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JB Pritzker, Governor
Michele L Pankow, State Fire Marshal
Division of Petroleum & Chemical Safety
State of Illinois
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Division of Petroleum & Chemical Safety
Facility Details
Facility Number:
3010139
Status:
Closed
Facility Name:
Clark 170
Address:
4201 4th Avenue Moline, IL 61265
County:
Rock Island
Property Parcel:
Facility Type:
Attended Self-Service Station
Owner Type:
Private
Green Tag Decal:
D000079
Green Tag Issue Date:
9/4/2002
Green Tag Expiration Date:
12/31/2005
Owner Details
Owner Name:
Requet Boys, LLC
Owner Address:
P.O. Box 5302 Rock Island, IL 612045302
Owner Status:
Current Owner / Operator
Purchase Date:
6/1/2008
Type of Financial Responsibility:
Self-Insurance
Financial Responsibility Reporting Due Date:
1/26/2010
Motor Fuel Dispensing Permits
No MFD Permits Found
Owner Summary
Click for Facility/Tank Ownership history
Owner Number
Owner Name
Owner Status
Purchase Date
U0035112
Requet Boys, LLC
Current Owner / Operator
6/1/2008
U0024983
Clark Refining & Marketing, Inc.
Former Owner
11/22/1988
U0006480
Harold A Or Ruthanett
Former Owner
12/31/1967
U0024983
Clark Refining & Marketing, Inc.
Former Owner / Operator
1/1/1998
U0027936
Wisconsin North, LLC
Former Owner / Operator
11/22/1988
Permits (Unexpired)
Click for permit history
No Active Permits Found
Notice of Violatlions (Current)
No Notice of Violations Found
IEMA Numbers Associated with the Facility
IEMA Number
Inspection Date
Inspection Type
Permit Number
09-0494
5/12/2009
Removal Log
00389-2009REM
LUST
Fund Eligibility and Deductibility Determinations
IEMA Number
Status
OSFM Received Date
OSFM Response Date
Deductible
Letter
94-2717
Eligible
11/17/1997
11/21/1997
$10,000
Pay Tank Fees Online
Tank Information
Tank Number 1
Capacity:
6000
Petroleum Use:
Product:
Gasoline
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
5/12/2009
OSFM
First Notify Date:
5/2/1986
Abandoned Material:
Current Age:
40
Abandoned Date:
Install Date:
1/1/1969
Red Tag Issue Date:
Last Used Date:
11/1/2002
Fee Due:
$0.00
Product Date:
1/1/1969
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Impressed Current Cathodic Protection
Corrosion Prot - Piping
Fiberglass Non-Corrosive
N/A
N/A
Corrosion Prot - Tank
Impressed Current Cathodic Protection
Leak Detect - Piping
Pressurized Line Leak Detection
Leak Detect - Tank
SIR and Prec Tightness Testing
Overfill Prev Device
Overfill Drop Tube Valve
Piping
Fiberglass Single Wall Piping
N/A
N/A
Piping
Steel Single Wall Piping
N/A
N/A
Spill Contain Device
Manhole Field Constructed
Tank
Steel Single Wall
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 2
Capacity:
7500
Petroleum Use:
Product:
Gasoline
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
5/12/2009
OSFM
First Notify Date:
5/2/1986
Abandoned Material:
Current Age:
46
Abandoned Date:
Install Date:
1/1/1963
Red Tag Issue Date:
Last Used Date:
11/1/2002
Fee Due:
$0.00
Product Date:
1/1/1963
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
