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:	2020667
Status:	Active
Facility Name:	Lake Bluff Petroleum, Inc.
Address:	218 N. Waukegan Rd. Lake Bluff, IL 60044
County:	Lake
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y001235
Green Tag Issue Date:	4/3/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Muhammad Ansari
Owner Address:	218 N. Waukegan Road Lake Bluff, IL 60044
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	12/20/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	4/3/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0036922	Ansari, Muhammad	Current Owner
U0036558	Lake Bluff Petroleum, Inc.	Former Owner	6/13/2012
U0035269	Alliance Oil Corp.	Former Owner	3/27/2009
U0034207	A S & K 5, Inc.	Former Owner	5/23/2007
U0032773	218 Waukegan, Inc.,	Former Owner	3/24/2005
U0032209	Combined Real Estate, LLC	Former Owner	7/16/2004
U0007721	J & L Oil Co., Inc.	Former Owner	9/1/1970

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
13-0392	5/2/2013	Removal Log	00315-2013REM
13-0392	5/3/2013	Removal Log	00315-2013REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
13-0392	Eligible	5/1/2013	6/25/2013	$5,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	5/3/2013
OSFM First Notify Date:	4/28/1986		Abandoned Material:
Current Age:	42		Abandoned Date:
Install Date:	9/1/1970		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/1/1970

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Cathodic Protection	12/7/2010	12/7/2011
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Impressed Current Cathodic Protection	12/7/2010	12/7/2011
Corrosion Prot - Tank	Lining Materials Internal	2/28/2008	2/28/2013
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	4/30/2010	4/30/2011
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Overfill Prev Device	Ball Float Vent Valve OPW 53
Overfill Prev Device	Overfill Alarm
Piping	Fiberglass Double Wall Ameron	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel 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:	5/2/2013
OSFM First Notify Date:	4/28/1986		Abandoned Material:
Current Age:	42		Abandoned Date:
Install Date:	9/1/1970		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/1/1970

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Cathodic Protection	12/7/2010	12/7/2011
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Impressed Current Cathodic Protection	12/7/2010	12/7/2011
Corrosion Prot - Tank	Lining Materials Internal	2/28/2008	2/28/2013
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	4/30/2010	4/30/2011
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Overfill Prev Device	Ball Float Vent Valve OPW 53
Overfill Prev Device	Overfill Alarm
Piping	Fiberglass Double Wall Ameron	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel 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:	5/2/2013
OSFM First Notify Date:	4/28/1986		Abandoned Material:
Current Age:	42		Abandoned Date:
Install Date:	9/1/1970		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/1/1970

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Cathodic Protection	12/7/2010	12/7/2011
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Impressed Current Cathodic Protection	12/7/2010	12/7/2011
Corrosion Prot - Tank	Lining Materials Internal	2/28/2008	2/28/2013
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	4/30/2010	4/30/2011
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Overfill Prev Device	Ball Float Vent Valve OPW 53
Overfill Prev Device	Overfill Alarm
Piping	Fiberglass Double Wall Ameron	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A

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:	6/26/2013		Abandoned Material:
Current Age:	11		Abandoned Date:
Install Date:	5/8/2013		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	8/28/2023	8/28/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	8/28/2023	8/28/2024
Overfill Prev Device	Overfill Alarm	8/1/2022	8/1/2025
Overfill Prev Device	Overfill Drop Tube Valve	8/1/2022	8/1/2025
Piping	Fiberglass Double Wall Ameron	N/A	N/A
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	11/22/2021	11/22/2024
Leak Detect - Piping	Non-Discriminating Sump Sensor	10/8/2019	10/8/2020
Leak Detect - Piping	Sump Sensor with positive shutdown	8/28/2023	8/28/2024
Piping	Single Wall Transition Sump	11/22/2021	11/22/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	8/28/2023	8/28/2024
Spill Contain Device	Single Wall Spill Bucket	8/1/2022	8/1/2025
Tank	Composite Double Wall Lannon	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	Precision Test	Pass	8/28/2023
Tank	Composite Double Wall Lannon	Precision Test (Tank)	Pass	3/9/2023

Tank Number 5

Capacity:	4000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/26/2013		Abandoned Material:
Current Age:	11		Abandoned Date:
Install Date:	5/8/2013		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	8/28/2023	8/28/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	8/28/2023	8/28/2024
Overfill Prev Device	Overfill Alarm	8/1/2022	8/1/2025
Overfill Prev Device	Overfill Drop Tube Valve	8/1/2022	8/1/2025
Piping	Fiberglass Double Wall Ameron	N/A	N/A
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	11/22/2021	11/22/2024
Leak Detect - Piping	Non-Discriminating Sump Sensor	10/8/2019	10/8/2020
Leak Detect - Piping	Sump Sensor with positive shutdown	8/28/2023	8/28/2024
Piping	Single Wall Transition Sump	11/22/2021	11/22/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	8/28/2023	8/28/2024
Spill Contain Device	Single Wall Spill Bucket	8/1/2022	8/1/2025
Tank	Composite Double Wall Lannon	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	Precision Test	Pass	8/28/2023
Tank	Composite Double Wall Lannon	Precision Test (Tank)	Pass	3/9/2023

Dispenser Information

Name\ID 1/3

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/22/2021	11/22/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	8/28/2023	8/28/2024

Name\ID 2/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/22/2021	11/22/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	8/28/2023	8/28/2024

Name\ID 5/7

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/22/2021	11/22/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	8/28/2023	8/28/2024

Name\ID 6/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/22/2021	11/22/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	8/28/2023	8/28/2024

MFD Motorfuel Dispensing Forms

No Forms Found