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

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Facility Details

Facility Number:	2009892
Status:	Closed
Facility Name:	Clark
Address:	1295 N. Rand Road Palatine, IL 60067
County:	Cook
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	H000434
Green Tag Issue Date:	4/10/2006
Green Tag Expiration Date:	12/31/2009

Owner Details

Owner Name:	LaSalle 115 Holdings, LLC - Series 8 Rand Meadows
Owner Address:	111 W. Monroe / 11W Chicago, IL 60603
Owner Status:	Current Owner
Purchase Date:	4/14/2010
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	6/15/2011

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	1/2/2004	1/1/2005

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0035814	LaSalle 115 Holdings, LLC - Series 8 Rand Meadows	Current Owner	4/14/2010
U0032664	Patel, Vipul	Former Owner	10/7/2004
U0031557	Toor, Surjit	Former Owner	8/20/2003
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)

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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
11-0280	3/30/2011	Removal Log	00112-2011REM
11-2080	3/30/2011	Removal Log	00112-2011REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
92-1804	Eligible	7/28/2010	9/7/2010	$10,000

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	7500	Gasoline	Removed	Federal		$0.00	03/30/2011 - REM
2	7500	Gasoline	Removed	Federal		$0.00	03/30/2011 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found