Division of Petroleum & Chemical Safety

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Facility Details

Facility Number:	2020132
Status:	Active
Facility Name:	Sam's Club #6384
Address:	9500 W. Joliet Rd. Hodgkins, IL 60525
County:	Cook
Property Parcel:	18-16-411-039-0000
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z000274
Green Tag Issue Date:	7/2/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Sam's West, Inc.
Owner Address:	2101 SE Simple Savings Drive Bentonville, AR 727160745
Owner Status:	Current Owner
Purchase Date:	10/28/2002
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	4/29/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	7/2/2024	12/31/2026

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0029973	Sam's West, Inc.	Current Owner	10/28/2002
U0006353	Halls Motor Transit Co	Former Owner	12/31/1967
U0006892	Village Of Hodgkins Il Municipal Corp	Former Owner / Operator

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

IEMA Number	Inspection Date	Inspection Type	Permit Number
91-3582	12/11/1991	Removal Log
91-3634	12/17/1991	Removal Log
91-3634	1/9/1992	Removal Log
91-3714	12/23/1991	Removal Log
91-3714	2/5/1992	Removal Log
92-0145	1/16/1992	Removal Log	2106-91
92-0971	4/13/1992	Removal Log
92-0971	4/14/1992	Removal Log
92-0971	4/15/1992	Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
91-3582	Eligible	11/9/1994	11/30/1994	$15,000
92-0971	Eligible	11/9/1994	11/30/1994	$15,000
20200674	Eligible	1/8/2021	1/8/2021	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Fee Due	Abandon/Removal Date
1	12000	Diesel Fuel	Removed	Federal	$0.00	10/01/1990 - REM
2	12000	Diesel Fuel	Removed	Federal	$0.00	10/01/1990 - REM
3	12000	Diesel Fuel	Removed	Federal	$0.00	10/01/1990 - REM
4	6000	Motor Oil	Removed	Federal	$0.00	10/01/1990 - REM
5	2000	Ethylene Glycol	Removed	Federal	$0.00	10/01/1990 - REM
6	1000	Diesel Fuel	Removed	Federal	$0.00	10/01/1990 - REM
7	1000	Gasoline	Removed	Federal	$0.00	10/01/1990 - REM
8	1000	Gasoline	Removed	Federal	$0.00	10/01/1990 - REM
9	12000	Diesel Fuel	Removed	Federal	$0.00	12/24/1991 - REM
10	12000	Diesel Fuel	Removed	Federal	$0.00	12/24/1991 - REM
11	12000	Diesel Fuel	Removed	Federal	$0.00	12/24/1991 - REM
12	2000	Used Oil	Removed	Federal	$0.00	12/23/1991 - REM
13	1000	Used Oil	Removed	Federal	$0.00	12/23/1991 - REM
14	12000	Gasoline	Removed	Federal	$0.00	12/24/1991 - REM
15	12000	Diesel Fuel	Removed	Federal	$0.00	12/23/1991 - REM
16	12000	Diesel Fuel	Removed	Federal	$0.00	12/17/1991 - REM
17	12000	Diesel Fuel	Removed	Federal	$0.00	12/17/1991 - REM
18	150	Used Oil	Removed	Federal	$0.00	01/09/1992 - REM
19	10000	Diesel Fuel	Removed	Federal	$0.00	12/11/1991 - REM
20	6000	Gasoline	Removed	Federal	$0.00	12/01/1991 - REM
21	4000	Gasoline	Removed	Federal	$0.00	12/01/1991 - REM
22	5000	Gasoline	Removed	Federal	$0.00	12/01/1991 - REM
23	4000	Gasoline	Removed	Federal	$0.00	12/01/1991 - REM
24	550	Heating Oil	Removed	Exempt		01/01/1992 - REM
25	1000	Gasoline	Removed	Exempt		02/01/1992 - REM
26	1000	Gasoline	Removed	Federal	$0.00	01/16/1992 - REM
27	4000	Diesel Fuel	Removed	Federal	$0.00	04/13/1992 - REM
28	12000	Diesel Fuel	Removed	Federal	$0.00	04/13/1992 - REM
29	12000	Diesel Fuel	Removed	Federal	$0.00	04/13/1992 - REM
30	12000	Diesel Fuel	Removed	Federal	$0.00	04/14/1992 - REM
31	12000	Heating Oil	Removed	State	$0.00	04/15/1992 - REM
32	12000	Heating Oil	Removed	State	$0.00	04/15/1992 - REM
33	4000	Used Oil	Removed	Federal	$0.00	04/15/1992 - REM
34	4000	Motor Oil	Removed	Federal	$0.00	04/14/1992 - REM
35	4000	Motor Oil	Removed	Federal	$0.00	04/14/1992 - REM
36	12000	Diesel Fuel	Removed	Federal	$0.00	04/15/1992 - REM
37	2000	Heating Oil	Removed	State		04/14/1992 - REM
38	20000	Gasoline - Regular	Currently in use	Federal	$0.00
39	20000	Gasoline - Regular	Currently in use	Federal	$0.00
40	20000	Gasoline - Premium	Currently in use	Federal	$0.00

Dispenser Information

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

MFD Motorfuel Dispensing Forms

No Forms Found