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:	5046336
Status:	Active
Facility Name:	Bucks Crossing
Address:	10904 Rt 111 Medora, IL 62063
County:	Macoupin
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	AA01477
Green Tag Issue Date:	5/12/2025
Green Tag Expiration Date:	12/31/2027

Owner Details

Owner Name:	Triple L Ag Supply Inc.
Owner Address:	10904 Rt 111 Medora, IL 62063
Owner Status:	Current Owner
Purchase Date:	3/20/2017
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	6/4/2026

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	5/12/2025	12/31/2027

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0038672	Triple L Ag Supply Inc.	Current Owner	3/20/2017

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

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/6/2017		Abandoned Material:
Current Age:	8		Abandoned Date:
Install Date:	3/22/2017		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	5/25/2017

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	10/22/2024	10/22/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus	10/22/2024	10/22/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	10/22/2024	10/22/2025
Overfill Prev Device	Overfill Drop Tube Valve	8/15/2025	8/15/2028
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/15/2025	8/15/2028
Leak Detect - Piping	Sump Sensor with positive shutdown	10/22/2024	10/22/2025
Spill Contain Device	Single Wall Spill Bucket	8/15/2025	8/15/2028
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall OPW Flexworks	Precision Test (Piping)	Pass	10/22/2024

Tank Number 2

Capacity:	4000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/6/2017		Abandoned Material:
Current Age:	8		Abandoned Date:
Install Date:	3/22/2017		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	5/25/2017

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	10/22/2024	10/22/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus	10/22/2024	10/22/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	10/22/2024	10/22/2025
Overfill Prev Device	Overfill Drop Tube Valve	8/15/2025	8/15/2028
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/15/2025	8/15/2028
Leak Detect - Piping	Sump Sensor with positive shutdown	10/22/2024	10/22/2025
Spill Contain Device	Single Wall Spill Bucket	8/15/2025	8/15/2028
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall OPW Flexworks	Precision Test (Piping)	Pass	10/22/2024

Tank Number 3

Capacity:	5000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/6/2017		Abandoned Material:
Current Age:	8		Abandoned Date:
Install Date:	3/22/2017		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	5/25/2017

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	10/22/2024	10/22/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus	10/22/2024	10/22/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	10/22/2024	10/22/2025
Overfill Prev Device	Overfill Drop Tube Valve	8/15/2025	8/15/2028
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/15/2025	8/15/2028
Leak Detect - Piping	Sump Sensor with positive shutdown	10/22/2024	10/22/2025
Spill Contain Device	Single Wall Spill Bucket	8/15/2025	8/15/2028
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall OPW Flexworks	Precision Test (Piping)	Pass	10/22/2024

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/15/2025	8/15/2028
Leak Detect - Piping	Sump Sensor with positive shutdown	10/22/2024	10/22/2025

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/15/2025	8/15/2028
Leak Detect - Piping	Sump Sensor with positive shutdown	10/22/2024	10/22/2025

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/15/2025	8/15/2028
Leak Detect - Piping	Sump Sensor with positive shutdown	10/22/2024	10/22/2025

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/15/2025	8/15/2028
Leak Detect - Piping	Sump Sensor with positive shutdown	10/22/2024	10/22/2025

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
5046336	Bucks Crossing	Medora	05/02/2017	Letter Form