Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	2026027
Status:	Active
Facility Name:	1422 Countryside Station, LLC - Shell
Address:	1422 W. 55th Street Countryside, IL 60525
County:	Cook
Property Parcel:	18-08-406-001-0000
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	AA00207
Green Tag Issue Date:	5/23/2025
Green Tag Expire Date:	12/31/2027
MFD Type:	Self Service

Owner Details

Owner Name:	Azeem Ali Khan and Nadir Ali Khan
Owner Address:	1422 W. 55th Street Countryside, IL 60525
Owner Status:	Current Owner
Purchase Date:	1/25/2021
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	2/18/2027

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0040103	Azeem Ali Khan and Nadir Ali Khan	Current Owner	1/25/2021
U0038548	1422 Countryside Station, LLC	Former Owner	6/1/2016
U0027695	Farokitian, Mathew	Former Owner	8/10/1998
U0005185	First Il Bank & Tr	Former Owner	4/21/1997

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
N/A	4/13/2023	Abandonment Log	00335-2023ABN

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
20230171	Eligible	1/10/2024	1/18/2024	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	12000	Petroleum Use:
Product:	Gasoline - Regular	CERCLA Substance:
Status:	Abandoned in place	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	5/10/1990	Abandoned Material:	Inert material mixed with portland cement
Current Age:	45	Abandoned Date:	4/13/2023
Install Date:	5/10/1981	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:

Equipment Information

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	7/12/2021	7/12/2024
Corrosion Prot - Piping	Fiberglass Non-Corrosive	Not applicable	Not applicable
Corrosion Prot - Tank	Lining Materials Internal	6/16/2020	6/16/2025
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	9/26/2022	9/26/2023
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350j with CSLD	9/26/2022	9/26/2023
Overfill Prev Device	Overfill Drop Tube Valve	7/12/2021	7/12/2024
Piping	Fiberglass Single Wall Piping Ameron	Not applicable	Not applicable
Piping	Not Installed STP/Tanktop Sump	Not applicable	Not applicable
Spill Contain Device	Single Wall Spill Bucket	5/31/2019	5/31/2022
Tank	Steel Single Wall	Not applicable	Not applicable

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test (Piping)	Pass	5/31/2019
Piping	Fiberglass Single Wall Piping Ameron	Precision Test (Piping)	Pass	6/17/2020
Tank	Steel Single Wall	Precision Test (Tank)	Fail	1/5/2023

Tank Number 2

Capacity:	10000	Petroleum Use:
Product:	Gasoline - Premium	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	5/10/1990	Abandoned Material:
Current Age:	45	Abandoned Date:
Install Date:	5/10/1981	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:

Equipment Information

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	8/16/2024	8/16/2027
Corrosion Prot - Piping	Fiberglass Non-Corrosive	Not applicable	Not applicable
Corrosion Prot - Tank	Lining Materials Internal	9/17/2025	9/17/2030
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	2/11/2026	2/11/2027
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350j with CSLD	2/11/2026	2/11/2027
Overfill Prev Device	Overfill Drop Tube Valve	8/24/2024	8/24/2027
Piping	Fiberglass Single Wall Piping Ameron	Not applicable	Not applicable
Piping	Not Installed STP/Tanktop Sump	Not applicable	Not applicable
Spill Contain Device	Single Wall Spill Bucket	11/12/2025	11/12/2028
Tank	Steel Single Wall	Not applicable	Not applicable

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test (Piping)	Pass	5/31/2019
Piping	Fiberglass Single Wall Piping Ameron	Precision Test (Piping)	Pass	4/20/2023
Tank	Steel Single Wall	Precision Test (Tank)	Pass	9/18/2025

Tank Number 3

Capacity:	10000	Petroleum Use:
Product:	Gasoline - Regular	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	5/10/1990	Abandoned Material:
Current Age:	38	Abandoned Date:
Install Date:	6/28/1988	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	6/28/1988

Equipment Information

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	8/16/2024	8/16/2027
Corrosion Prot - Piping	Fiberglass Non-Corrosive	Not applicable	Not applicable
Corrosion Prot - Tank	Fiberglass Non-Corrosive	Not applicable	Not applicable
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	2/11/2026	2/11/2027
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350j with CSLD	2/11/2026	2/11/2027
Overfill Prev Device	Overfill Drop Tube Valve	8/24/2024	8/24/2027
Piping	Fiberglass Single Wall Piping	Not applicable	Not applicable
Piping	Not Installed STP/Tanktop Sump	Not applicable	Not applicable
Spill Contain Device	Single Wall Spill Bucket	11/12/2025	11/12/2028
Tank	Fiberglass Single Wall	Not applicable	Not applicable

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test (Piping)	Pass	5/31/2019
Piping	Fiberglass Single Wall Piping	Precision Test (Piping)	Pass	4/20/2023
Piping	Fiberglass Single Wall Piping Ameron	Precision Test (Piping)	Pass	5/8/2020
Tank	Fiberglass Single Wall	Precision Test (Tank)	Pass	4/14/2023

Failed test = the latest test has failed.

Not applicable = a test does not apply to this equipment type or configuration.

No passing test found = a passing test is expected but was not found from the source data.

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	No passing test found	No passing test found

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	Not applicable	Not applicable

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	Not applicable	Not applicable

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	Not applicable	Not applicable

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	Not applicable	Not applicable

Failed test = the latest test has failed.

Not applicable = a test does not apply to this equipment type or configuration.

No passing test found = a passing test is expected but was not found from the source data.

MFD Motorfuel Dispensing Forms

No Forms Found