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:	2040790
Status:	Active
Facility Name:	Sam's Club #6464
Address:	101 West Oakton St. Des Plaines, IL 60018
County:	Cook
Property Parcel:	08-25-204-003-0000
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	AA00056
Green Tag Issue Date:	7/10/2025
Green Tag Expire Date:	12/31/2027
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:
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
U0017352	Walmart Stores, Inc.,	Former Owner	4/12/2002

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

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	20000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/28/2002		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	4/18/2002		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	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	4/14/2026	4/14/2027
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	4/14/2026	4/14/2027
Overfill Prev Device	Overfill Drop Tube Valve	5/19/2025	5/19/2028
Piping	Flexible Double Wall OPW Pisces	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	11/4/2025	11/4/2028
Leak Detect - Piping	Sump Sensor with positive shutdown	4/14/2026	4/14/2027
Spill Contain Device	Double Wall Spill Bucket	4/14/2026	4/14/2029
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	4/14/2026
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	5/7/2024

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:	5/28/2002		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	4/18/2002		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	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	4/14/2026	4/14/2027
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	4/14/2026	4/14/2027
Overfill Prev Device	Overfill Drop Tube Valve	4/16/2025	4/16/2028
Piping	Flexible Double Wall OPW Pisces	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	11/4/2025	11/4/2028
Leak Detect - Piping	Sump Sensor with positive shutdown	4/14/2026	4/14/2027
Spill Contain Device	Double Wall Spill Bucket	4/14/2026	4/14/2029
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	4/14/2026
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	5/7/2024

Tank Number 3

Capacity:	20000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/28/2002		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	4/18/2002		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	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	4/14/2026	4/14/2027
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	4/14/2026	4/14/2027
Overfill Prev Device	Overfill Drop Tube Valve	5/19/2025	5/19/2028
Piping	Flexible Double Wall OPW Pisces	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	11/4/2025	11/4/2028
Leak Detect - Piping	Sump Sensor with positive shutdown	4/14/2026	4/14/2027
Spill Contain Device	Double Wall Spill Bucket	4/14/2026	4/14/2029
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	4/14/2026
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	5/7/2024

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/4/2025	11/4/2028
Leak Detect - Piping	Sump Sensor with positive shutdown	4/14/2026	4/14/2027

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/4/2025	11/4/2028
Leak Detect - Piping	Sump Sensor with positive shutdown	4/14/2026	4/14/2027

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/4/2025	11/4/2028
Leak Detect - Piping	Sump Sensor with positive shutdown	4/14/2026	4/14/2027

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/4/2025	11/4/2028
Leak Detect - Piping	Sump Sensor with positive shutdown	4/14/2026	4/14/2027

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/4/2025	11/4/2028
Leak Detect - Piping	Sump Sensor with positive shutdown	4/14/2026	4/14/2027

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/4/2025	11/4/2028
Leak Detect - Piping	Sump Sensor with positive shutdown	4/14/2026	4/14/2027

MFD Motorfuel Dispensing Forms

No Forms Found