Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 2021373
Status: Closed
Facility Name: Forest Park Mobil
Address: 949 South Harlem Avenue
Forest Park, IL 60130
County: Cook
Property Parcel:
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: N004021
Green Tag Issue Date: 1/2/2013
Green Tag Expiration Date: 12/31/2014

Owner Details

Owner Name: GC Real Estate, LLC
Owner Address: 100 Tri State International, Ste 140
Lincolnshire, IL 60069
Owner Status: Current Owner
Purchase Date: 7/1/2005
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 12/9/2014

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 12/17/2014 12/31/2016

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0032934 GC Real Estate, LLC Current Owner 7/1/2005
U0005942 Go-Tane Service Stations, 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
15-0589 8/6/2015 Removal Log 00509-2015REM
15-0589 8/5/2015 Removal Log 00509-2015REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number Status OSFM Received Date OSFM Response Date Deductible Letter
90-2986 Eligible 8/15/2005 9/12/2005 $10,000
15-0589 Eligible 8/24/2015 9/25/2015 $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: 8/5/2015
OSFM First Notify Date: 5/5/1986 Abandoned Material:
Current Age: 32 Abandoned Date:
Install Date: 1/1/1983 Red Tag Issue Date:
Last Used Date: 11/25/2014 Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Sacrificial Anode Cathodic Protection 12/12/2011 12/12/2014
Corrosion Prot - Tank Lining Materials Internal 11/2/2011 11/2/2016
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 11/5/2013 11/5/2014
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device Overfill Alarm
Piping Steel Single Wall Piping N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank Steel Single Wall N/A N/A
Vent, Riser, Fill Piping Steel risers N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 2

Capacity: 10000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 8/6/2015
OSFM First Notify Date: 5/5/1986 Abandoned Material:
Current Age: 41 Abandoned Date:
Install Date: 1/1/1974 Red Tag Issue Date:
Last Used Date: 11/25/2014 Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Sacrificial Anode Cathodic Protection 12/12/2011 12/12/2014
Corrosion Prot - Tank Lining Materials Internal 11/2/2011 11/2/2016
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 11/5/2013 11/5/2014
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device Overfill Alarm
Piping Steel Single Wall Piping N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank Steel Single Wall N/A N/A
Vent, Riser, Fill Piping Steel risers N/A N/A

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: 8/5/2015
OSFM First Notify Date: 5/5/1986 Abandoned Material:
Current Age: 45 Abandoned Date:
Install Date: 1/1/1970 Red Tag Issue Date:
Last Used Date: 11/25/2014 Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Sacrificial Anode Cathodic Protection 12/12/2011 12/12/2014
Corrosion Prot - Tank Lining Materials Internal 11/2/2011 11/2/2016
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 11/5/2013 11/5/2014
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device Overfill Alarm
Piping Steel Single Wall Piping N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank Steel Single Wall N/A N/A
Vent, Riser, Fill Piping Steel risers N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 4

Capacity: 10000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 8/5/2015
OSFM First Notify Date: 5/5/1986 Abandoned Material:
Current Age: 45 Abandoned Date:
Install Date: 1/1/1970 Red Tag Issue Date:
Last Used Date: 11/25/2014 Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Sacrificial Anode Cathodic Protection 12/12/2011 12/12/2014
Corrosion Prot - Tank Lining Materials Internal 11/2/2011 11/2/2016
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 11/5/2013 11/5/2014
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device Overfill Alarm
Piping Steel Single Wall Piping N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank Steel Single Wall N/A N/A
Vent, Riser, Fill Piping Steel risers N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 5

Capacity: 6000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 8/5/2015
OSFM First Notify Date: 5/5/1986 Abandoned Material:
Current Age: 46 Abandoned Date:
Install Date: 1/1/1969 Red Tag Issue Date:
Last Used Date: 11/25/2014 Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Sacrificial Anode Cathodic Protection 12/12/2011 12/12/2014
Corrosion Prot - Tank Lining Materials Internal 11/2/2011 11/2/2016
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 11/5/2013 11/5/2014
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device Overfill Alarm
Piping Steel Single Wall Piping N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank Steel Single Wall N/A N/A
Vent, Riser, Fill Piping Steel risers N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date

Dispenser Information



MFD Motorfuel Dispensing Forms

No Forms Found