Division of Petroleum & Chemical Safety

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Facility Details

Facility Number:	2024457
Status:	Inactive
Facility Name:	Clark Station
Address:	2301 Sheridan Road Zion, IL 60099
County:	Lake
Property Parcel:	04-22-113-001
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	V000370
Green Tag Issue Date:	11/12/2020
Green Tag Expiration Date:	12/31/2022

Owner Details

Owner Name:	George Papas
Owner Address:	2301 Sheridan Rd., Apt. 2 Zion, IL 60099
Owner Status:	Current Owner
Purchase Date:	1/1/1981
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	6/28/2021

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	7/29/2020	12/31/2022

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0024228	Papas, George	Current Owner	1/1/1981

Permits (Unexpired)

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No Active Permits Found

Deficiencies (Current)

NOV Number: E0020220220 (Referred to Legal) Issue Date: 1/26/2022 Expiration Date: 3/27/2022 View NOV Form

Tanks	Deficiency
Facility	Annual Emergency Stop Inspection not completed or inspection report not available. - Conduct annual emergency stop inspection, retain inspection report.
6, 7	Annual leak detection certification not completed (Required annually). - Conduct annual leak detection certification. Last performed on 4/13/2020.
6, 7	Annual line precision and mechanical line leak detector functional test not completed. - Conduct annual line leak detector certification and annual line precision test. Last performed on 4/13/2020.
6, 7	Document that emergency shut-off (shear valves) are in proper working order - Conduct annual shear valve inspection, retain inspection report.
Facility	Financial responsibility must be reported yearly - Submit financial responsibility through OSFM website.
Facility	Missing copies of 30 day Walkthrough Inspection Report. - Conduct 30 day inspections, retain inspection reports.
Facility	Missing copies of Annual Walkthrough Inspection Report. - Conduct annual walkthrough inspection, retain inspection report.
Facility	Missing copy of emergency instructions or emergency procedures plan - Complete emergency procedure plan
Facility	Missing list of designated Class A/B & C Operators - Create list of UST operators
Facility	Operations & Maintenance plan missing required frequencies - Update operations and maintenance plan.
6	Spill prevention equipment contains liquid/debris and must be cleared of materials and maintained clean and dry. - Spill bucket contains solid block of ice, unable to open fill cap. Remove liquids and debris from spill bucket.

NOV Number: E0020222990 (Referred to Legal) Issue Date: 10/4/2022 Expiration Date: 12/3/2022 View NOV Form

Tanks	Deficiency
6, 7	Failed to Empty the Tank to 1" or Less - Tank(s) is/are currently not in service and shall be pumped down to one inch or less of product.
6, 7	Submit Notification Form For Tank Status Change - Submit OSFM Notification Form placing all tanks in Temporarily Out of Use status. Notification form is available at www.sfm.illinois.gov

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
94-2497	4/28/1995	Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
91-1905	Eligible	10/8/1998	11/17/1998	$10,000

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Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	5000	Gasoline	Removed	Federal		$0.00	04/28/1995 - REM
2	4000	Gasoline	Removed	Federal		$0.00	04/28/1995 - REM
3	6000	Gasoline	Removed	Federal		$0.00	04/28/1995 - REM
4	5000	Gasoline	Removed	Federal		$0.00	04/28/1995 - REM
5	1000	Kerosene	Removed	Exempt			04/28/1995 - REM
6	10000	Gasoline - Regular	Out of service	Federal	4/13/2022	$0.00
7	10000	Gasoline - Premium	Out of service	Federal	4/13/2022	$0.00

Dispenser Information

Name\ID	Status
1/2	Active
3/4	Active
5/6	Active

MFD Motorfuel Dispensing Forms

No Forms Found