Information

JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
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Division of Petroleum & Chemical Safety

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Facility Details

Facility Number:	4012120
Status:	Closed
Facility Name:	FS Elevator
Address:	102 S. Main Arrowsmith, IL 61722
County:	McLean
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	F001523
Green Tag Issue Date:	8/17/2004
Green Tag Expiration Date:	12/31/2007

Owner Details

Owner Name:	Evergreen F S
Owner Address:	402 N. Hershey Road Bloomington, IL 617021367
Owner Status:	Current Owner
Purchase Date:	1/1/1972
Type of Financial Responsibility:	Commercial Insurance and Self-Insurance
Financial Responsibility Reporting Due Date:	10/23/2008

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	12/2/2004	12/1/2005

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0010025	Evergreen F S	Current Owner	1/1/1972

Permits (Unexpired)

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No Active Permits Found

Notice of Violations (Current)

No Notice of Violations Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
08-0742	8/6/2008	Removal Log	01140-2008REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
08-0742	Eligible	9/8/2008	9/11/2008	$10,000

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Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	2000	Gasoline	Removed	Federal		$0.00	08/06/2008 - REM
2	1000	Gasoline	Removed	Exempt			06/01/1987 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found