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:	2042813
Status:	Active
Facility Name:	Gas Station & Mini-Mart
Address:	2959 W. Fulton Street Chicago, IL 60612
County:	Cook
Property Parcel:	16-12-310-001-0000
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z002479
Green Tag Issue Date:	9/23/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Samer Farhan
Owner Address:	8728 W. 98th Place Palos Hills, IL 60465
Owner Status:	Current Owner
Purchase Date:	9/14/2014
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	9/23/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	9/23/2024	12/31/2026

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0037512	Farhan, Samer	Current Owner	9/14/2014
U0032744	Samer T., Inc.	Former Owner	4/1/2005

Permits (Unexpired)

Click for permit history

Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
00892-2025UPG	Upgrade	Approved / Revised	7/12/2025	7/14/2025	1/14/2026	Documents

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:	12000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/29/2005		Abandoned Material:
Current Age:	20		Abandoned Date:
Install Date:	6/21/2005		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	6/22/2005

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	7/14/2025	7/14/2026
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	7/14/2025	7/14/2026
Overfill Prev Device	Overfill Drop Tube Valve	11/22/2022	11/22/2025
Piping	Flexible Double Wall	N/A	N/A
Piping	Double Wall STP/Tanktop Sump	11/22/2022	11/22/2025
Leak Detect - Piping	Sump Sensor	7/14/2025	7/14/2026
Spill Contain Device	Single Wall Spill Bucket	12/7/2022	12/7/2025
Tank	Composite Double Wall ACT 100	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall	Precision Test (Piping)	Pass	7/14/2025

Tank Number 2

Capacity:	6000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/29/2005		Abandoned Material:
Current Age:	20		Abandoned Date:
Install Date:	6/21/2005		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	6/22/2005

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	7/14/2025	7/14/2026
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	7/14/2025	7/14/2026
Overfill Prev Device	Overfill Drop Tube Valve	11/22/2022	11/22/2025
Piping	Flexible Double Wall	N/A	N/A
Piping	Double Wall STP/Tanktop Sump	11/22/2022	11/22/2025
Leak Detect - Piping	Sump Sensor	7/14/2025	7/14/2026
Spill Contain Device	Single Wall Spill Bucket	12/7/2022	12/7/2025
Tank	Composite Double Wall ACT 100	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall	Precision Test (Piping)	Pass	7/14/2025

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/22/2022	11/22/2025
Leak Detect - Piping	Sump Sensor	7/14/2025	7/14/2026

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/22/2022	11/22/2025
Leak Detect - Piping	Sump Sensor	7/14/2025	7/14/2026

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/22/2022	11/22/2025
Leak Detect - Piping	Sump Sensor	7/14/2025	7/14/2026

MFD Motorfuel Dispensing Forms

No Forms Found