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:	2012957
Status:	Active
Facility Name:	Countryside #107
Address:	26951 N. Highway 83 Mundelein, IL 60060
County:	Lake
Property Parcel:	1036102001
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z000747
Green Tag Issue Date:	4/18/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Graham C-Stores Co.
Owner Address:	39109 N. US Hwy 41 Wadsworth, IL 60083
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	7/11/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	4/18/2024	12/31/2026

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0025940	Graham C-Stores Co.	Current Owner
U0006038	Graham C-Stores Company	Former Owner	12/31/1967
U0026527	Graham C Stores	Former Owner

Permits (Unexpired)

Click for permit history

Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
00085-2025ABN	Abandon in Place	Approved / Issued	1/28/2025	1/28/2025	7/29/2025	Documents

Notice of Violations (Current)

No Notice of Violations Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
2025-0088	3/26/2025	Abandonment Log	00085-2025ABN

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
20250088	Eligible	3/5/2025	3/6/2025	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	6000	Gasoline - Premium	Currently in use	Federal		$0.00
2	6000	Gasoline - Regular	Abandoned in place	Federal		$0.00	03/26/2025 - ABN
3	6000	Gasoline - Regular	Currently in use	Federal		$0.00
4	6000	Gasoline - Regular	Currently in use	Federal		$0.00
5	10000	Diesel Fuel	Currently in use	Federal		$0.00

Dispenser Information

Name\ID	Status
1/2	Active
3/4	Active
5/6	Active
7/8	Active
9/10	Active
11/12	Active
13/14	Active
15/16	Active

MFD Motorfuel Dispensing Forms

No Forms Found