Information

JB Pritzker, Governor

Michele L Pankow, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
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Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	2040091
Status:	Active
Facility Name:	Costco Gasoline #380
Address:	2746 N. Clybourn Avenue Chicago, IL 60614
County:	Cook
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y001521
Green Tag Issue Date:	10/13/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Costco Wholesale Corporation
Owner Address:	P.O. Box 35005 Seattle, WA 98124
Owner Status:	Current Owner
Purchase Date:	5/13/2011
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	6/3/2026

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	10/13/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0029489	Costco Wholesale Corporation	Current Owner	5/13/2011

Permits (Unexpired)

Click for permit history

Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
00438-2025REM	Removal	Approved / Issued	4/11/2025	4/11/2025	10/14/2025	Documents
00432-2025INS	Install	Approved / Issued	3/26/2025	4/10/2025	10/10/2025	Documents
00462-2025UPG	Upgrade	Approved / Issued	4/11/2025	4/21/2025	10/21/2025	Documents

Notice of Violatlions (Current)

No Notice of Violations Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
00-0918	5/15/2000	Removal Log	105610

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	3000		Petroleum Use:
Product:	Fuel Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	5/15/2000
OSFM First Notify Date:			Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	12/31/1973		Fee Due:
Product Date:

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

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	8/27/2024	8/27/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	8/27/2024	8/27/2025
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Alarm	8/11/2025	8/11/2028
Piping	Fiberglass Double Wall A.O. Smith	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/16/2024	5/16/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/27/2024	8/27/2025
Piping	Single Wall Transition Sump	5/16/2024	5/16/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/27/2024	8/27/2025
Piping	Single Wall Transition Sump	5/16/2024	5/16/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/27/2024	8/27/2025
Piping	Single Wall Transition Sump	5/16/2024	5/16/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/27/2024	8/27/2025
Spill Contain Device	Spill Bucket Phil-Tite 400	5/16/2024	5/16/2027
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall A.O. Smith	Precision Test (Piping)	Pass	8/27/2024

Tank Number 3

Capacity:	20000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	8/1/2011		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

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	Electronic Pressurized Line Leak Detection	8/27/2024	8/27/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R	8/27/2024	8/27/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	8/27/2024	8/27/2025
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Alarm	8/11/2025	8/11/2028
Overfill Prev Device	Overfill Drop Tube Valve	8/11/2025	8/11/2028
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/16/2024	5/16/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/27/2024	8/27/2025
Spill Contain Device	Single Wall Spill Bucket	5/16/2024	5/16/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test (Piping)	Pass	8/27/2024
Piping	Fiberglass Double Wall A.O. Smith	Precision Test (Piping)	Pass	9/12/2023

Tank Number 4

Capacity:	20000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	8/1/2011		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

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	Electronic Pressurized Line Leak Detection	8/27/2024	8/27/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R	8/27/2024	8/27/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	2/19/2025	2/19/2026
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Alarm	8/11/2025	8/11/2028
Overfill Prev Device	Overfill Drop Tube Valve	8/11/2025	8/11/2028
Piping	Fiberglass Double Wall A.O. Smith	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/16/2024	5/16/2027
Leak Detect - Piping	Non-Discriminating Sump Sensor with positive shutdown	10/5/2021	10/5/2022
Leak Detect - Piping	Sump Sensor with positive shutdown	8/27/2024	8/27/2025
Spill Contain Device	Single Wall Spill Bucket	5/16/2024	5/16/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall A.O. Smith	Precision Test (Piping)	Pass	8/27/2024

Tank Number 5

Capacity:	20000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	8/1/2011		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

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	Electronic Pressurized Line Leak Detection	8/27/2024	8/27/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R	8/27/2024	8/27/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	8/27/2024	8/27/2025
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Alarm	8/11/2025	8/11/2028
Overfill Prev Device	Overfill Drop Tube Valve	8/11/2025	8/11/2028
Piping	Fiberglass Double Wall A.O. Smith	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/16/2024	5/16/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/27/2024	8/27/2025
Spill Contain Device	Single Wall Spill Bucket	5/16/2024	5/16/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall A.O. Smith	Precision Test (Piping)	Pass	8/27/2024

Tank Number 6

Capacity:	30000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Not Installed		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:			Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/16/2024	5/16/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/27/2024	8/27/2025

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/16/2024	5/16/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/27/2024	8/27/2025

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/16/2024	5/16/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/27/2024	8/27/2025

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/16/2024	5/16/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/27/2024	8/27/2025

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/16/2024	5/16/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/27/2024	8/27/2025

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/16/2024	5/16/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/27/2024	8/27/2025

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
2040091	Costco Gasoline #380	Chicago	04/07/2025	Letter Form
2040091	Costco Gasoline #380	Chicago	09/22/2020	Letter Form
2040091	Costco Gasoline #380	Chicago	02/12/2020	Letter Form