/2017
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	9/23/2014	9/23/2015
Leak Detect - Tank	Automatic Tank Gauging Arizona Instruments Encompass
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	STIP3 Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/8/2015
OSFM First Notify Date:	10/27/1989		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	6/30/1989		Red Tag Issue Date:
Last Used Date:	1/21/2015		Fee Due:	$0.00
Product Date:	6/30/1989

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	9/23/2014	9/23/2015
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	9/23/2014	9/23/2017
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	9/23/2014	9/23/2015
Leak Detect - Tank	Automatic Tank Gauging Arizona Instruments Encompass
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	STIP3 Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/8/2015
OSFM First Notify Date:	10/27/1989		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	6/30/1989		Red Tag Issue Date:
Last Used Date:	1/21/2015		Fee Due:	$0.00
Product Date:	6/30/1989

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	9/23/2014	9/23/2015
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	9/23/2014	9/23/2017
Leak Detect - Piping	Pressurized Line Leak Detection	9/23/2014	9/23/2015
Leak Detect - Tank	Automatic Tank Gauging Arizona Instruments Encompass
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	STIP3 Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/7/2015
OSFM First Notify Date:	10/27/1989		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	6/30/1989		Red Tag Issue Date:
Last Used Date:	1/21/2015		Fee Due:	$0.00
Product Date:	6/30/1989

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	9/23/2014	9/23/2015
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	9/23/2014	9/23/2017
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	9/23/2014	9/23/2015
Leak Detect - Tank	Automatic Tank Gauging Arizona Instruments Encompass
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Stainless Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	STIP3 Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	10000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/7/2015
OSFM First Notify Date:	10/27/1989		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	6/30/1989		Red Tag Issue Date:
Last Used Date:	1/21/2015		Fee Due:	$0.00
Product Date:	6/30/1989

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	9/23/2014	9/23/2015
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	9/23/2014	9/23/2017
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	9/23/2014	9/23/2015
Leak Detect - Tank	Automatic Tank Gauging Arizona Instruments Encompass
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Stainless Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	STIP3 Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 6

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/7/2015
OSFM First Notify Date:	10/27/1989		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	6/30/1989		Red Tag Issue Date:
Last Used Date:	1/21/2015		Fee Due:	$0.00
Product Date:	6/30/1989

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	9/23/2014	9/23/2015
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	9/23/2014	9/23/2017
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	9/23/2014	9/23/2015
Leak Detect - Tank	Automatic Tank Gauging Arizona Instruments Encompass
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Stainless Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	STIP3 Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 7

Capacity:	2000		Petroleum Use:
Product:	Kerosene		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/7/2015
OSFM First Notify Date:	10/27/1989		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	6/30/1989		Red Tag Issue Date:
Last Used Date:	1/21/2015		Fee Due:	$0.00
Product Date:	6/30/1989

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	9/23/2014	9/23/2015
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	9/23/2014	9/23/2017
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	9/23/2014	9/23/2015
Leak Detect - Tank	Automatic Tank Gauging Arizona Instruments Encompass
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Stainless Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	STIP3 Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 8

Capacity:	2000		Petroleum Use:
Product:	Racing Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/7/2015
OSFM First Notify Date:	10/27/1989		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	6/30/1989		Red Tag Issue Date:
Last Used Date:	1/21/2015		Fee Due:	$0.00
Product Date:	6/30/1989

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	9/23/2014	9/23/2015
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	9/23/2014	9/23/2017
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	9/23/2014	9/23/2015
Leak Detect - Tank	Automatic Tank Gauging Arizona Instruments Encompass
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Stainless Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	STIP3 Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found