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

 
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Facility Details

Facility Number: 2040790
Status: Active
Facility Name: Sam's Club #6464
Address: 101 West Oakton St.
Des Plaines, IL 60018
County: Cook
Property Parcel: 08-25-204-003-0000
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Y001452
Green Tag Issue Date: 1/17/2023
Green Tag Expiration Date: 12/31/2025

Owner Details

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

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 1/17/2023 12/31/2025

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0029973 Sam's West, Inc. Current Owner
U0017352 Walmart Stores, Inc. Former Owner 4/12/2002

Permits (Unexpired)

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No Active Permits Found

Notice of Violations (Current)

NOV Number: E0020251199 (Pending)    Issue Date: 5/7/2025    Expiration Date: 7/6/2025    View NOV Form

Tanks Violation
Facility Annual Emergency Stop Inspection not completed or inspection report not available. - Inspection report missing from facility paperwork
1, 3 Drop tube valve or overfill alarm failed inspection. Repair or replace equipment.
Facility Missing copies of Annual Walkthrough Inspection Report.
Facility Missing copies of current testing certificates for operator training - Certificates of all C operators must be with facility paperwork
1, 2, 3 Shear valve inspection report not completed (Required during Annual Walkthrough Inspection). - Report missing from facility paperwork
1, 2, 3 Verify and test piping sump sensor for positive shutdown - Sensors only shutting down dispenser, must shut down entire system

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 Capacity Product Status Regulated Status Red Tag Issued Fee Due Abandon/Removal Date
1 20000 Gasoline - Regular Currently in use Federal $0.00
2 20000 Gasoline - Regular Currently in use Federal $0.00
3 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

Office of the Illinois State Fire Marshal
1035 Stevenson Dr. Springfield, IL 62704 | (217) 785-0969 | Contact Us