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:	2042101
Status:	Active
Facility Name:	Shell
Address:	15 N. 1st Avenue Maywood, IL 60153
County:	Cook
Property Parcel:	15-11-210-090-0000
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z000067
Green Tag Issue Date:	6/5/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Cyriac Chandy
Owner Address:	15 N. 1st Avenue Maywood, IL 60153
Owner Status:	Current Owner
Purchase Date:	6/16/2021
Type of Financial Responsibility:	Certificate of Deposit
Financial Responsibility Reporting Due Date:	1/22/2026

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	6/5/2024	12/31/2026

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0036449	Chandy, Cyriac	Current Owner	6/16/2021
U0035189	PAV 2, LLC,	Former Owner	9/5/2014
U0031884	Nems, Inc.	Former Owner	8/4/2004

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

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
14-1092	Eligible	12/4/2014	1/20/2015	$5,000

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Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	12000	Gasoline - Regular	Currently in use	Federal		$0.00
2	10000	Gasoline - Premium	Currently in use	Federal		$0.00
3	6000	Diesel Fuel	Currently in use	Federal		$0.00
4	550	Heating Oil	Removed	Exempt			08/06/2004 - REM

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