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:	2045486
Status:	Active
Facility Name:	Food 4 Less #567
Address:	4821 W. North Ave. Chicago, IL 60639
County:	Cook
Property Parcel:
Facility Type:	Attended Self-Service/Unattended Self-Service
Owner Type:	Private
Green Tag Decal:	Z002393
Green Tag Issue Date:	5/1/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Food 4 Less
Owner Address:	1100 W. Artesia Blvd. Compton, CA 90220
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	5/9/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	5/1/2024	12/31/2026

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0035075	Food 4 Less	Current Owner

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

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:	7/3/2014		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:	4/17/2014		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	5/30/2014

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	Electronic Pressurized Line Leak Detection	6/6/2024	6/6/2025
Leak Detect - Tank	Automatic Tank Gauging Incon TS 550	6/6/2024	6/6/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	6/6/2024	6/6/2025
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Alarm	6/6/2024	6/6/2027
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	6/6/2024	6/6/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/6/2024	6/6/2025
Spill Contain Device	Single Wall Spill Bucket	6/6/2024	6/6/2027
Tank	Fiberglass Brine Filled Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall OPW Flexworks	Precision Test (Piping)	Pass	6/6/2024

Tank Number 2

Capacity:	10000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/3/2014		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:	4/17/2014		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	5/30/2014

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	Electronic Pressurized Line Leak Detection	6/6/2024	6/6/2025
Leak Detect - Tank	Automatic Tank Gauging Incon TS 550	6/6/2024	6/6/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	6/6/2024	6/6/2025
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Alarm	6/6/2024	6/6/2027
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	6/6/2024	6/6/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/6/2024	6/6/2025
Spill Contain Device	Single Wall Spill Bucket	6/6/2024	6/6/2027
Tank	Fiberglass Brine Filled Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall OPW Flexworks	Precision Test (Piping)	Pass	6/6/2024

Tank Number 3

Capacity:	8000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/3/2014		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:	4/17/2014		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	5/30/2014

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	Electronic Pressurized Line Leak Detection	6/6/2024	6/6/2025
Leak Detect - Tank	Automatic Tank Gauging Incon TS 550	6/6/2024	6/6/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	6/6/2024	6/6/2025
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Alarm	6/6/2024	6/6/2027
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	6/6/2024	6/6/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/6/2024	6/6/2025
Spill Contain Device	Single Wall Spill Bucket	6/6/2024	6/6/2027
Tank	Fiberglass Brine Filled Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall OPW Flexworks	Precision Test (Piping)	Pass	6/6/2024

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	6/6/2024	6/6/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/6/2024	6/6/2025

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	6/6/2024	6/6/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/6/2024	6/6/2025

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	6/6/2024	6/6/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/6/2024	6/6/2025

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	6/6/2024	6/6/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/6/2024	6/6/2025

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	6/6/2024	6/6/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/6/2024	6/6/2025

MFD Motorfuel Dispensing Forms

No Forms Found