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: 2042779
Status: Closed
Facility Name: Sam's Club #6488
Address: 7300 Woodward Ave. Woodridge, IL 60517
County: Du Page
Property Parcel:
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: R002999
Green Tag Issue Date: 4/4/2016
Green Tag Expire Date: 12/31/2018
MFD Type: N/A

Owner Details

Owner Name: Sam's West, Inc.
Owner Address: 2101 SE Simple Savings Drive Bentonville, AR 727160745
Owner Status: Current Owner
Purchase Date: 6/8/2005
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 5/4/2018

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0029973 Sam's West, Inc. Current Owner 6/8/2005

Permits (Unexpired)

Click for permit history

No Active Permits Found

Notice of Violations (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 CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 11/13/2017
OSFM First Notify Date: 8/9/2005 Abandoned Material:
Current Age: 12 Abandoned Date:
Install Date: 6/8/2005 Red Tag Issue Date:
Last Used Date: 6/30/2017 Fee Due: $0.00
Product Date: 8/4/2005

Equipment Information

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive Not applicable Not applicable
Corrosion Prot - Tank Fiberglass Non-Corrosive Not applicable Not applicable
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 12/17/2015 12/17/2016
Leak Detect - Piping Sump Sensor 12/17/2015 12/17/2016
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD No passing test found No passing test found
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 12/17/2015 12/17/2016
Overfill Prev Device Overfill Drop Tube Valve No passing test found No passing test found
Piping Flexible Double Wall OPW Pisces Not applicable Not applicable
Spill Contain Device Single Wall Spill Bucket No passing test found No passing test found
Tank Fiberglass Double Wall Not applicable Not applicable

Additional Tests

No Tests Listed




Tank Number 2

Capacity: 20000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 11/14/2017
OSFM First Notify Date: 8/9/2005 Abandoned Material:
Current Age: 12 Abandoned Date:
Install Date: 6/8/2005 Red Tag Issue Date:
Last Used Date: 6/30/2017 Fee Due: $0.00
Product Date: 8/4/2005

Equipment Information

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive Not applicable Not applicable
Corrosion Prot - Tank Fiberglass Non-Corrosive Not applicable Not applicable
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 12/17/2015 12/17/2016
Leak Detect - Piping Sump Sensor 12/17/2015 12/17/2016
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD No passing test found No passing test found
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 12/17/2015 12/17/2016
Overfill Prev Device Overfill Drop Tube Valve No passing test found No passing test found
Piping Flexible Double Wall OPW Pisces Not applicable Not applicable
Spill Contain Device Single Wall Spill Bucket No passing test found No passing test found
Tank Fiberglass Double Wall Not applicable Not applicable

Additional Tests

No Tests Listed




Tank Number 3

Capacity: 20000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 11/14/2017
OSFM First Notify Date: 8/9/2005 Abandoned Material:
Current Age: 12 Abandoned Date:
Install Date: 6/8/2005 Red Tag Issue Date:
Last Used Date: 6/30/2017 Fee Due: $0.00
Product Date: 8/4/2005

Equipment Information

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive Not applicable Not applicable
Corrosion Prot - Tank Fiberglass Non-Corrosive Not applicable Not applicable
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 12/17/2015 12/17/2016
Leak Detect - Piping Sump Sensor 12/17/2015 12/17/2016
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD No passing test found No passing test found
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 12/17/2015 12/17/2016
Overfill Prev Device Overfill Drop Tube Valve No passing test found No passing test found
Piping Flexible Double Wall OPW Pisces Not applicable Not applicable
Spill Contain Device Single Wall Spill Bucket No passing test found No passing test found
Tank Fiberglass Double Wall Not applicable Not applicable

Additional Tests

No Tests Listed


Failed test = the latest test has failed.

Not applicable = a test does not apply to this equipment type or configuration.

No passing test found = a passing test is expected but was not found from the source data.


Dispenser Information




Failed test = the latest test has failed.

Not applicable = a test does not apply to this equipment type or configuration.

No passing test found = a passing test is expected but was not found from the source data.


MFD Motorfuel Dispensing Forms

No Forms Found

Office of the Illinois State Fire Marshal
1035 Stevenson Dr. Springfield, IL 62704 | (217) 785-0969 | Contact Us