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:	4008086
Status:	Active
Facility Name:	Circle K #4700045
Address:	1315 Koester Road Forsyth, IL 62535
County:	Macon
Property Parcel:	07-07-23-104-001
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z002103
Green Tag Issue Date:	10/24/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Mac's Convenience Stores, LLC
Owner Address:	1100 Situs Court, Suite 100 Raleigh, NC 27606
Owner Status:	Current Owner
Purchase Date:	12/30/2020
Type of Financial Responsibility:	Guarantee
Financial Responsibility Reporting Due Date:	1/26/2026

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	10/24/2024	12/31/2026

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0030949	Mac's Convenience Stores, LLC	Current Owner	12/30/2020
U0030258	Kooshtard Property III, LLC	Former Owner	6/21/2001
U0023515	Johnson Oil Company, L.L.C.	Former Owner	8/3/1998
U0008722	L. Keller Oil Properties, Inc.	Former Owner	12/31/1967

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

IEMA Number	Inspection Date	Inspection Type	Permit Number
99-1516	6/23/1999	Removal Log	00913-1999REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
97-1618	Eligible	6/11/1999	6/28/1999	$15,000
97-1618	Eligible	5/21/2012	7/19/2012	$15,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/23/1999
OSFM First Notify Date:	4/20/1986		Abandoned Material:
Current Age:	18		Abandoned Date:
Install Date:	11/10/1980		Red Tag Issue Date:
Last Used Date:	12/22/1998		Fee Due:	$0.00
Product Date:	11/10/1980

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:	12000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/23/1999
OSFM First Notify Date:	4/20/1986		Abandoned Material:
Current Age:	18		Abandoned Date:
Install Date:	11/10/1980		Red Tag Issue Date:
Last Used Date:	12/22/1998		Fee Due:	$0.00
Product Date:	11/10/1980

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	12000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/23/1999
OSFM First Notify Date:	4/20/1986		Abandoned Material:
Current Age:	18		Abandoned Date:
Install Date:	11/10/1980		Red Tag Issue Date:
Last Used Date:	12/22/1998		Fee Due:	$0.00
Product Date:	11/10/1980

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	12000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/23/1999
OSFM First Notify Date:	8/15/1990		Abandoned Material:
Current Age:	12		Abandoned Date:
Install Date:	9/15/1986		Red Tag Issue Date:
Last Used Date:	12/22/1998		Fee Due:	$0.00
Product Date:	9/15/1986

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	8000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	8/31/1999		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	4/15/1999		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	4/30/1999

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	1/23/2023	1/23/2026
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	6/26/2025	6/26/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	6/26/2025	6/26/2026
Overfill Prev Device	Overfill Drop Tube Valve	8/13/2024	8/13/2027
Piping	Flexible Double Wall Total Containment Enviroflex non-corrosive	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	7/25/2024	7/25/2027
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Total Containment Enviroflex non-corrosive	Precision Test (Piping)	Pass	6/26/2025
Tank	Fiberglass Single Wall	Precision Test (Tank)	Pass	2/27/2025

Tank Number 6

Capacity:	8000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	8/31/1999		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	4/15/1999		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	4/30/1999

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	1/23/2023	1/23/2026
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	6/26/2025	6/26/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	6/26/2025	6/26/2026
Overfill Prev Device	Overfill Drop Tube Valve	8/13/2024	8/13/2027
Piping	Flexible Double Wall Total Containment Enviroflex non-corrosive	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	7/25/2024	7/25/2027
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Total Containment Enviroflex non-corrosive	Precision Test (Piping)	Pass	6/26/2025
Tank	Fiberglass Single Wall	Precision Test (Tank)	Pass	2/27/2025

Tank Number 7

Capacity:	8000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	8/31/1999		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	4/15/1999		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	4/30/1999

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	1/23/2023	1/23/2026
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	6/26/2025	6/26/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	6/26/2025	6/26/2026
Overfill Prev Device	Overfill Drop Tube Valve	8/13/2024	8/13/2027
Piping	Flexible Double Wall Total Containment Enviroflex non-corrosive	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	7/25/2024	7/25/2027
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Total Containment Enviroflex non-corrosive	Precision Test (Piping)	Pass	6/26/2025
Tank	Fiberglass Single Wall	Precision Test (Tank)	Pass	2/27/2025

Tank Number 8

Capacity:	15000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	8/31/1999		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	4/15/1999		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	4/30/1999

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	1/23/2023	1/23/2026
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	6/26/2025	6/26/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	6/26/2025	6/26/2026
Overfill Prev Device	Overfill Drop Tube Valve	8/13/2024	8/13/2027
Piping	Flexible Double Wall Total Containment Enviroflex non-corrosive	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	7/25/2024	7/25/2027
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Total Containment Enviroflex non-corrosive	Precision Test (Piping)	Pass	6/26/2025
Tank	Fiberglass Single Wall	Precision Test (Tank)	Pass	2/27/2025

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 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