Information
JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety
State of Illinois
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Ready Illinois
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Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 2020414
Status: Active
Facility Name: IL0095
Address: 117 S. Route 12
Fox Lake, IL 60020
County: Lake
Property Parcel: 05-09-413-011
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Y001214
Green Tag Issue Date: 2/22/2023
Green Tag Expiration Date: 12/31/2025

Owner Details

Owner Name: Lehigh Gas Wholesale Services
Owner Address: 645 Hamilton, Suite 400
Allentown, PA 18101
Owner Status: Current Owner
Purchase Date: 9/27/2016
Type of Financial Responsibility: Surety Bond
Financial Responsibility Reporting Due Date: 6/12/2025

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 2/22/2023 12/31/2025

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0037337 Lehigh Gas Wholesale Services Current Owner 9/27/2016
U0031987 Krupesh, Inc. Former Owner 9/3/2003
U0000651 B.A.P.A., LLC & PT, LLC Former Owner 6/17/1997
U0003073 Clark Retail Enterprises, Inc. Former Owner 6/28/1996
U0031486 The Premcor Refining Group, Inc.. Former Owner 4/1/1995
U0008300 National Oil Company Former Owner 12/31/1967
U0025164 BAPA, LLC & PT, LLC Former Owner
U0029789 Clark Retail Enterprises, Inc. Former Owner
U0028787 Clark Retail Enterprises, Inc., Former Owner

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
98-0704 3/31/1998 Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number Status OSFM Received Date OSFM Response Date Deductible Letter
98-0704 Eligible 6/8/1998 7/6/1998 $10,000
98-0704 Eligible 5/20/2003 6/18/2003 $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: 3/31/1998
OSFM First Notify Date: 5/6/1986 Abandoned Material:
Current Age: 31 Abandoned Date:
Install Date: 5/1/1966 Red Tag Issue Date:
Last Used Date: 3/29/1998 Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date

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: 3/31/1998
OSFM First Notify Date: 5/6/1986 Abandoned Material:
Current Age: 31 Abandoned Date:
Install Date: 5/1/1966 Red Tag Issue Date:
Last Used Date: 3/29/1998 Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 3

Capacity: 10000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 3/31/1998
OSFM First Notify Date: 5/6/1986 Abandoned Material:
Current Age: 17 Abandoned Date:
Install Date: 5/1/1980 Red Tag Issue Date:
Last Used Date: 3/29/1998 Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 4

Capacity: 12000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 6/8/1998 Abandoned Material:
Current Age: 27 Abandoned Date:
Install Date: 4/2/1998 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 4/2/1998

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 3/17/2025 3/17/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD 3/17/2025 3/17/2026
Leak Detect - Tank Hydrostatic Reservoir Interstitial Monitoring Sensors 3/17/2025 3/17/2026
Overfill Prev Device Ball Only Removed Ball Float Vent Valve N/A N/A
Overfill Prev Device Overfill Drop Tube Valve 4/2/2024 4/2/2027
Piping Fiberglass Double Wall A.O. Smith N/A N/A
Piping Single Wall STP/Tanktop Sump 10/8/2024 10/8/2027
Leak Detect - Piping Sump Sensor 3/17/2025 3/17/2026
Spill Contain Device Double Wall Spill Bucket 10/8/2024 10/8/2027
Tank Fiberglass Brine Filled Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall A.O. Smith Precision Test (Piping) Pass 3/17/2025
Leak Detect - Piping Non-Discriminating Sump Sensor Sensor Functional Pass 1/31/2008



Tank Number 5

Capacity: 12000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 6/8/1998 Abandoned Material:
Current Age: 27 Abandoned Date:
Install Date: 4/2/1998 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 4/2/1998

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 3/17/2025 3/17/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD 3/17/2025 3/17/2026
Leak Detect - Tank Hydrostatic Reservoir Interstitial Monitoring Sensors 3/17/2025 3/17/2026
Overfill Prev Device Ball Only Removed Ball Float Vent Valve N/A N/A
Overfill Prev Device Overfill Drop Tube Valve 4/2/2024 4/2/2027
Piping Fiberglass Double Wall A.O. Smith N/A N/A
Piping Single Wall STP/Tanktop Sump 11/1/2024 11/1/2027
Leak Detect - Piping Sump Sensor 3/17/2025 3/17/2026
Spill Contain Device Double Wall Spill Bucket 10/8/2024 10/8/2027
Tank Fiberglass Brine Filled Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall A.O. Smith Precision Test (Piping) Pass 3/17/2025
Leak Detect - Piping Non-Discriminating Sump Sensor Sensor Functional Pass 1/31/2008

Dispenser Information



Name\ID 1/2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 10/8/2024 10/8/2027
Leak Detect - Piping Sump Sensor 3/17/2025 3/17/2026



Name\ID 1/2

Status: InActive
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 11/1/2021 11/1/2024
Leak Detect - Piping Sump Sensor 4/2/2024 4/2/2025



Name\ID 3/4

Status: InActive
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 11/1/2021 11/1/2024
Leak Detect - Piping Sump Sensor 7/5/2018 7/5/2019



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Double Wall UDC Sump 10/8/2024 10/8/2027
Leak Detect - Piping Sump Sensor 3/17/2025 3/17/2026



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 10/8/2024 10/8/2027
Leak Detect - Piping Sump Sensor 3/17/2025 3/17/2026



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 10/8/2024 10/8/2027
Leak Detect - Piping Sump Sensor 3/17/2025 3/17/2026

MFD Motorfuel Dispensing Forms

No Forms Found

Office of the Illinois State Fire Marshal
1035 Stevenson Dr. Springfield, IL 62704 | (217) 785-0969 | Contact Us