Division of Petroleum & Chemical Safety

 
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Facility Details

Facility Number: 4021707
Status: Installed/Not in Use
Facility Name: Clark
Address: 615 N. Cedar Shelbyville, IL 62565
County: Shelby
Property Parcel: 2013-07-13-301-001
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: AA00992
Green Tag Issue Date: 3/19/2025
Green Tag Expire Date: 12/31/2027
MFD Type: Self Service

Owner Details

Owner Name: Shyam Food Mart, Inc.
Owner Address: 615 N. Cedar Shelbyville, IL 62565
Owner Status: Current Owner
Purchase Date: 6/27/2014
Type of Financial Responsibility: Certificate of Deposit
Financial Responsibility Reporting Due Date: 2/25/2027

Owner Summary

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Owner Number Owner Name Owner Status Purchase Date
U0037897 Shyam Food Mart, Inc. Current Owner 6/27/2014
U0026775 Lincoln Land Oil Company Former Owner 12/5/1986
U0017119 Chronister Oil Company Former Owner

Permits (Unexpired)

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Permit Number Type Status OSFM Receive Date Issue Date Expiration Date Documents
00687-2026REM Removal Approved / Amended 6/17/2026 6/17/2026 12/17/2026 Documents
00722-2026INS Install Approved / Issued 6/19/2026 6/29/2026 12/29/2026 Documents

Notice of Violations (Current)

No Notice of Violations Found

IEMA Numbers Associated with the Facility

IEMA Number Inspection Date Inspection Type Permit Number
2026-0490 7/1/2026 Removal Log 00687-2026REM
2026-0490 6/30/2026 Removal Log 00687-2026REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number Status OSFM Received Date OSFM Response Date Deductible Letter
20191157 Eligible 1/9/2020 1/15/2020 $5,000 Letter
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Tank Information

Tank Number Capacity Product Status Regulated Status Red Tag Issued Fee Due Abandon/Removal Date
3 4000 Gasoline - Non Ethanol Removed Federal $0.00 07/01/2026 - REM
4 4000 Diesel Fuel Removed Federal $0.00 07/01/2026 - REM
5 4000 Kerosene Removed Federal $0.00 06/30/2026 - REM
6 10000 Gasoline - Premium Removed Federal $0.00 07/01/2026 - REM
7 10000 Gasoline - Regular Removed Federal $0.00 07/01/2026 - REM
8 10000 Gasoline - Regular Installed/Not in Use Federal $0.00
9 4000 Gasoline - Premium Installed/Not in Use Federal $0.00
10 4000 E15 Installed/Not in Use Federal $0.00
11 4000 Gasoline - Non Ethanol Installed/Not in Use Federal $0.00


Dispenser Information

Name\ID Status
1/2 Active
3/4 Active
5/6 Active
7/8 Active
9/10 Active
11/12 Active


MFD Motorfuel Dispensing Forms

Facility Number Name City Received Date Letter
4021707 Clark Shelbyville 06/23/2026 Letter Form