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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:
2009880
Status:
Active
Facility Name:
Fox Lake Mobil
Address:
95 E. Grand Ave. Fox Lake, IL 60020
County:
Lake
Property Parcel:
Facility Type:
Attended Self-Service Station
Owner Type:
Private
Green Tag Decal:
AA00904
Green Tag Issue Date:
5/28/2025
Green Tag Expiration Date:
12/31/2027
Owner Details
Owner Name:
Karim Ebrahim
Owner Address:
95 E. Grand Ave. Fox Lake, IL 60020
Owner Status:
Current Owner
Purchase Date:
7/26/2015
Type of Financial Responsibility:
Designated Savings Account
Financial Responsibility Reporting Due Date:
4/28/2026
Motor Fuel Dispensing Permits
MFD Permit Type
Issue Date
Expiration Date
Self Service
5/28/2025
12/31/2027
Owner Summary
Click for Facility/Tank Ownership history
Owner Number
Owner Name
Owner Status
Purchase Date
U0038673
Ebrahim, Karim
Current Owner
7/26/2015
U0031502
Grand Avenue Mini Mart & Gas, Inc.
Former Owner
9/3/2003
U0003073
Clark Retail Enterprises, Inc.
Former Owner
11/22/1988
U0029789
Clark Retail Enterprises, Inc.
Former Owner
U0028787
Clark Retail Enterprises, Inc.,
Former Owner
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
06-1286
5/17/2007
Removal Log
00569-2007REM
LUST
Fund Eligibility and Deductibility Determinations
IEMA Number
Status
OSFM Received Date
OSFM Response Date
Deductible
Letter
95-1100
Eligible
8/29/1995
10/13/1995
$10,000
95-1100
Eligible
5/6/2004
5/19/2004
$10,000
95-1100
Returned
9/8/2004
9/21/2004
$Not Selected
95-1100
Eligible
10/4/2004
10/13/2004
$10,000
06-1286
Eligible
10/23/2006
11/1/2006
$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:
5/17/2007
OSFM
First Notify Date:
11/23/1987
Abandoned Material:
Current Age:
41
Abandoned Date:
Install Date:
1/1/1966
Red Tag Issue Date:
Last Used Date:
3/11/2007
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Sacrificial Anode Flex Connector Flex connector spike anode
Corrosion Prot - Piping
Fiberglass Non-Corrosive
N/A
N/A
Corrosion Prot - Tank
Lining Materials Internal
Leak Detect - Tank
Automatic Tank Gauging
Piping
Double Wall steel
N/A
N/A
Piping
Fiberglass Double Wall
N/A
N/A
Tank
Steel Single Wall
N/A
N/A
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:
5/17/2007
OSFM
First Notify Date:
11/23/1987
Abandoned Material:
Current Age:
41
Abandoned Date:
Install Date:
1/1/1966
Red Tag Issue Date:
Last Used Date:
3/11/2007
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Sacrificial Anode Flex Connector Flex connector spike anode
Corrosion Prot - Piping
Fiberglass Non-Corrosive
N/A
N/A
Corrosion Prot - Tank
Lining Materials Internal
Leak Detect - Tank
Automatic Tank Gauging
Piping
Double Wall steel
N/A
N/A
Piping
Fiberglass Double Wall
N/A
N/A
Tank
Steel Single Wall
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 3
Capacity:
4000
Petroleum Use:
Product:
Gasoline
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
5/17/2007
OSFM
First Notify Date:
11/23/1987
Abandoned Material:
Current Age:
41
Abandoned Date:
Install Date:
1/1/1966
Red Tag Issue Date:
Last Used Date:
3/11/2007
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
Lining Materials Internal
Leak Detect - Piping
Pressurized Line Leak Detection
Leak Detect - Piping
Mechanical Pressurized Line Leak Detection
Leak Detect - Tank
Automatic Tank Gauging
Overfill Prev Device
Overfill Drop Tube Valve
Piping
Fiberglass Double Wall
N/A
N/A
Spill Contain Device
Manhole Field Constructed
Tank
Steel Single Wall
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 4
Capacity:
4000
Petroleum Use:
Product:
Gasoline
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
5/17/2007
OSFM
First Notify Date:
11/23/1987
Abandoned Material:
Current Age:
41
Abandoned Date:
Install Date:
1/1/1966
Red Tag Issue Date:
Last Used Date:
3/11/2007
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
Lining Materials Internal
Leak Detect - Piping
Pressurized Line Leak Detection
Leak Detect - Piping
Mechanical Pressurized Line Leak Detection
Leak Detect - Tank
Automatic Tank Gauging
Overfill Prev Device
Overfill Drop Tube Valve
Piping
Fiberglass Double Wall
N/A
N/A
Spill Contain Device
Manhole Field Constructed
Tank
Steel Single Wall
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 5
Capacity:
12000
Petroleum Use:
Product:
Gasoline - Regular
CERCLA Substance:
Status:
Currently in use
CAS Code:
Regulated Status:
Federal
Removed Date:
OSFM
First Notify Date:
10/22/2007
Abandoned Material:
Current Age:
18
Abandoned Date:
Install Date:
6/1/2007
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
Flexible Non-Corrosive
N/A
N/A
Corrosion Prot - Tank
Fiberglass Non-Corrosive
N/A
N/A
Leak Detect - Piping
Electronic Pressurized Line Leak Detection
4/11/2025
4/11/2026
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 350
4/11/2025
4/11/2026
Leak Detect - Tank
Hydrostatic Reservoir Interstitial Monitoring Sensors
4/11/2025
4/11/2026
Overfill Prev Device
Overfill Drop Tube Valve
2/1/2023
2/1/2026
Piping
Flexible Double Wall A.P.T. Poly Tech P175SC
N/A
N/A
Piping
Single Wall STP/Tanktop Sump
2/1/2023
2/1/2026
Leak Detect - Piping
Sump Sensor
4/11/2025
4/11/2026
Spill Contain Device
Single Wall Spill Bucket
2/1/2023
2/1/2026
Tank
Fiberglass Brine Filled Double Wall XERXES
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Piping
Flexible Double Wall A.P.T. Poly Tech P175SC
Precision Test (Piping)
Pass
2/19/2024
Tank
Fiberglass Brine Filled Double Wall XERXES
Precision Test (Tank)
Pass
2/1/2023
Tank Number 6
Capacity:
4000
Petroleum Use:
Product:
Gasoline - Premium
CERCLA Substance:
Status:
Currently in use
CAS Code:
Regulated Status:
Federal
Removed Date:
OSFM
First Notify Date:
10/22/2007
Abandoned Material:
Current Age:
18
Abandoned Date:
Install Date:
6/1/2007
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
Flexible Non-Corrosive
N/A
N/A
Corrosion Prot - Tank
Fiberglass Non-Corrosive
N/A
N/A
Leak Detect - Piping
Electronic Pressurized Line Leak Detection
4/11/2025
4/11/2026
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 350
4/11/2025
4/11/2026
Leak Detect - Tank
Hydrostatic Reservoir Interstitial Monitoring Sensors
4/11/2025
4/11/2026
Overfill Prev Device
Overfill Drop Tube Valve
2/1/2023
2/1/2026
Piping
Flexible Double Wall A.P.T. Poly Tech P175SC
N/A
N/A
Piping
Single Wall STP/Tanktop Sump
2/1/2023
2/1/2026
Leak Detect - Piping
Sump Sensor
4/11/2025
4/11/2026
Spill Contain Device
Single Wall Spill Bucket
2/1/2023
2/1/2026
Tank
Fiberglass Brine Filled Double Wall XERXES
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Piping
Flexible Double Wall A.P.T. Poly Tech P175SC
Precision Test (Piping)
Pass
2/19/2024
Tank
Fiberglass Brine Filled Double Wall XERXES
Precision Test (Tank)
Pass
2/1/2023
Dispenser Information
Name\ID 1/2
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
2/1/2023
2/1/2026
Leak Detect - Piping
Sump Sensor
4/11/2025
4/11/2026
Name\ID 3/4
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
2/1/2023
2/1/2026
Leak Detect - Piping
Sump Sensor
4/11/2025
4/11/2026
Name\ID 5/6
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
2/1/2023
2/1/2026
Leak Detect - Piping
Sump Sensor
4/11/2025
4/11/2026
MFD
Motorfuel Dispensing Forms
No Forms Found
