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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:	2041404
Status:	Closed
Facility Name:	Sam's Club #8143
Address:	808 S. State Route 59 Naperville, IL 60540
County:	Du Page
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	R001021
Green Tag Issue Date:	5/5/2016
Green Tag Expiration Date:	12/31/2018

Owner Details

Owner Name:	Sam's West, Inc.
Owner Address:	2101 SE Simple Savings Drive Bentonville, AR 727160745
Owner Status:	Current Owner
Purchase Date:	11/22/2002
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	5/3/2019

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	5/5/2016	12/31/2018

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0029973	Sam's West, Inc.	Current Owner	11/22/2002

Permits (Unexpired)

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No Active Permits Found

Notice of Violations (Current)

No Notice of Violations Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
18-0654	7/10/2018	Removal Log	00520-2018REM
18-0654	7/11/2018	Removal Log	00520-2018REM

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	Removed	Federal		$0.00	07/10/2018 - REM
2	20000	Gasoline	Removed	Federal		$0.00	07/10/2018 - REM
3	20000	Gasoline	Removed	Federal		$0.00	07/11/2018 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found