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:
2010521
Status:
Closed
Facility Name:
Former P.G. Clark
Address:
5 W. Palatine Road
Palatine, IL 60067
County:
Cook
Property Parcel:
Facility Type:
Attended Self-Service Station
Owner Type:
Private
Green Tag Decal:
K000919
Green Tag Issue Date:
7/23/2009
Green Tag Expiration Date:
12/31/2011
Owner Details
Owner Name:
Village of Palatine
Owner Address:
200 E. Wood Street
Palatine, IL 60067
Owner Status:
Current Owner
Purchase Date:
4/19/2011
Type of Financial Responsibility:
Self-Insurance
Financial Responsibility Reporting Due Date:
4/25/2012
Motor Fuel Dispensing Permits
MFD Permit Type
Issue Date
Expiration Date
Self Service
5/19/2009
12/31/2011
Owner Summary
Click for Facility/Tank Ownership history
Owner Number
Owner Name
Owner Status
Purchase Date
U0011498
Village of Palatine
Current Owner
4/19/2011
U0028012
ZBJ Inc
Former Owner
4/16/1998
U0025981
Pdv Midwest Refining Llc
Former Owner
5/1/1997
U0015441
The Uno Ven Company
Former Owner
9/21/1994
U0030698
Nida Saba, Inc.,
Former Owner
U0029182
Palatine Citgo
Former 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
11-1144
10/24/2011
Removal Log
00995-2011REM
15-1246
11/30/2015
Removal Log
01255-2015REM
902055
7/24/1990
Removal Log
LUST
Fund Eligibility and Deductibility Determinations
IEMA Number
Status
OSFM Received Date
OSFM Response Date
Deductible
Letter
95-0010
Returned
2/19/1997
2/19/1997
$10,000
11-1144
Eligible
6/5/2012
8/2/2012
$5,000
15-1246
Eligible
1/27/2016
3/10/2016
$5,000
Pay Tank Fees Online
Tank Information
Tank Number 1
Capacity:
550
Petroleum Use:
Product:
Used Oil
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
7/1/1990
OSFM
First Notify Date:
5/5/1986
Abandoned Material:
Current Age:
40
Abandoned Date:
Install Date:
Red Tag Issue Date:
Last Used Date:
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:
1000
Petroleum Use:
Consumptive Use on Premises for Heating
Product:
Heating Oil
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
State
Removed Date:
7/1/1990
OSFM
First Notify Date:
5/5/1986
Abandoned Material:
Current Age:
19
Abandoned Date:
Install Date:
Red Tag Issue Date:
Last Used Date:
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:
4000
Petroleum Use:
Product:
Gasoline
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
10/24/2011
OSFM
First Notify Date:
5/5/1986
Abandoned Material:
Current Age:
32
Abandoned Date:
Install Date:
1/1/1979
Red Tag Issue Date:
Last Used Date:
5/1/2010
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Cathodic Protection
11/21/2007
11/21/2008
Corrosion Prot - Tank
Fiberglass Non-Corrosive
N/A
N/A
Leak Detect - Piping
Mechanical Pressurized Line Leak Detection
7/16/2009
7/16/2010
Leak Detect - Tank
Automatic Tank Gauging Gilbarco EMC
Overfill Prev Device
Overfill Drop Tube Valve
Piping
Steel Double Wall
N/A
N/A
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:
Gasoline
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
10/24/2011
OSFM
First Notify Date:
5/5/1986
Abandoned Material:
Current Age:
31
Abandoned Date:
Install Date:
1/1/1980
Red Tag Issue Date:
Last Used Date:
5/1/2010
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Cathodic Protection
11/21/2007
11/21/2008
Corrosion Prot - Tank
Fiberglass Non-Corrosive
N/A
N/A
Leak Detect - Piping
Mechanical Pressurized Line Leak Detection
7/16/2009
7/16/2010
Leak Detect - Tank
Automatic Tank Gauging Gilbarco EMC
Overfill Prev Device
Overfill Drop Tube Valve
Piping
Steel Double Wall
N/A
N/A
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 5
Capacity:
6000
Petroleum Use:
Product:
Gasoline
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
10/24/2011
OSFM
First Notify Date:
5/5/1986
Abandoned Material:
Current Age:
31
Abandoned Date:
Install Date:
1/1/1980
Red Tag Issue Date:
Last Used Date:
5/1/2010
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Cathodic Protection
11/21/2007
11/21/2008
Corrosion Prot - Tank
Fiberglass Non-Corrosive
N/A
N/A
Leak Detect - Piping
Mechanical Pressurized Line Leak Detection
7/16/2009
7/16/2010
Leak Detect - Tank
Automatic Tank Gauging Gilbarco EMC
Overfill Prev Device
Overfill Drop Tube Valve
Piping
Steel Double Wall
N/A
N/A
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 6
Capacity:
550
Petroleum Use:
Product:
Used Oil
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
11/30/2015
OSFM
First Notify Date:
11/9/2015
Abandoned Material:
Current Age:
Abandoned Date:
Install Date:
Red Tag Issue Date:
Last Used Date:
4/1/2011
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 7
Capacity:
550
Petroleum Use:
Product:
Used Oil
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
11/30/2015
OSFM
First Notify Date:
12/2/2015
Abandoned Material:
Current Age:
Abandoned Date:
Install Date:
Red Tag Issue Date:
Last Used Date:
4/1/2011
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
Dispenser Information
MFD
Motorfuel Dispensing Forms
No Forms Found
