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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

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Facility Details

Facility Number:	2029965
Status:	Active
Facility Name:	Bala Insha, Inc.
Address:	1503 North Broadway Avenue Melrose Park, IL 60160
County:	Cook
Property Parcel:	15-03-130-033
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z000095
Green Tag Issue Date:	7/18/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Melrose 1503 Property, LLC
Owner Address:	2052 DeCook Park Ridge, IL 60068
Owner Status:	Current Owner
Purchase Date:	3/16/2022
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	5/20/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	7/18/2024	12/31/2026

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0041203	Melrose 1503 Property, LLC	Current Owner	3/16/2022
U0019449	Midwest Bank & Trust Serv. #80-05-3340	Former Owner	6/21/1988

Permits (Unexpired)

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No Active Permits Found

Notice of Violations (Current)

No Notice of Violations Found

IEMA Numbers Associated with the Facility

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
98-2022	Eligible	10/1/2001	10/9/2001	$100,000

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Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	8000	Gasoline - Regular	Currently in use	Federal		$0.00
2	8000	Gasoline - Premium	Currently in use	Federal		$0.00
3	550	Used Oil	Pre 1974	Exempt		$0.00
4	500	Heating Oil	Pre 1974	Exempt		$0.00

Dispenser Information

Name\ID	Status
1/2	Active
3/4	Active
5/6	Active
7/8	Active

MFD Motorfuel Dispensing Forms

No Forms Found