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:	1023858
Status:	Closed
Facility Name:	Anderson's Service & Mini Mart, Inc.
Address:	105 South Mason Street Amboy, IL 61310
County:	Lee
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	G000645
Green Tag Issue Date:	4/25/2005
Green Tag Expiration Date:	12/31/2008

Owner Details

Owner Name:	Anderson's Service & Mini Mart, Inc.
Owner Address:	105 South Mason Street Amboy, IL 61210
Owner Status:	Current Owner
Purchase Date:	1/1/1983
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	12/29/2009

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	4/25/2005	12/31/2007

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0030983	Anderson's Service & Mini Mart, Inc.,	Current Owner	1/1/1983
U0028952	Standard Service Station	Former Owner
U0014141	Sornberger J H	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
09-0351	6/16/2009	Removal Log	00468-2009REM
09-0351	6/17/2009	Removal Log	00468-2009REM
900942	4/11/1990	Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
09-0351	Eligible	4/14/2009	4/22/2009	$10,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	8200		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/11/1990
OSFM First Notify Date:	9/19/1986		Abandoned Material:
Current Age:	14		Abandoned Date:
Install Date:	1/1/1976		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1976

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:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/11/1990
OSFM First Notify Date:	9/19/1986		Abandoned Material:
Current Age:	14		Abandoned Date:
Install Date:	1/1/1976		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1976

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:	2000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/11/1990
OSFM First Notify Date:	9/19/1986		Abandoned Material:
Current Age:	16		Abandoned Date:
Install Date:	1/1/1974		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1974

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:	1000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/11/1990
OSFM First Notify Date:	9/19/1986		Abandoned Material:
Current Age:	16		Abandoned Date:
Install Date:	1/1/1974		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1974

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:	1000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/11/1990
OSFM First Notify Date:	9/19/1986		Abandoned Material:
Current Age:	16		Abandoned Date:
Install Date:	1/1/1974		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1974

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:	300		Petroleum Use:
Product:	Kerosene		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/11/1990
OSFM First Notify Date:	9/19/1986		Abandoned Material:
Current Age:	16		Abandoned Date:
Install Date:	1/1/1974		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1974

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:	560		Petroleum Use:
Product:	Kerosene		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/16/2009
OSFM First Notify Date:	5/8/1997		Abandoned Material:
Current Age:	19		Abandoned Date:
Install Date:	4/19/1990		Red Tag Issue Date:
Last Used Date:	11/13/2008		Fee Due:	$0.00
Product Date:	4/19/1990

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 8

Capacity:	2000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/16/2009
OSFM First Notify Date:	5/8/1997		Abandoned Material:
Current Age:	19		Abandoned Date:
Install Date:	4/19/1990		Red Tag Issue Date:
Last Used Date:	11/13/2008		Fee Due:	$0.00
Product Date:	4/19/1990

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 9

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/16/2009
OSFM First Notify Date:	5/8/1997		Abandoned Material:
Current Age:	19		Abandoned Date:
Install Date:	4/19/1990		Red Tag Issue Date:
Last Used Date:	11/13/2008		Fee Due:	$0.00
Product Date:	4/19/1990

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection
Piping	Double Wall steel	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 10

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/17/2009
OSFM First Notify Date:	5/8/1997		Abandoned Material:
Current Age:	19		Abandoned Date:
Install Date:	4/19/1990		Red Tag Issue Date:
Last Used Date:	11/13/2008		Fee Due:	$0.00
Product Date:	4/19/1990

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Piping	Double Wall steel	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 11

Capacity:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/17/2009
OSFM First Notify Date:	5/8/1997		Abandoned Material:
Current Age:	19		Abandoned Date:
Install Date:	4/19/1990		Red Tag Issue Date:
Last Used Date:	11/13/2008		Fee Due:	$0.00
Product Date:	4/19/1990

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Piping	Double Wall steel	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found