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:	2000257
Status:	Closed
Facility Name:	Public Works Facility
Address:	5315 S. 9th Ave. Countryside, IL 60525
County:	Cook
Property Parcel:	18-09-416-057-8002
Facility Type:	City / Town
Owner Type:	Municipal
Green Tag Decal:	U004953
Green Tag Issue Date:	2/26/2019
Green Tag Expiration Date:	1/22/2021

Owner Details

Owner Name:	City of Countryside
Owner Address:	803 Joliet Rd. Countryside, IL 60525
Owner Status:	Current Owner
Purchase Date:	1/9/1986
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	1/20/2021

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Fleet	2/26/2019	12/31/2021

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0003480	City of Countryside	Current Owner	1/9/1986

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
2021-0067	1/21/2021	Removal Log	01276-2020REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
20210067	Eligible	3/4/2021	3/4/2021	$5,000	Letter

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Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	2000	Gasoline - Regular	Removed	Federal		$0.00	01/21/2021 - REM
2	2000	Diesel Fuel	Removed	Federal		$0.00	01/21/2021 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found