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JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
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Division of Petroleum & Chemical Safety

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Facility Details

Facility Number:	2026729
Status:	Active
Facility Name:	7-Eleven Store #38959
Address:	4000 W. 127th Street Alsip, IL 60803
County:	Cook
Property Parcel:	24-27-401-033-0000
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z001311
Green Tag Issue Date:	7/8/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	4000 W 127th, LLC
Owner Address:	880 N Addison Elmhurst, IL 60126
Owner Status:	Current Owner
Purchase Date:	7/17/2020
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	12/13/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	7/8/2024	12/31/2026

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0039850	4000 W 127th, LLC	Current Owner	7/17/2020
U0039757	4000 W. 127th, LLC	Former Owner	1/23/2020
U0038367	South West Mart, Inc.	Former Owner	4/5/2015
U0034917	Ayesh, Abdeljalil	Former Owner	6/11/2008
U0034093	Esquire Petroleum, LLC	Former Owner	2/14/2007
U0010471	Exxon Mobil Oil Corporation	Former Owner

Permits (Unexpired)

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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
20-0118	3/3/2020	Removal Log	00173-2020REM
20-0118	3/2/2020	Removal Log	00173-2020REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
06-1450	Eligible	6/5/2007	7/2/2007	$10,000

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Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	10000	Gasoline - Regular	Removed	Federal		$0.00	03/02/2020 - REM
2	10000	Gasoline - Regular	Removed	Federal		$0.00	03/03/2020 - REM
3	10000	Gasoline - Premium	Removed	Federal		$0.00	03/03/2020 - REM
4	10000	Diesel Fuel	Removed	Federal		$0.00	03/02/2020 - REM
5	20000	Gasoline - Regular	Currently in use	Federal		$0.00
6	8000	Gasoline - Premium	Currently in use	Federal		$0.00
7	12000	Diesel Fuel	Currently in use	Federal		$0.00
8	20000	Diesel Fuel	Currently in use	Federal		$0.00
9	10000	Diesel Exhaust Fluid (Non-Regulated)	Unknown	Non-Regulated		$0.00

Dispenser Information

Name\ID	Status
1/2	Active
3/4	Active
5/6	Active
7/8	Active
9/10	Active
11/12	Active
13/14M	Active
14S/15M	Active
15S/16M	Active
16S	Active

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
2026729	7-Eleven Store #38959	Alsip	05/20/2020	Letter Form