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:	2039752
Status:	Active
Facility Name:	Costco Gasoline (Loc No. 580)
Address:	7300 S. Cicero Avenue Bedford Park, IL 60501
County:	Cook
Property Parcel:	19-28-202-018
Facility Type:	Unattended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z000306
Green Tag Issue Date:	4/4/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Costco Wholesale Corporation
Owner Address:	P.O. Box 35005 Seattle, WA 98124
Owner Status:	Current Owner
Purchase Date:	9/7/2000
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	3/31/2026

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Unattended Self Service	4/4/2024	12/31/2026
Self Service	3/26/2018	12/31/2020

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0029489	Costco Wholesale Corporation	Current Owner	9/7/2000

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

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	20000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	9/12/2000		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	6/26/2000		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/22/2000

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	7/31/2024	7/31/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R	7/31/2024	7/31/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	7/31/2024	7/31/2025
Overfill Prev Device	Overfill Alarm	8/29/2022	8/29/2025
Overfill Prev Device	Overfill Drop Tube Valve	12/24/2023	12/24/2026
Piping	Flexible Double Wall Environ Geo Flex	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/8/2024	5/8/2027
Leak Detect - Piping	Non-Discriminating Sump Sensor with positive shutdown	10/12/2020	10/12/2021
Leak Detect - Piping	Sump Sensor with positive shutdown	8/21/2023	8/21/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/31/2024	7/31/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	9/26/2024	9/26/2025
Spill Contain Device	Single Wall Spill Bucket	5/8/2024	5/8/2027
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Environ Geo Flex	Precision Test (Piping)	Pass	7/31/2024

Tank Number 2

Capacity:	20000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	9/12/2000		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	6/26/2000		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/22/2000

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	7/31/2024	7/31/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R	7/31/2024	7/31/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	8/26/2024	8/26/2025
Overfill Prev Device	Overfill Alarm	8/29/2022	8/29/2025
Overfill Prev Device	Overfill Drop Tube Valve	8/29/2022	8/29/2025
Piping	Flexible Double Wall Environ Geo Flex	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/8/2024	5/8/2027
Leak Detect - Piping	Non-Discriminating Sump Sensor with positive shutdown	9/20/2021	9/20/2022
Leak Detect - Piping	Sump Sensor with positive shutdown	8/21/2023	8/21/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/31/2024	7/31/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	9/26/2024	9/26/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	10/10/2024	10/10/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	1/26/2025	1/26/2026
Spill Contain Device	Single Wall Spill Bucket	5/8/2024	5/8/2027
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Environ Geo Flex	Precision Test (Piping)	Pass	7/31/2024

Tank Number 3

Capacity:	20000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	9/12/2000		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	6/26/2000		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/22/2000

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	9/13/2024	9/13/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R	7/31/2024	7/31/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	9/3/2024	9/3/2025
Overfill Prev Device	Overfill Alarm	8/29/2022	8/29/2025
Overfill Prev Device	Overfill Drop Tube Valve	8/29/2022	8/29/2025
Piping	Flexible Double Wall Environ Geo Flex	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/8/2024	5/8/2027
Leak Detect - Piping	Non-Discriminating Sump Sensor with positive shutdown	9/20/2021	9/20/2022
Leak Detect - Piping	Sump Sensor with positive shutdown	8/21/2023	8/21/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/31/2024	7/31/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	8/7/2024	8/7/2025
Spill Contain Device	Single Wall Spill Bucket	5/8/2024	5/8/2027
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Environ Geo Flex	Precision Test (Piping)	Pass	7/31/2024

Tank Number 4

Capacity:	1500		Petroleum Use:
Product:	Ultrazol - Fuel Additive		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	9/8/2011		Abandoned Material:
Current Age:	13		Abandoned Date:
Install Date:	9/1/2011		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/1/2011

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	7/31/2024	7/31/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R	7/31/2024	7/31/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	7/31/2024	7/31/2025
Overfill Prev Device	Overfill Alarm	8/29/2022	8/29/2025
Overfill Prev Device	Overfill Drop Tube Valve	8/29/2022	8/29/2025
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/8/2024	5/8/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	7/31/2024	7/31/2025
Piping	Single Wall Transition Sump	7/24/2024	7/24/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	7/31/2024	7/31/2025
Piping	Single Wall Transition Sump	7/24/2024	7/24/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	7/31/2024	7/31/2025
Piping	Single Wall Transition Sump	7/24/2024	7/24/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	7/31/2024	7/31/2025
Spill Contain Device	Single Wall Spill Bucket	5/8/2024	5/8/2027
Tank	Fiberglass Brine Filled Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test (Piping)	Pass	7/31/2024

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/8/2024	5/8/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	7/31/2024	7/31/2025

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/8/2024	5/8/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	7/31/2024	7/31/2025

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/8/2024	5/8/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	7/31/2024	7/31/2025

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/8/2024	5/8/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	7/31/2024	7/31/2025

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/8/2024	5/8/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	7/31/2024	7/31/2025

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/8/2024	5/8/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	7/31/2024	7/31/2025

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
2039752	Costco Gasoline (Loc No. 580)	Bedford Park	02/12/2020	Letter Form