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:	2025658
Status:	Active
Facility Name:	Roosevelt 66
Address:	905 W. Roosevelt Maywood, IL 60153
County:	Cook
Property Parcel:	15-15-431-036-0000
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y002123
Green Tag Issue Date:	12/11/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Pothen Vallikalam
Owner Address:	5335 N. Meade Avenue Chicago, IL 60630
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	11/13/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	12/11/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0031306	Vallikalam, Pothen	Current Owner
U0015075	Lee Robin	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
91-2972	10/17/1991	Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
20180158	Ineligible	5/9/2018	6/12/2018	$No Deductible	Letter
20180158	Eligible	1/12/2023	3/8/2023	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/1/1991
OSFM First Notify Date:	4/16/1990		Abandoned Material:
Current Age:	20		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	10/1/1991		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:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/17/1991
OSFM First Notify Date:	4/16/1990		Abandoned Material:
Current Age:	20		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	10/1/1991		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:	10/1/1991
OSFM First Notify Date:	4/16/1990		Abandoned Material:
Current Age:	20		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	10/1/1991		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:	550		Petroleum Use:
Product:	Used Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/1/1991
OSFM First Notify Date:	4/16/1990		Abandoned Material:
Current Age:	20		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	10/1/1991		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:	500		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	10/17/1991
OSFM First Notify Date:	2/19/1992		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	10/17/1991		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 6

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/6/2004		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	8/13/2003		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	4/24/2004

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	9/9/2024	9/9/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	9/9/2024	9/9/2025
Overfill Prev Device	Overfill Drop Tube Valve	7/11/2023	7/11/2026
Piping	Flexible Double Wall Total Containment Omniflex I	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	7/11/2023	7/11/2026
Leak Detect - Piping	Sump Sensor	9/9/2024	9/9/2025
Spill Contain Device	Single Wall Spill Bucket	7/11/2023	7/11/2026
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Total Containment Omniflex I	Precision Test (Piping)	Pass	9/9/2024
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	1/19/2021

Tank Number 7

Capacity:	8000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/6/2004		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	8/13/2003		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	4/24/2004

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	9/9/2024	9/9/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	9/9/2024	9/9/2025
Overfill Prev Device	Overfill Drop Tube Valve	7/11/2023	7/11/2026
Piping	Flexible Double Wall Total Containment Omniflex I	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	7/11/2023	7/11/2026
Leak Detect - Piping	Sump Sensor	9/9/2024	9/9/2025
Spill Contain Device	Single Wall Spill Bucket	7/11/2023	7/11/2026
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Total Containment Omniflex I	Precision Test (Piping)	Pass	9/9/2024
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	1/19/2021

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	7/11/2023	7/11/2026
Leak Detect - Piping	Sump Sensor	9/9/2024	9/9/2025

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	7/11/2023	7/11/2026
Leak Detect - Piping	Sump Sensor	9/9/2024	9/9/2025

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	7/11/2023	7/11/2026
Leak Detect - Piping	Sump Sensor	9/9/2024	9/9/2025

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	7/11/2023	7/11/2026
Leak Detect - Piping	Sump Sensor	9/9/2024	9/9/2025

MFD Motorfuel Dispensing Forms

No Forms Found