Information

JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
Employment Opportunities
Ready Illinois
Find us on Facebook

Division of Petroleum & Chemical Safety

Pay Tank Fees Online Print Detail Page Export to Excel

Facility Details

Facility Number:	2014091
Status:	Active
Facility Name:	Sam's Auto Service
Address:	4401 St Charles Road Bellwood, IL 60104
County:	Cook
Property Parcel:	15-08-215-065-0000
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z000059
Green Tag Issue Date:	5/29/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Bassam Shaheen
Owner Address:	4401 St Charles Road Bellwood, IL 60104
Owner Status:	Current Owner
Purchase Date:	12/31/1984
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	6/20/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	5/29/2024	12/31/2026

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0013806	Shaheen, Bassam	Current Owner	12/31/1984
U0008295	Kayo Oil Co	Former Owner	12/31/1967

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
94-2131	9/19/1994	Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
94-2131	Eligible	9/27/1994	10/13/1994	$15,000

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	8000	Gasoline	Removed	Federal		$0.00	09/19/1994 - REM
2	8000	Gasoline	Removed	Federal		$0.00	09/19/1994 - REM
3	8000	Diesel Fuel	Removed	Federal		$0.00	09/19/1994 - REM
4	4000	Gasoline	Removed	Federal		$0.00	09/19/1994 - REM
5	500	Used Oil	Removed	Federal		$0.00	09/19/1994 - REM
6	500	Heating Oil	Removed	State		$0.00	09/19/1994 - REM
7	10000	Gasoline - Regular	Currently in use	Federal		$0.00
8	6000	Gasoline - Premium	Currently in use	Federal		$0.00
9	4000	Diesel Fuel	Currently in use	Federal
10	500	Used Oil	Currently in use	Federal		$0.00

Dispenser Information

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

MFD Motorfuel Dispensing Forms

No Forms Found