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:	2012960
Status:	Active
Facility Name:	Fairfield #109
Address:	1115 Fairfield Rd. Round Lake Beach, IL 60073
County:	Lake
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z000775
Green Tag Issue Date:	5/17/2024
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	5/17/2024	12/31/2026

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0025940	Graham C-Stores Co.	Current Owner
U0027627	Graham C-Stores Co.	Former Owner	7/15/1992
U0006038	Graham C-Stores Company	Former Owner	12/31/1967

Permits (Unexpired)

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No Active Permits Found

Notice of Violations (Current)

No Notice of Violations Found

IEMA Numbers Associated with the Facility

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
20200280	Eligible	4/21/2020	4/22/2020	$5,000	Letter
20230758	Eligible	3/13/2024	3/14/2024	$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	Diesel Fuel	Currently in use	Federal		$0.00
2	6000	Gasoline - Premium	Currently in use	Federal		$0.00
3	12000	Gasoline - Regular	Currently in use	Federal		$0.00
4	4000	Kerosene	Abandoned in place	Federal		$0.00	05/07/2020 - ABN

Dispenser Information

Name\ID	Status
1/2	Active
3/4	Active
5/6	Active
7/8	Active

MFD Motorfuel Dispensing Forms

No Forms Found