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:	2016419
Status:	Closed
Facility Name:	Forrest Duxler Tire
Address:	1201 Green Bay Rd. Wilmette, IL 60091
County:	Cook
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	N005226
Green Tag Issue Date:	12/20/2011
Green Tag Expiration Date:	12/31/2014

Owner Details

Owner Name:	Forrest Duxler Tire, Inc.
Owner Address:	6 Augusta Dr. Deerfield, IL 60015
Owner Status:	Current Owner
Purchase Date:	1/1/2009
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	2/27/2015

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Full Service	1/2/2014	12/31/2016
Self Service	7/30/2008	12/31/2010

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0036040	Forrest Duxler Tire, Inc.	Current Owner	1/1/2009
U0033476	Moak, Glenn	Former Owner	11/1/2008
U0013808	Shanco, Inc.	Former Owner

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
14-0290	3/12/2014	Removal Log	00120-2014REM
14-0290	3/13/2014	Removal Log	00120-2014REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
09-1416	Returned	10/5/2010	11/30/2010	$Not Selected
03-0304	Returned	10/5/2010	11/30/2010	$Not Selected
03-0304	Eligible	2/8/2011	2/23/2011	$10,000
09-1416	Eligible	3/21/2011	4/22/2011	$10,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/12/2014
OSFM First Notify Date:	12/22/1987		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	9/1/1987		Red Tag Issue Date:
Last Used Date:	2/3/2014		Fee Due:	$0.00
Product Date:	9/1/1987

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	9/28/2010	9/28/2013
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	9/28/2010	9/28/2013
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	3/26/2013	3/26/2014
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	STIP3 Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/12/2014
OSFM First Notify Date:	12/22/1987		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	9/1/1987		Red Tag Issue Date:
Last Used Date:	2/3/2014		Fee Due:	$0.00
Product Date:	9/1/1987

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	9/28/2010	9/28/2013
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	9/28/2010	9/28/2013
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	3/26/2013	3/26/2014
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	STIP3 Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/13/2014
OSFM First Notify Date:	12/22/1987		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	9/1/1987		Red Tag Issue Date:
Last Used Date:	2/3/2014		Fee Due:	$0.00
Product Date:	9/1/1987

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	9/28/2010	9/28/2013
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	9/28/2010	9/28/2013
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	3/26/2013	3/26/2014
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	STIP3 Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	1000		Petroleum Use:
Product:	Used Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/13/2014
OSFM First Notify Date:	12/22/1987		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	9/1/1987		Red Tag Issue Date:
Last Used Date:	2/3/2014		Fee Due:	$0.00
Product Date:	9/1/1987

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	9/28/2010	9/28/2013
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	9/28/2010	9/28/2013
Leak Detect - Piping	Gravity Feed	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Overfill Prev Device	Less than 25 gallon fills	N/A	N/A
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Field Constructed less than 25 gallon fills	N/A	N/A
Tank	STIP3 Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	500		Petroleum Use:
Product:	Used Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/1/1987
OSFM First Notify Date:	4/21/1986		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	1/1/1966		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1966

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 6

Capacity:	3000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/1/1987
OSFM First Notify Date:	4/21/1986		Abandoned Material:
Current Age:	13		Abandoned Date:
Install Date:	1/1/1974		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1974

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 7

Capacity:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/1/1987
OSFM First Notify Date:	4/21/1986		Abandoned Material:
Current Age:	13		Abandoned Date:
Install Date:	1/1/1974		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1974

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 8

Capacity:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/1/1987
OSFM First Notify Date:	4/21/1986		Abandoned Material:
Current Age:	13		Abandoned Date:
Install Date:	1/1/1974		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1974

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 9

Capacity:	8300		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/1/1987
OSFM First Notify Date:	4/21/1986		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	1/1/1978		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1978

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found