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
Facility Details
Facility Number:
5001143
Status:
Closed
Facility Name:
Former Clark Station
Address:
302 W. Morton Ave.
Jacksonville, IL 62650
County:
Morgan
Property Parcel:
Facility Type:
Attended Self-Service Station
Owner Type:
Private
Green Tag Decal:
O001976
Green Tag Issue Date:
3/28/2013
Green Tag Expiration Date:
12/31/2015
Owner Details
Owner Name:
Bank of Springfield
Owner Address:
303 W. College Ave.
Jacksonville, IL 62650
Owner Status:
Current Owner
Purchase Date:
1/11/2016
Type of Financial Responsibility:
Self-Insurance
Financial Responsibility Reporting Due Date:
6/29/2018
Motor Fuel Dispensing Permits
MFD Permit Type
Issue Date
Expiration Date
Self Service
1/23/2013
12/31/2015
Owner Summary
Click for Facility/Tank Ownership history
Owner Number
Owner Name
Owner Status
Purchase Date
U0038715
Bank of Springfield
Current Owner
1/11/2016
U0035138
Shubh Labh, Inc.
Former Owner
11/2/2008
U0034242
Chirag, Inc.
Former Owner
2/28/2005
U0004981
Fanning Oil Company, Inc.
Former Owner
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
IEMA Number
Inspection Date
Inspection Type
Permit Number
17-1003
11/1/2017
Removal Log
01144-2017REM
99-0073
4/27/1999
Removal Log
01105-1999REM
LUST
Fund Eligibility and Deductibility Determinations
IEMA Number
Status
OSFM Received Date
OSFM Response Date
Deductible
Letter
99-0073
Eligible
4/12/1999
4/28/1999
$10,000
20171003
Eligible
11/17/2017
11/22/2017
$5,000
Letter
20171003
Eligible
11/17/2017
11/22/2017
$5,000
Letter
Pay Tank Fees Online
Tank Information
Tank Number 1
Capacity:
10000
Petroleum Use:
Product:
Gasoline
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
11/1/2017
OSFM
First Notify Date:
3/11/1988
Abandoned Material:
Current Age:
29
Abandoned Date:
Install Date:
3/11/1988
Red Tag Issue Date:
Last Used Date:
4/6/2015
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Isolation Boots Flex Connector
N/A
N/A
Corrosion Prot - Piping
Fiberglass Non-Corrosive
N/A
N/A
Corrosion Prot - Tank
STIP3 Cathodic Protection with Dielectric Coating
9/17/2013
9/17/2016
Leak Detect - Piping
Mechanical Pressurized Line Leak Detection
11/11/2014
11/11/2015
Leak Detect - Tank
Automatic Tank Gauging Incon TS 2000 with SCALD
Overfill Prev Device
Overfill Alarm
Piping
Flex Connector Steel
N/A
N/A
Piping
Fiberglass Single Wall Piping
N/A
N/A
Spill Contain Device
Single Wall Spill Bucket
Tank
STIP3 Single Wall
N/A
N/A
Vent, Riser, Fill Piping
Steel risers
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 2
Capacity:
10000
Petroleum Use:
Product:
Gasoline
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
11/1/2017
OSFM
First Notify Date:
3/11/1988
Abandoned Material:
Current Age:
29
Abandoned Date:
Install Date:
3/11/1988
Red Tag Issue Date:
Last Used Date:
4/6/2015
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Isolation Boots Flex Connector
N/A
N/A
Corrosion Prot - Piping
Fiberglass Non-Corrosive
N/A
N/A
Corrosion Prot - Tank
STIP3 Cathodic Protection with Dielectric Coating
9/17/2013
9/17/2016
Leak Detect - Piping
Mechanical Pressurized Line Leak Detection
11/11/2014
11/11/2015
Leak Detect - Tank
Automatic Tank Gauging Incon TS 2000 with SCALD
Overfill Prev Device
Overfill Alarm
Piping
Flex Connector Steel
N/A
N/A
Piping
Fiberglass Single Wall Piping
N/A
N/A
Spill Contain Device
Single Wall Spill Bucket
Tank
STIP3 Single Wall
N/A
N/A
Vent, Riser, Fill Piping
Steel risers
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 3
Capacity:
10000
Petroleum Use:
Product:
Gasoline
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
11/1/2017
OSFM
First Notify Date:
3/11/1988
Abandoned Material:
Current Age:
29
Abandoned Date:
Install Date:
3/11/1988
Red Tag Issue Date:
Last Used Date:
4/6/2015
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Isolation Boots Flex Connector
N/A
N/A
Corrosion Prot - Piping
Fiberglass Non-Corrosive
N/A
N/A
Corrosion Prot - Tank
STIP3 Cathodic Protection with Dielectric Coating
9/17/2013
9/17/2016
Leak Detect - Piping
Mechanical Pressurized Line Leak Detection
11/11/2014
11/11/2015
Leak Detect - Tank
Automatic Tank Gauging Incon TS 2000 with SCALD
Overfill Prev Device
Overfill Alarm
Piping
Flex Connector Steel
N/A
N/A
Piping
Fiberglass Single Wall Piping
N/A
N/A
Spill Contain Device
Single Wall Spill Bucket
Tank
STIP3 Single Wall
N/A
N/A
Vent, Riser, Fill Piping
Steel risers
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 4
Capacity:
4000
Petroleum Use:
Product:
Diesel Fuel
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
11/1/2017
OSFM
First Notify Date:
3/11/1988
Abandoned Material:
Current Age:
29
Abandoned Date:
Install Date:
3/11/1988
Red Tag Issue Date:
Last Used Date:
4/6/2015
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Isolation Boots Flex Connector
N/A
N/A
Corrosion Prot - Piping
Fiberglass Non-Corrosive
N/A
N/A
Corrosion Prot - Tank
STIP3 Cathodic Protection with Dielectric Coating
9/17/2013
9/17/2016
Leak Detect - Piping
Mechanical Pressurized Line Leak Detection
11/11/2014
11/11/2015
Leak Detect - Tank
Automatic Tank Gauging Incon TS 2000 with SCALD
Overfill Prev Device
Overfill Alarm
Piping
Flex Connector Steel
N/A
N/A
Piping
Fiberglass Single Wall Piping
N/A
N/A
Spill Contain Device
Single Wall Spill Bucket
Tank
STIP3 Single Wall
N/A
N/A
Vent, Riser, Fill Piping
Steel risers
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 5
Capacity:
1000
Petroleum Use:
Product:
Kerosene
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
4/27/1999
OSFM
First Notify Date:
3/6/1986
Abandoned Material:
Current Age:
13
Abandoned Date:
Install Date:
1/1/1986
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 6
Capacity:
4000
Petroleum Use:
Product:
Gasoline
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
1/1/1990
OSFM
First Notify Date:
3/6/1986
Abandoned Material:
Current Age:
27
Abandoned Date:
Install Date:
1/1/1963
Red Tag Issue Date:
Last Used Date:
1/1/1990
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 7
Capacity:
4000
Petroleum Use:
Product:
Gasoline
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
1/1/1990
OSFM
First Notify Date:
3/6/1986
Abandoned Material:
Current Age:
27
Abandoned Date:
2/24/1988
Install Date:
1/1/1963
Red Tag Issue Date:
Last Used Date:
1/1/1990
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 8
Capacity:
4000
Petroleum Use:
Product:
Gasoline
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
1/1/1990
OSFM
First Notify Date:
3/6/1986
Abandoned Material:
Current Age:
27
Abandoned Date:
Install Date:
1/1/1963
Red Tag Issue Date:
Last Used Date:
1/1/1990
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 9
Capacity:
1000
Petroleum Use:
Product:
Kerosene
CERCLA Substance:
Status:
Does Not Exist
CAS Code:
Regulated Status:
Federal
Removed Date:
2/24/1988
OSFM
First Notify Date:
3/6/1986
Abandoned Material:
Current Age:
14
Abandoned Date:
Install Date:
Red Tag Issue Date:
Last Used Date:
2/24/1988
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 10
Capacity:
550
Petroleum Use:
Product:
Heating Oil
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
State
Removed Date:
1/1/1986
OSFM
First Notify Date:
4/12/1999
Abandoned Material:
Current Age:
23
Abandoned Date:
Install Date:
1/1/1963
Red Tag Issue Date:
Last Used Date:
1/1/1986
Fee Due:
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 11
Capacity:
550
Petroleum Use:
Product:
Heating Oil
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
State
Removed Date:
1/1/1986
OSFM
First Notify Date:
4/12/1999
Abandoned Material:
Current Age:
23
Abandoned Date:
Install Date:
1/1/1963
Red Tag Issue Date:
Last Used Date:
1/1/1986
Fee Due:
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Dispenser Information
MFD
Motorfuel Dispensing Forms
No Forms Found
