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:	2009146
Status:	Closed
Facility Name:	Mobil S/S #05-220
Address:	27W 210 North Avenue West Chicago, IL 60185
County:	Du Page
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	F000653
Green Tag Issue Date:	4/28/2004
Green Tag Expiration Date:	12/31/2007

Owner Details

Owner Name:	Exxon Mobil Oil Corporation
Owner Address:	25915 S. Frontage Road C/O Joliet Refinery Channahon, IL 60410
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Guarantee and Self-Insurance
Financial Responsibility Reporting Due Date:	5/3/2006

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	8/17/2005	12/31/2007

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0010471	Exxon Mobil Oil Corporation	Current 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
07-0836	6/19/2007	Removal Log	00589-2007REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
00-0284	Eligible	3/8/2004	3/15/2004	$10,000
07-0836	Eligible	10/2/2007	10/18/2007	$10,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/19/2007
OSFM First Notify Date:	5/5/1986		Abandoned Material:
Current Age:	23		Abandoned Date:
Install Date:	6/1/1984		Red Tag Issue Date:
Last Used Date:	8/31/2006		Fee Due:	$0.00
Product Date:	6/1/1984

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	Pressurized Line Leak Detection
Leak Detect - Piping	Sump Sensor
Leak Detect - Tank	Automatic Tank Gauging
Overfill Prev Device	Ball Float Vent Valve Environ FW 3210
Piping	Fiberglass Double Wall A.O. Smith	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
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:	12000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/19/2007
OSFM First Notify Date:	5/5/1986		Abandoned Material:
Current Age:	23		Abandoned Date:
Install Date:	6/1/1984		Red Tag Issue Date:
Last Used Date:	8/31/2006		Fee Due:	$0.00
Product Date:	6/1/1984

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	Pressurized Line Leak Detection
Leak Detect - Piping	Sump Sensor
Leak Detect - Tank	Automatic Tank Gauging
Overfill Prev Device	Ball Float Vent Valve Environ FW 3210
Piping	Fiberglass Double Wall A.O. Smith	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
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:	6/19/2007
OSFM First Notify Date:	5/5/1986		Abandoned Material:
Current Age:	23		Abandoned Date:
Install Date:	6/1/1984		Red Tag Issue Date:
Last Used Date:	8/31/2006		Fee Due:	$0.00
Product Date:	6/1/1984

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	Pressurized Line Leak Detection
Leak Detect - Piping	Sump Sensor
Leak Detect - Tank	Automatic Tank Gauging
Overfill Prev Device	Ball Float Vent Valve Environ FW 3210
Piping	Fiberglass Double Wall A.O. Smith	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
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 4

Capacity:	6000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/19/2007
OSFM First Notify Date:	12/19/1988		Abandoned Material:
Current Age:	23		Abandoned Date:
Install Date:	6/1/1984		Red Tag Issue Date:
Last Used Date:	8/31/2006		Fee Due:	$0.00
Product Date:	6/1/1984

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	Pressurized Line Leak Detection
Leak Detect - Piping	Sump Sensor
Leak Detect - Tank	Automatic Tank Gauging
Overfill Prev Device	Ball Float Vent Valve Environ FW 3210
Piping	Fiberglass Double Wall A.O. Smith	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
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