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:	3017391
Status:	Closed
Facility Name:	EM Food Mart
Address:	702 17th Avenue East Moline, IL 61244
County:	Rock Island
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	G001654
Green Tag Issue Date:	6/3/2005
Green Tag Expiration Date:	12/31/2008

Owner Details

Owner Name:	Shree, Inc.
Owner Address:	702 17th Avenue East Moline, IL 61244
Owner Status:	Current Owner
Purchase Date:	2/2/2003
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	5/11/2008

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	11/4/2004	11/1/2004

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0032331	Shree, Inc.	Current Owner	2/2/2003
U0013990	Quint Cities Petroleum Co.	Former Owner	6/1/1995

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

IEMA Number	Inspection Date	Inspection Type	Permit Number
08-1068	8/13/2008	Removal Log	01249-2008REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
08-1068	Eligible	11/24/2008	12/15/2008	$10,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/13/2008
OSFM First Notify Date:	4/10/1986		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	1/1/1978		Red Tag Issue Date:
Last Used Date:	1/1/2007		Fee Due:	$0.00
Product Date:

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:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/13/2008
OSFM First Notify Date:	4/10/1986		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	1/1/1978		Red Tag Issue Date:
Last Used Date:	1/1/2007		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Isolation Boots Flex Connector	N/A	N/A
Piping	Double Wall steel	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/13/2008
OSFM First Notify Date:	4/10/1986		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	1/1/1978		Red Tag Issue Date:
Last Used Date:	1/1/2007		Fee Due:	$0.00
Product Date:

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