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:	2002150
Status:	Active
Facility Name:	Sam's Mobil
Address:	2200 East Grand Avenue Lindenhurst, IL 60046
County:	Lake
Property Parcel:	06-02-400-022
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y001250
Green Tag Issue Date:	6/9/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	SMR Oil Company, Inc.
Owner Address:	2200 E. Grand Avenue Lindenhurst, IL 60046
Owner Status:	Current Owner
Purchase Date:	2/8/2016
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	4/23/2026

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	6/9/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0040839	SMR Oil Company, Inc.	Current Owner	2/8/2016
U0032478	OC Real Estate LLC	Former Owner	11/3/2004
U0014632	Streicher James H	Former Owner	12/31/1967
U0011329	Olson Oil Company, Inc.	Former Owner

Permits (Unexpired)

Click for permit history

No Active Permits Found

Notice of Violations (Current)

NOV Number: E0020250945 (Pending) Issue Date: 4/9/2025 Expiration Date: 6/8/2025 View NOV Form

Tanks	Violation
7	Containment support components are cracked, deteriorated or missing. The cover and supporting components that are defective shall be replaced with factory manufactured components. - Top of STP containment has collapsed into the sump.
Facility	Financial responsibility must be reported yearly - Financial Responsibility shall be declared annually; declaration form can be found at https://webapps.sfm.illinois.gov/USTPortal/forms/FinancialResponsibility. Complete form online and submit electronically.

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
97-1204	8/11/1997	Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
97-1204	Eligible	12/12/1997	12/19/1997	$10,000
97-1204	Partial Eligible	8/12/2013	9/11/2013	$10,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/11/1997
OSFM First Notify Date:	3/14/1986		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	3/1/1976		Red Tag Issue Date:
Last Used Date:	7/1/1997		Fee Due:	$0.00
Product Date:

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:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/11/1997
OSFM First Notify Date:	3/14/1986		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	3/1/1976		Red Tag Issue Date:
Last Used Date:	7/1/1997		Fee Due:	$0.00
Product Date:

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:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/11/1997
OSFM First Notify Date:	3/14/1986		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	3/1/1976		Red Tag Issue Date:
Last Used Date:	7/1/1997		Fee Due:	$0.00
Product Date:

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:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/11/1997
OSFM First Notify Date:	3/14/1986		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	3/1/1976		Red Tag Issue Date:
Last Used Date:	7/1/1997		Fee Due:	$0.00
Product Date:

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:	Used Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/11/1997
OSFM First Notify Date:	3/14/1986		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	3/1/1976		Red Tag Issue Date:
Last Used Date:	7/1/1997		Fee Due:	$0.00
Product Date:

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:	550		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	8/11/1997
OSFM First Notify Date:	8/21/1997		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/1/1961		Fee Due:
Product Date:

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:	10000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/12/1997		Abandoned Material:
Current Age:	27		Abandoned Date:
Install Date:	9/5/1997		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	Sacrificial Anode Flex Connector	4/7/2023	4/7/2026
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	12/16/2024	12/16/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	12/16/2024	12/16/2025
Overfill Prev Device	Ball Float Vent Valve OPW 53	12/16/2024	12/16/2027
Overfill Prev Device	Overfill Alarm	12/16/2024	12/16/2027
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	1/2/2024	1/2/2027
Tank	Fiberglass Single Wall XERXES	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test (Piping)	Pass	12/16/2024
Tank	Fiberglass Single Wall XERXES	Precision Test (Tank)	Pass	10/12/2021

Tank Number 8

Capacity:	10000		Petroleum Use:	None
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/12/1997		Abandoned Material:
Current Age:	27		Abandoned Date:
Install Date:	9/5/1997		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	Sacrificial Anode Flex Connector	4/7/2023	4/7/2026
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	12/16/2024	12/16/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	12/16/2024	12/16/2025
Overfill Prev Device	Ball Float Vent Valve OPW 53	12/16/2024	12/16/2027
Overfill Prev Device	Overfill Alarm	12/16/2024	12/16/2027
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	1/2/2024	1/2/2027
Tank	Fiberglass Single Wall XERXES	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test (Piping)	Pass	12/16/2024
Tank	Fiberglass Single Wall XERXES	Precision Test (Tank)	Pass	1/2/2024

Tank Number 9

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/12/1997		Abandoned Material:
Current Age:	27		Abandoned Date:
Install Date:	9/5/1997		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	Sacrificial Anode Flex Connector	4/7/2023	4/7/2026
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	12/16/2024	12/16/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	12/16/2024	12/16/2025
Overfill Prev Device	Ball Float Vent Valve OPW 53	12/16/2024	12/16/2027
Overfill Prev Device	Overfill Alarm	12/16/2024	12/16/2027
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	1/2/2024	1/2/2027
Tank	Fiberglass Single Wall XERXES	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test (Piping)	Pass	12/16/2024
Tank	Fiberglass Single Wall XERXES	Precision Test (Tank)	Pass	10/12/2021

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found