Division of Petroleum & Chemical Safety

 

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

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0024228 Papas, George Current Owner 1/1/1981

Permits (Unexpired)

Click for permit history

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
Pay Tank Fees Online

Tank Information



Tank Number 1

Capacity: 5000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 4/28/1995
OSFM First Notify Date: 10/31/1988 Abandoned Material:
Current Age: Abandoned Date:
Install Date: Red Tag Issue Date:
Last Used Date: 4/28/1995 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: 4000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 4/28/1995
OSFM First Notify Date: 10/31/1988 Abandoned Material:
Current Age: Abandoned Date:
Install Date: Red Tag Issue Date:
Last Used Date: 4/28/1995 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: 6000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 4/28/1995
OSFM First Notify Date: 10/31/1988 Abandoned Material:
Current Age: Abandoned Date:
Install Date: Red Tag Issue Date:
Last Used Date: 4/28/1995 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: 5000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 4/28/1995
OSFM First Notify Date: 10/31/1988 Abandoned Material:
Current Age: Abandoned Date:
Install Date: Red Tag Issue Date:
Last Used Date: 4/28/1995 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 5

Capacity: 1000 Petroleum Use:
Product: Kerosene CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Exempt Removed Date: 4/28/1995
OSFM First Notify Date: 6/14/1995 Abandoned Material:
Current Age: Abandoned Date:
Install Date: Red Tag Issue Date:
Last Used Date: 4/28/1973 Fee Due:
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 6

Capacity: 10000 Petroleum Use: None
Product: Gasoline - Regular CERCLA Substance:
Status: Out of service CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 6/14/1995 Abandoned Material:
Current Age: 28 Abandoned Date:
Install Date: 5/4/1995 Red Tag Issue Date: 4/13/2022
Last Used Date: 10/4/2022 Fee Due: $0.00
Product Date: 5/30/1995

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 4/13/2020 4/13/2021
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 300c 4/13/2020 4/13/2021
Overfill Prev Device Overfill Drop Tube Valve 4/13/2020 4/13/2023
Piping Fiberglass Double Wall N/A N/A
Piping Single Wall STP/Tanktop Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated Not Installed N/A N/A
Spill Contain Device Single Wall Spill Bucket 9/15/2020 9/15/2023
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall Precision Test Pass 4/13/2020
Tank Fiberglass Single Wall Precision Test (Tank) Pass 2/4/2020



Tank Number 7

Capacity: 10000 Petroleum Use: None
Product: Gasoline - Premium CERCLA Substance:
Status: Out of service CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 6/14/1995 Abandoned Material:
Current Age: 28 Abandoned Date:
Install Date: 5/4/1995 Red Tag Issue Date: 4/13/2022
Last Used Date: 10/4/2022 Fee Due: $0.00
Product Date: 5/30/1995

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 4/13/2020 4/13/2021
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 300c 4/13/2020 4/13/2021
Overfill Prev Device Overfill Drop Tube Valve 4/13/2020 4/13/2023
Piping Fiberglass Double Wall N/A N/A
Piping Single Wall STP/Tanktop Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated Not Installed N/A N/A
Spill Contain Device Single Wall Spill Bucket 4/13/2020 4/13/2023
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall Precision Test Pass 4/13/2020
Tank Fiberglass Single Wall Precision Test (Tank) Pass 2/4/2020

Dispenser Information



Name\ID 1/2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A

MFD Motorfuel Dispensing Forms

No Forms Found