Information
JB Pritzker, Governor
James A. Rivera, State Fire Marshal
Division of Petroleum & Chemical Safety
State of Illinois
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Statistics
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Blended Fuel Tanks
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Facility Details
Facility Number:
4002378
Status:
Active
Facility Name:
Flying J Travel Plaza #643
Address:
1701 W. Evergreen Ave.
Effingham, IL 62401
County:
Effingham
Property Parcel:
03-11-019-123
Facility Type:
Attended Self-Service Station
Owner Type:
Private
Green Tag Decal:
Z001790
Green Tag Issue Date:
9/9/2024
Green Tag Expiration Date:
12/31/2026
Owner Details
Owner Name:
Pilot Travel Centers, LLC
Owner Address:
5508 Lonas Rd.
Knoxville, TN 37909
Owner Status:
Current Owner
Purchase Date:
7/1/2010
Type of Financial Responsibility:
Commercial Insurance
Financial Responsibility Reporting Due Date:
8/28/2025
Motor Fuel Dispensing Permits
MFD Permit Type
Issue Date
Expiration Date
Self Service
9/9/2024
12/31/2026
Owner Summary
Click for Facility/Tank Ownership history
Owner Number
Owner Name
Owner Status
Purchase Date
U0011913
Pilot Travel Centers, LLC
Current Owner
7/1/2010
U0030842
AFS, LLC
Former Owner
11/6/2003
U0016401
Wilcox, Inc.
Former Owner
Permits (Unexpired)
Click for permit history
Permit Number
Type
Status
OSFM Receive Date
Issue Date
Expiration Date
Documents
00546-2025UPG
Upgrade
Approved / Issued
5/6/2025
5/6/2025
11/6/2025
Documents
Notice of Violations (Current)
No Notice of Violations Found
IEMA Numbers Associated with the Facility
IEMA Number
Inspection Date
Inspection Type
Permit Number
03-1711
11/20/2003
Removal Log
03807-2003REM
03-1712
11/20/2003
Removal Log
03807-2003REM
04-0067
11/20/2003
Removal Log
03807-2003REM
04-0625
5/4/2004
Removal Log
03807-2003REM
LUST
Fund Eligibility and Deductibility Determinations
IEMA Number
Status
OSFM Received Date
OSFM Response Date
Deductible
Letter
92-3467
Eligible
6/13/2001
6/28/2001
$10,000
01-1342
Eligible
10/29/2001
10/30/2001
$10,000
01-1342
Eligible
7/9/2002
7/31/2002
$10,000
92-3467
Eligible
7/9/2002
7/31/2002
$10,000
20040058
Eligible
4/19/2018
4/25/2018
$10,000
Letter
20040625
Eligible
4/19/2018
4/25/2018
$10,000
Letter
20031711
Eligible
4/19/2018
4/25/2018
$10,000
Letter
20011342
Eligible
4/19/2018
4/25/2018
$10,000
Letter
19923467
Eligible
4/19/2018
4/25/2018
$10,000
Letter
20040067
Eligible
5/17/2018
5/17/2018
$10,000
Letter
Pay Tank Fees Online
Tank Information
Tank Number
Capacity
Product
Status
Regulated Status
Red Tag Issued
Fee Due
Abandon/Removal Date
1
12000
Diesel Fuel
Removed
Federal
$0.00
01/16/2004 - REM
2
12000
Diesel Fuel
Removed
Federal
$0.00
01/16/2004 - REM
3
12000
Diesel Fuel
Removed
Federal
$0.00
01/16/2004 - REM
4
12000
Diesel Fuel
Removed
Federal
$0.00
01/16/2004 - REM
5
12000
Diesel Fuel
Removed
Federal
$0.00
01/16/2004 - REM
6
12000
Diesel Fuel
Removed
Federal
$0.00
11/20/2003 - REM
7
12000
Gasoline
Removed
Federal
$0.00
01/20/2004 - REM
8
12000
Gasoline
Removed
Federal
$0.00
01/20/2004 - REM
9
12000
Gasoline
Removed
Federal
$0.00
01/20/2004 - REM
10
10000
Diesel Fuel
Removed
State
$0.00
05/04/2004 - REM
11
2000
Used Oil
Removed
Federal
$0.00
11/20/2003 - REM
12
20000
B-99
Currently in use
Federal
$0.00
13
20000
Diesel Fuel
Currently in use
Federal
$0.00
14
20000
Diesel Fuel
Currently in use
Federal
$0.00
15
20000
Gasoline - Regular
Currently in use
Federal
$0.00
16
12000
Gasoline - Premium
Currently in use
Federal
$0.00
Dispenser Information
Name\ID
Status
1/2
Active
3/4
Active
5/6
Active
7/8
Active
9/10
Active
11/12
Active
13
Active
14/15
Active
16
Active
17
Active
18
Active
19
Active
20
Active
21
Active
23
Active
22 m
Active
22 sat
Active
24
Active
25
Active
26
Active
27
Active
28 m
Active
28 sat
Active
MFD
Motorfuel Dispensing Forms
No Forms Found