Information

JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
Employment Opportunities
Ready Illinois
Find us on Facebook

Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	2010046
Status:	Active
Facility Name:	Clark
Address:	3947 S. Kedzie Ave. Chicago, IL 60632
County:	Cook
Property Parcel:	19-01-104-006-0000
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y001420
Green Tag Issue Date:	3/24/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	CS One Real Estate, Inc.
Owner Address:	1936 Alexandra Court Northbrook, IL 60062
Owner Status:	Current Owner
Purchase Date:	3/15/2018
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	2/17/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	3/24/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0039730	CS One Real Estate, Inc.	Current Owner	3/15/2018
U0003073	Clark Retail Enterprises, Inc.	Former Owner	11/22/1988
U0037213	Shah-Khan, Sardar	Former Owner
U0029789	Clark Retail Enterprises, Inc.	Former Owner
U0028787	Clark Retail Enterprises, Inc.,	Former Owner

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	7500		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/1/1991
OSFM First Notify Date:	5/2/1986		Abandoned Material:
Current Age:	29		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	7/1/1991		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 2

Capacity:	7500		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/1/1991
OSFM First Notify Date:	5/2/1986		Abandoned Material:
Current Age:	29		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	7/1/1991		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 3

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	8/6/1991		Abandoned Material:
Current Age:	32		Abandoned Date:
Install Date:	7/22/1991		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/22/1991

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Impressed Current Cathodic Protection	2/13/2024	2/13/2025
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	2/13/2024	2/13/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300c	2/13/2024	2/13/2025
Overfill Prev Device	Overfill Drop Tube Valve	2/24/2022	2/24/2025
Piping	Fiberglass Double Wall Ameron	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	2/24/2022	2/24/2025
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron	Precision Test	Pass	2/13/2024

Tank Number 4

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	8/6/1991		Abandoned Material:
Current Age:	32		Abandoned Date:
Install Date:	7/22/1991		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/22/1991

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Impressed Current Cathodic Protection	2/13/2024	2/13/2025
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	2/13/2024	2/13/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300c	2/13/2024	2/13/2025
Overfill Prev Device	Overfill Drop Tube Valve	2/24/2022	2/24/2025
Piping	Fiberglass Double Wall Ameron	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	2/24/2022	2/24/2025
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron	Precision Test	Pass	2/13/2024

Dispenser Information

Name\ID 1/2

Status:	Active

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

MFD Motorfuel Dispensing Forms

No Forms Found