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:	2042101
Status:	Active
Facility Name:	Shell
Address:	15 N. 1st Avenue Maywood, IL 60153
County:	Cook
Property Parcel:	15-11-210-090-0000
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z000067
Green Tag Issue Date:	6/5/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Cyriac Chandy
Owner Address:	15 N. 1st Avenue Maywood, IL 60153
Owner Status:	Current Owner
Purchase Date:	6/16/2021
Type of Financial Responsibility:	Certificate of Deposit
Financial Responsibility Reporting Due Date:	1/22/2026

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	6/5/2024	12/31/2026

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0036449	Chandy, Cyriac	Current Owner	6/16/2021
U0035189	PAV 2, LLC,	Former Owner	9/5/2014
U0031884	Nems, Inc.	Former Owner	8/4/2004

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

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
14-1092	Eligible	12/4/2014	1/20/2015	$5,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	3/24/2005		Abandoned Material:
Current Age:	20		Abandoned Date:
Install Date:	8/5/2004		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	3/4/2005

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	5/6/2024	5/6/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	5/6/2024	5/6/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	5/6/2024	5/6/2025
Overfill Prev Device	Overfill Drop Tube Valve	10/21/2022	10/21/2025
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/21/2022	10/21/2025
Leak Detect - Piping	Sump Sensor	5/6/2024	5/6/2025
Spill Contain Device	Single Wall Spill Bucket	10/21/2022	10/21/2025
Tank	Composite Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test (Piping)	Pass	5/6/2024
Tank	Composite Double Wall	Precision Test (Tank)	Pass	5/6/2024

Tank Number 2

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	3/24/2005		Abandoned Material:
Current Age:	20		Abandoned Date:
Install Date:	8/5/2004		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	3/4/2005

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	5/6/2024	5/6/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	5/6/2024	5/6/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	5/6/2024	5/6/2025
Overfill Prev Device	Overfill Drop Tube Valve	10/21/2022	10/21/2025
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/21/2022	10/21/2025
Leak Detect - Piping	Sump Sensor	5/6/2024	5/6/2025
Spill Contain Device	Single Wall Spill Bucket	10/21/2022	10/21/2025
Tank	Composite Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test (Piping)	Pass	5/6/2024
Tank	Composite Double Wall	Precision Test (Tank)	Pass	5/6/2024

Tank Number 3

Capacity:	6000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	3/24/2005		Abandoned Material:
Current Age:	20		Abandoned Date:
Install Date:	8/5/2004		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	3/4/2005

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	5/6/2024	5/6/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	5/6/2024	5/6/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	5/6/2024	5/6/2025
Overfill Prev Device	Overfill Drop Tube Valve	10/21/2022	10/21/2025
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/21/2022	10/21/2025
Leak Detect - Piping	Sump Sensor	5/6/2024	5/6/2025
Spill Contain Device	Single Wall Spill Bucket	10/21/2022	10/21/2025
Tank	Composite Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test (Piping)	Pass	5/6/2024
Tank	Composite Double Wall	Precision Test (Tank)	Pass	5/6/2024

Tank Number 4

Capacity:	550		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	8/6/2004
OSFM First Notify Date:	6/29/2004		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	12/31/1973		Fee Due:
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

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 Installed	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 Installed	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 Installed	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 Installed	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 Installed	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 Installed	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found