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:
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
Click for Facility/Tank Ownership history
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 1
Capacity:
6000
Petroleum Use:
Product:
Gasoline - Premium
CERCLA Substance:
Status:
Currently in use
CAS Code:
Regulated Status:
Federal
Removed Date:
OSFM
First Notify Date:
4/30/1986
Abandoned Material:
Current Age:
47
Abandoned Date:
Install Date:
4/1/1978
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Impressed Current Cathodic Protection
6/18/2024
6/18/2025
Corrosion Prot - Piping
Fiberglass Non-Corrosive
N/A
N/A
Corrosion Prot - Tank
Impressed Current Cathodic Protection
6/18/2024
6/18/2025
Leak Detect - Piping
Electronic Pressurized Line Leak Detection
6/18/2024
6/18/2025
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 350 with CSLD
6/18/2024
6/18/2025
Overfill Prev Device
Overfill Drop Tube Valve
8/15/2023
8/15/2026
Piping
Fiberglass Double Wall Ameron
N/A
N/A
Piping
Steel Single Wall Piping
N/A
N/A
Piping
Single Wall STP/Tanktop Sump
4/12/2024
4/12/2027
Leak Detect - Piping
Sump Sensor
6/18/2024
6/18/2025
Spill Contain Device
Double Wall Spill Bucket
8/15/2023
8/15/2026
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 (Piping)
Pass
6/18/2024
Piping
Fiberglass Single Wall Piping
Precision Test (Piping)
Pass
7/18/2023
Piping
Steel Single Wall Piping
Precision Test (Piping)
Pass
6/18/2024
Tank Number 2
Capacity:
6000
Petroleum Use:
Product:
Gasoline - Regular
CERCLA Substance:
Status:
Abandoned in place
CAS Code:
Regulated Status:
Federal
Removed Date:
OSFM
First Notify Date:
4/30/1986
Abandoned Material:
Inert material mixed with portland cement
Current Age:
47
Abandoned Date:
3/26/2025
Install Date:
4/1/1978
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Impressed Current Cathodic Protection
6/18/2024
6/18/2025
Corrosion Prot - Piping
Fiberglass Non-Corrosive
N/A
N/A
Corrosion Prot - Tank
Impressed Current Cathodic Protection
6/18/2024
6/18/2025
Leak Detect - Piping
Electronic Pressurized Line Leak Detection
6/18/2024
6/18/2025
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 350 with CSLD
6/18/2024
6/18/2025
Overfill Prev Device
Overfill Drop Tube Valve
12/2/2022
12/2/2025
Piping
Fiberglass Double Wall Ameron
N/A
N/A
Piping
Steel Single Wall Piping
N/A
N/A
Piping
Single Wall STP/Tanktop Sump
4/12/2024
4/12/2027
Leak Detect - Piping
Sump Sensor
6/18/2024
6/18/2025
Spill Contain Device
Single Wall Spill Bucket
12/2/2022
12/2/2025
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 (Piping)
Pass
6/18/2024
Piping
Fiberglass Single Wall Piping
Precision Test (Piping)
Pass
7/18/2023
Piping
Steel Single Wall Piping
Precision Test (Piping)
Pass
6/18/2024
Tank Number 3
Capacity:
6000
Petroleum Use:
Product:
Gasoline - Regular
CERCLA Substance:
Status:
Currently in use
CAS Code:
Regulated Status:
Federal
Removed Date:
OSFM
First Notify Date:
4/30/1986
Abandoned Material:
Current Age:
47
Abandoned Date:
Install Date:
4/1/1978
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Impressed Current Cathodic Protection
6/18/2024
6/18/2025
Corrosion Prot - Piping
Fiberglass Non-Corrosive
N/A
N/A
Corrosion Prot - Tank
Impressed Current Cathodic Protection
6/18/2024
6/18/2025
Leak Detect - Piping
Electronic Pressurized Line Leak Detection
6/18/2024
6/18/2025
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 350 with CSLD
6/18/2024
6/18/2025
Overfill Prev Device
Overfill Drop Tube Valve
12/2/2022
12/2/2025
Piping
Fiberglass Double Wall Ameron
N/A
N/A
Piping
Steel Single Wall Piping
N/A
N/A
Piping
Single Wall STP/Tanktop Sump
4/12/2024
4/12/2027
Leak Detect - Piping
Sump Sensor
6/18/2024
6/18/2025
Spill Contain Device
Single Wall Spill Bucket
12/2/2022
12/2/2025
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 (Piping)
Pass
6/18/2024
Piping
Fiberglass Single Wall Piping
Precision Test (Piping)
Pass
7/18/2023
Piping
Steel Single Wall Piping
Precision Test (Piping)
Pass
6/18/2024
Tank Number 4
Capacity:
6000
Petroleum Use:
Product:
Gasoline - Regular
CERCLA Substance:
Status:
Currently in use
CAS Code:
Regulated Status:
Federal
Removed Date:
OSFM
First Notify Date:
4/30/1986
Abandoned Material:
Current Age:
47
Abandoned Date:
Install Date:
4/1/1978
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Impressed Current Cathodic Protection
6/18/2024
6/18/2025
Corrosion Prot - Piping
Fiberglass Non-Corrosive
N/A
N/A
Corrosion Prot - Tank
Impressed Current Cathodic Protection
6/18/2024
6/18/2025
Leak Detect - Piping
Electronic Pressurized Line Leak Detection
6/18/2024
6/18/2025
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 350 with CSLD
6/18/2024
6/18/2025
Overfill Prev Device
Overfill Drop Tube Valve
12/2/2022
12/2/2025
Piping
Fiberglass Double Wall Ameron
N/A
N/A
Piping
Steel Single Wall Piping
N/A
N/A
Piping
Single Wall STP/Tanktop Sump
4/12/2024
4/12/2027
Leak Detect - Piping
Sump Sensor
6/18/2024
6/18/2025
Spill Contain Device
Single Wall Spill Bucket
12/2/2022
12/2/2025
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 (Piping)
Pass
6/18/2024
Piping
Fiberglass Single Wall Piping
Precision Test (Piping)
Pass
7/18/2023
Piping
Steel Single Wall Piping
Precision Test (Piping)
Pass
6/18/2024
Tank Number 5
Capacity:
10000
Petroleum Use:
Product:
Diesel Fuel
CERCLA Substance:
Status:
Currently in use
CAS Code:
Regulated Status:
Federal
Removed Date:
OSFM
First Notify Date:
6/2/1993
Abandoned Material:
Current Age:
38
Abandoned Date:
Install Date:
9/16/1986
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
9/16/1986
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
6/18/2024
6/18/2025
Leak Detect - Piping
Electronic Pressurized Line Leak Detection
6/18/2024
6/18/2025
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 350 with CSLD
6/18/2024
6/18/2025
Overfill Prev Device
Overfill Drop Tube Valve
12/2/2022
12/2/2025
Piping
Fiberglass Double Wall Ameron
N/A
N/A
Piping
Single Wall STP/Tanktop Sump
4/12/2024
4/12/2027
Leak Detect - Piping
Sump Sensor
6/18/2024
6/18/2025
Spill Contain Device
Single Wall Spill Bucket
12/2/2022
12/2/2025
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 (Piping)
Pass
6/18/2024
Piping
Fiberglass Single Wall Piping
Precision Test (Piping)
Pass
7/18/2023
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 15/16
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
