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:	2012368
Status:	Active
Facility Name:	Mobil
Address:	1030 Lake Street Roselle, IL 60172
County:	Du Page
Property Parcel:	02-09-300-016
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z000156
Green Tag Issue Date:	11/1/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Lake St & Bloomingdale Rd RE, LLC
Owner Address:	141 Los Lagos Drive Bloomingdale, IL 60108
Owner Status:	Current Owner
Purchase Date:	7/5/2022
Type of Financial Responsibility:	Designated Savings Account
Financial Responsibility Reporting Due Date:	8/18/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	11/1/2024	12/31/2026

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0041059	Lake St & Bloomingdale Rd RE, LLC	Current Owner	7/5/2022
U0025940	Graham C-Stores Co.	Former Owner	6/4/1989
U0011131	Northwest Grocery Marts Inc	Former Owner	12/31/1967

Permits (Unexpired)

Click for permit history

Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
01597-2024ABN	Abandon in Place	Approved / Issued	12/10/2024	12/10/2024	6/10/2025	Documents

Notice of Violations (Current)

No Notice of Violations Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
2024-0908	1/7/2025	Abandonment Log	01597-2024ABN

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
20240908	Eligible	1/23/2025	1/29/2025	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/5/1986		Abandoned Material:
Current Age:	44		Abandoned Date:
Install Date:	10/1/1980		Red Tag Issue Date:
Last Used Date:			Fee Due:
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	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	5/14/2024	5/14/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	5/14/2024	5/14/2025
Overfill Prev Device	Overfill Drop Tube Valve	5/14/2024	5/14/2027
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/3/2023	5/3/2026
Leak Detect - Piping	Sump Sensor	5/14/2024	5/14/2025
Spill Contain Device	Single Wall Spill Bucket	5/14/2024	5/14/2027
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	10000		Petroleum Use:
Product:	E85		CERCLA Substance:
Status:	Abandoned in place		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/5/1986		Abandoned Material:	Inert material mixed with portland cement
Current Age:	44		Abandoned Date:	1/7/2025
Install Date:	10/1/1980		Red Tag Issue Date:
Last Used Date:	9/22/2022		Fee Due:
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	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	2/18/2022	2/18/2023
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	2/10/2022	2/10/2023
Overfill Prev Device	Overfill Drop Tube Valve	2/10/2022	2/10/2025
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	12/8/2020	12/8/2023
Leak Detect - Piping	Sump Sensor	2/10/2022	2/10/2023
Spill Contain Device	Single Wall Spill Bucket	2/10/2022	2/10/2025
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 - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/5/1986		Abandoned Material:
Current Age:	44		Abandoned Date:
Install Date:	10/1/1980		Red Tag Issue Date:
Last Used Date:			Fee Due:
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	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	7/5/2024	7/5/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	5/14/2024	5/14/2025
Overfill Prev Device	Overfill Drop Tube Valve	5/14/2024	5/14/2027
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/3/2023	5/3/2026
Leak Detect - Piping	Sump Sensor	5/14/2024	5/14/2025
Spill Contain Device	Single Wall Spill Bucket	5/14/2024	5/14/2027
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	8000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	11/13/1996		Abandoned Material:
Current Age:	28		Abandoned Date:
Install Date:	8/30/1996		Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:	8/30/1996

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	5/14/2024	5/14/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	5/14/2024	5/14/2025
Overfill Prev Device	Overfill Drop Tube Valve	5/14/2024	5/14/2027
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/3/2023	5/3/2026
Leak Detect - Piping	Sump Sensor	5/14/2024	5/14/2025
Spill Contain Device	Single Wall Spill Bucket	5/14/2024	5/14/2027
Tank	Composite Single Wall Permatank	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	2000		Petroleum Use:
Product:	Racing Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	11/13/1996		Abandoned Material:
Current Age:	28		Abandoned Date:
Install Date:	8/30/1996		Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:	8/30/1996

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	5/14/2024	5/14/2025
Overfill Prev Device	Overfill Drop Tube Valve	5/14/2024	5/14/2027
Piping	Fiberglass Double Wall	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	5/14/2024	5/14/2027
Tank	Composite Single Wall Permatank	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	Non-Discriminating Sump Sensor	Sensor Functional	Pass	2/22/2010

Tank Number 6

Capacity:	2000		Petroleum Use:	None
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	11/13/1996		Abandoned Material:
Current Age:	28		Abandoned Date:
Install Date:	8/30/1996		Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:	8/30/1996

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	5/14/2024	5/14/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	5/14/2024	5/14/2025
Overfill Prev Device	Overfill Drop Tube Valve	5/14/2024	5/14/2027
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/3/2023	5/3/2026
Leak Detect - Piping	Sump Sensor	5/14/2024	5/14/2025
Spill Contain Device	Single Wall Spill Bucket	5/14/2024	5/14/2027
Tank	Composite Single Wall Permatank	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Tank	Composite Single Wall Permatank	Precision Test (Tank)	Pass	9/19/2022

Dispenser Information

Name\ID 1/2

Status:	Active

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

Name\ID 11/12

Status:	Active

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

Name\ID 13/14

Status:	Active

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

Name\ID 7/8

Status:	Active

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

Name\ID 9/10

Status:	Active

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

MFD Motorfuel Dispensing Forms

No Forms Found