Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	2030399
Status:	Active
Facility Name:	Sam's Club #6358
Address:	141 West North Ave. Northlake, IL 60164
County:	Cook
Property Parcel:	15-06-201-060-0000
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z000030
Green Tag Issue Date:	4/19/2024
Green Tag Expire Date:	12/31/2026
MFD Type:	Self Service

Owner Details

Owner Name:	Sam's West, Inc.
Owner Address:	2101 SE Simple Savings Drive Bentonville, AR 727160745
Owner Status:	Current Owner
Purchase Date:	3/14/2002
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	4/29/2027

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0029973	Sam's West, Inc.	Current Owner	3/14/2002
U0019919	DO NOT USE THIS NUMBER, former Wal-mart	Former Owner	4/11/1999

Permits (Unexpired)

Click for permit history

No Active Permits Found

Notice of Violatlions (Current)

NOV Number: E0020261090 (Pending) Issue Date: 4/22/2026 Expiration Date: 6/21/2026 View NOV Form

Tanks	Violations
Facility	Missing copies of current testing certificates for operator training - Keep all copies on site
2, 3, 4	Spill prevention equipment contains liquid/debris and must be cleared of materials and maintained clean and dry.

NOV Number: E0020261091 (Pending) Issue Date: 4/22/2026 Expiration Date: 6/21/2026 View NOV Form

Tanks	Violations
Facility	Code complying instruction/warning signs are not properly mounted at each dispenser island

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
92-1640	7/28/1992	Removal Log

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	5000	Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	State	Removed Date:	7/28/1992
OSFM First Notify Date:	6/23/1992	Abandoned Material:
Current Age:		Abandoned Date:
Install Date:		Red Tag Issue Date:
Last Used Date:	6/1/1988	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:	20000	Petroleum Use:
Product:	Gasoline - Regular	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	4/9/2002	Abandoned Material:
Current Age:	24	Abandoned Date:
Install Date:	3/14/2002	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	3/14/2002

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	12/3/2025	12/3/2026
Leak Detect - Piping	Siphon Bar	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	12/3/2025	12/3/2026
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	12/3/2025	12/3/2026
Overfill Prev Device	Overfill Drop Tube Valve	1/14/2026	1/14/2029
Piping	Flexible Double Wall OPW Pisces	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/19/2024	8/19/2027
Leak Detect - Piping	Non-Discriminating Sump Sensor	3/12/2019	3/12/2020
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Required	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	12/3/2025	12/3/2028
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	Siphon Bar	Functional	Pass	1/24/2023
Piping	Flexible Double Wall OPW Pisces	Precision Test (Piping)	Pass	12/3/2025
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	12/3/2025

Tank Number 3

Capacity:	20000	Petroleum Use:
Product:	Gasoline - Regular	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	4/9/2002	Abandoned Material:
Current Age:	24	Abandoned Date:
Install Date:	3/14/2002	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	3/14/2002

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	12/3/2025	12/3/2026
Leak Detect - Piping	Siphon Bar	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	12/3/2025	12/3/2026
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	12/3/2025	12/3/2026
Overfill Prev Device	Overfill Drop Tube Valve	1/14/2026	1/14/2029
Piping	Flexible Double Wall OPW Pisces	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/19/2024	8/19/2027
Leak Detect - Piping	Non-Discriminating Sump Sensor	3/3/2020	3/3/2021
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Required	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	12/3/2025	12/3/2028
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	Siphon Bar	Functional	Pass	1/24/2023
Piping	Flexible Double Wall OPW Pisces	Precision Test (Piping)	Pass	12/3/2025
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	12/3/2025

Tank Number 4

Capacity:	20000	Petroleum Use:
Product:	Gasoline - Premium	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	4/9/2002	Abandoned Material:
Current Age:	24	Abandoned Date:
Install Date:	3/14/2002	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	3/14/2002

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	12/3/2025	12/3/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	12/3/2025	12/3/2026
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	12/3/2025	12/3/2026
Overfill Prev Device	Overfill Drop Tube Valve	1/14/2026	1/14/2029
Piping	Flexible Double Wall OPW Pisces	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/19/2024	8/19/2027
Leak Detect - Piping	Non-Discriminating Sump Sensor	3/3/2020	3/3/2021
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Required	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	12/3/2025	12/3/2028
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall OPW Pisces	Precision Test (Piping)	Pass	12/3/2025
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	12/3/2025

Dispenser Information

Name\ID 1/2

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 Required	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 Required	N/A	N/A

Name\ID 3/4

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 Required	N/A	N/A

Name\ID 5/6

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 Required	N/A	N/A

Name\ID 7/8

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 Required	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 Required	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found