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:	2000807
Status:	Closed
Facility Name:	7-Eleven Food Store #22956
Address:	3950 W. 147th Street Midlothian, IL 60445
County:	Cook
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	M001279
Green Tag Issue Date:	4/27/2011
Green Tag Expiration Date:	12/31/2013

Owner Details

Owner Name:	7-Eleven, Inc.
Owner Address:	3200 Hackberry Road - Gas Compliance Irving, TX 75063
Owner Status:	Current Owner
Purchase Date:	10/1/2004
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	12/24/2013

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	4/27/2011	12/31/2013

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0014207	7-Eleven, Inc.	Current Owner	10/1/2004
U0030420	Convenience Statutory Trust 2001,	Former Owner	7/20/2001

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

IEMA Number	Inspection Date	Inspection Type	Permit Number
13-0139	2/14/2013	Removal Log	00049-2013REM
13-0139	2/13/2013	Removal Log	00049-2013REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
13-0139	Eligible	3/14/2013	4/16/2013	$5,000

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:	2/13/2013
OSFM First Notify Date:	1/30/1986		Abandoned Material:
Current Age:	31		Abandoned Date:
Install Date:	1/1/1983		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	2/1/1982

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	Electronic Pressurized Line Leak Detection	2/14/2011	2/14/2012
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R with CSLD
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Single Wall	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:	2/14/2013
OSFM First Notify Date:	1/30/1986		Abandoned Material:
Current Age:	31		Abandoned Date:
Install Date:	1/1/1983		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	2/1/1982

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	Electronic Pressurized Line Leak Detection	2/14/2011	2/14/2012
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R with CSLD
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Single Wall	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:	2/14/2013
OSFM First Notify Date:	1/30/1986		Abandoned Material:
Current Age:	31		Abandoned Date:
Install Date:	1/1/1983		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	2/1/1982

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	Electronic Pressurized Line Leak Detection	2/14/2011	2/14/2012
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R with CSLD
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
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