Information

JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
Employment Opportunities
Ready Illinois
Find us on Facebook

Division of Petroleum & Chemical Safety

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

Click for Facility/Tank Ownership history

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

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
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

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	2000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	1/21/2021
OSFM First Notify Date:	1/9/1986		Abandoned Material:
Current Age:	37		Abandoned Date:
Install Date:	1/7/1984		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	4/25/2019	4/25/2020
Leak Detect - Tank	Automatic Tank Gauging EBW Auto-Stik Jr.	5/14/2020	5/14/2021
Overfill Prev Device	Overfill Drop Tube Valve	5/8/2018	5/8/2021
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	11/8/2018	11/8/2021
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	2000		Petroleum Use:	None
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	1/21/2021
OSFM First Notify Date:	1/9/1986		Abandoned Material:
Current Age:	37		Abandoned Date:
Install Date:	1/7/1984		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging EBW Auto-Stik Jr.	5/14/2020	5/14/2021
Overfill Prev Device	Overfill Drop Tube Valve	5/8/2018	5/8/2021
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	5/8/2018	5/8/2021
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found