Information

JB Pritzker, Governor

Allen Reyne, Acting State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
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Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	3006597
Status:	Closed
Facility Name:	Carlson Gerald D
Address:	1211 W Broadway Monmouth, IL 61462
County:	Warren
Property Parcel:
Facility Type:	Other
Owner Type:
Green Tag Decal:
Green Tag Issue Date:
Green Tag Expiration Date:

Owner Details

Owner Name:	Carlson Gerald D
Owner Address:	881 - 200Th Ave Monmouth, IL 61462
Owner Status:	Current Owner
Purchase Date:	1/1/1967
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0002470	Carlson Gerald D	Current Owner	1/1/1967

Permits (Unexpired)

Click for permit history

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
98-0767	Eligible	7/23/1998	8/25/1998	$15,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	2000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/7/1998
OSFM First Notify Date:	3/24/1986		Abandoned Material:
Current Age:	31		Abandoned Date:
Install Date:	1/1/1967		Red Tag Issue Date:
Last Used Date:	1/1/1993		Fee Due:
Product Date:	1/1/1967

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:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/8/1998
OSFM First Notify Date:	3/24/1986		Abandoned Material:
Current Age:	31		Abandoned Date:
Install Date:	1/1/1967		Red Tag Issue Date:
Last Used Date:	1/1/1993		Fee Due:
Product Date:	1/1/1967

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	2000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/7/1998
OSFM First Notify Date:	3/24/1986		Abandoned Material:
Current Age:	31		Abandoned Date:
Install Date:	1/1/1967		Red Tag Issue Date:
Last Used Date:	1/1/1993		Fee Due:
Product Date:	1/1/1967

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	5000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/7/1998
OSFM First Notify Date:	3/24/1986		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	1/1/1968		Red Tag Issue Date:
Last Used Date:	1/1/1993		Fee Due:
Product Date:	1/1/1968

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	1000		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	4/7/1998
OSFM First Notify Date:	3/24/1986		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	1/1/1968		Red Tag Issue Date:
Last Used Date:	1/1/1993		Fee Due:
Product Date:	1/1/1968

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 6

Capacity:	2000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/7/1998
OSFM First Notify Date:	4/9/1998		Abandoned Material:
Current Age:	31		Abandoned Date:
Install Date:	1/1/1967		Red Tag Issue Date:
Last Used Date:	1/1/1993		Fee Due:
Product Date:	1/1/1967

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 7

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/8/1998
OSFM First Notify Date:	4/9/1998		Abandoned Material:
Current Age:	23		Abandoned Date:
Install Date:	1/1/1975		Red Tag Issue Date:
Last Used Date:	1/1/1993		Fee Due:
Product Date:	1/1/1975

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found