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:	2036195
Status:	Does Not Exist
Facility Name:	Sam's Mini Mart
Address:	6859 S. Loomis Blvd. Chicago, IL 60620
County:	Cook
Property Parcel:
Facility Type:	Other
Owner Type:
Green Tag Decal:
Green Tag Issue Date:
Green Tag Expiration Date:

Owner Details

Owner Name:	Loomis, Inc.
Owner Address:	7220 Orchard Place Downers Grove, IL 60516
Owner Status:	Current Owner
Purchase Date:	8/15/2003
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0031754	Loomis, Inc.	Current Owner	8/15/2003
U0031314	Vaylalil, Jacob	Former Owner
U0026408	Sams Mini Mart	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

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
03-1817	Returned	12/29/2003	1/22/2004	$Not Selected

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	5000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Does Not Exist		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	11/5/1997		Abandoned Material:
Current Age:	45		Abandoned Date:
Install Date:	6/4/1979		Red Tag Issue Date:
Last Used Date:	5/20/1997		Fee Due:	$0.00
Product Date:	6/4/1979

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:	5000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Does Not Exist		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	11/5/1997		Abandoned Material:
Current Age:	45		Abandoned Date:
Install Date:	6/4/1979		Red Tag Issue Date:
Last Used Date:	5/20/1997		Fee Due:	$0.00
Product Date:	6/4/1979

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:	Does Not Exist		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/17/2004		Abandoned Material:
Current Age:	57		Abandoned Date:
Install Date:	1/1/1968		Red Tag Issue Date:
Last Used Date:	5/20/1997		Fee Due:	$0.00
Product Date:	1/1/1968

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:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Does Not Exist		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/17/2004		Abandoned Material:
Current Age:	57		Abandoned Date:
Install Date:	1/1/1968		Red Tag Issue Date:
Last Used Date:	5/20/1997		Fee Due:	$0.00
Product Date:	1/1/1968

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:	Consumptive Use on Premises for Heating
Product:	Heating Oil		CERCLA Substance:
Status:	Does Not Exist		CAS Code:
Regulated Status:	State		Removed Date:
OSFM First Notify Date:	6/17/2004		Abandoned Material:
Current Age:	62		Abandoned Date:
Install Date:	1/1/1963		Red Tag Issue Date:
Last Used Date:	5/20/1997		Fee Due:	$0.00
Product Date:	1/1/1963

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:	550		Petroleum Use:
Product:	Used Oil		CERCLA Substance:
Status:	Does Not Exist		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/17/2004		Abandoned Material:
Current Age:	62		Abandoned Date:
Install Date:	1/1/1963		Red Tag Issue Date:
Last Used Date:	5/20/1997		Fee Due:	$0.00
Product Date:	1/1/1963

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found