Division of Petroleum & Chemical Safety

 
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Facility Details

Facility Number: 2030399
Status: Active
Facility Name: Sam's Club #6358
Address: 141 West North Ave. Northlake, IL 60164
County: Cook
Property Parcel: 15-06-201-060-0000
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Z000030
Green Tag Issue Date: 4/19/2024
Green Tag Expire Date: 12/31/2026
MFD Type: Self Service

Owner Details

Owner Name: Sam's West, Inc.
Owner Address: 2101 SE Simple Savings Drive Bentonville, AR 727160745
Owner Status: Current Owner
Purchase Date: 3/14/2002
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 4/29/2026

Owner Summary

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Owner Number Owner Name Owner Status Purchase Date
U0029973 Sam's West, Inc. Current Owner 3/14/2002
U0019919 DO NOT USE THIS NUMBER, former Wal-mart Former Owner 4/11/1999

Permits (Unexpired)

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No Active Permits Found

Notice of Violatlions (Current)

NOV Number: E0020261090 (Pending)    Issue Date: 4/22/2026    Expiration Date: 6/21/2026    View NOV Form

Tanks Violations
Facility Missing copies of current testing certificates for operator training - Keep all copies on site
2, 3, 4 Spill prevention equipment contains liquid/debris and must be cleared of materials and maintained clean and dry.

NOV Number: E0020261091 (Pending)    Issue Date: 4/22/2026    Expiration Date: 6/21/2026    View NOV Form

Tanks Violations
Facility Code complying instruction/warning signs are not properly mounted at each dispenser island

IEMA Numbers Associated with the Facility

IEMA Number Inspection Date Inspection Type Permit Number
92-1640 7/28/1992 Removal Log

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number Capacity Product Status Regulated Status Red Tag Issued Fee Due Abandon/Removal Date
1 5000 Heating Oil Removed State $0.00 07/28/1992 - REM
2 20000 Gasoline - Regular Currently in use Federal $0.00
3 20000 Gasoline - Regular Currently in use Federal $0.00
4 20000 Gasoline - Premium Currently in use Federal $0.00

Dispenser Information

Name\ID Status
1/2 Active
3/4 Active
5/6 Active
7/8 Active
9/10 Active
11/12 Active

MFD Motorfuel Dispensing Forms

No Forms Found