Information

JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
Employment Opportunities
Ready Illinois
Find us on Facebook

Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	4008047
Status:	Active
Facility Name:	Holiday Jack Flash
Address:	1502 West Fayette Avenue Effingham, IL 62401
County:	Effingham
Property Parcel:	03-11-019-044
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z001744
Green Tag Issue Date:	5/9/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Wortman-Meyer Properties, LLC
Owner Address:	1502 W. Fayette Effingham, IL 62401
Owner Status:	Current Owner
Purchase Date:	8/1/1999
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	6/29/2026

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	5/9/2024	12/31/2026

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0035617	Wortman-Meyer Properties, LLC	Current Owner	8/1/1999
U0026848	Wortman Properties, Inc.	Former Owner	7/1/1995
U0008722	L. Keller Oil Properties, Inc.	Former Owner	12/31/1967
U0032717	Wortman-Meyer Properties, LLC	Former Owner

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
99-0303	2/10/1999	Removal Log	1060-98

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
98-0523	Eligible	8/11/1998	9/28/1998	$10,000
20200898	Eligible	12/7/2020	12/11/2020	$5,000	Letter

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:	2/10/1999
OSFM First Notify Date:	3/20/1986		Abandoned Material:
Current Age:	29		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			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:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	2/10/1999
OSFM First Notify Date:	3/20/1986		Abandoned Material:
Current Age:	29		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			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 3

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	2/10/1999
OSFM First Notify Date:	3/20/1986		Abandoned Material:
Current Age:	29		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			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 4

Capacity:	500		Petroleum Use:
Product:	Used Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/1/1996
OSFM First Notify Date:	3/20/1986		Abandoned Material:
Current Age:	29		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			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 5

Capacity:	550		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	10/1/1996
OSFM First Notify Date:	7/1/1992		Abandoned Material:
Current Age:	20		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			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 6

Capacity:	10000		Petroleum Use:
Product:	B-11		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	10/6/1998		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	9/11/1998		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/11/1998

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	11/25/2024	11/25/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	11/25/2024	11/25/2025
Overfill Prev Device	Overfill Drop Tube Valve	11/30/2023	11/30/2026
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	11/30/2023	11/30/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	11/25/2024	11/25/2025
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	11/30/2023	11/30/2026
Tank	Composite Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test (Piping)	Pass	12/9/2019
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test (Piping)	Pass	11/25/2024
Tank	Composite Single Wall	Precision Test (Tank)	Pass	12/1/2020

Tank Number 7

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	10/6/1998		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	9/11/1998		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/11/1998

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	11/25/2024	11/25/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	11/25/2024	11/25/2025
Overfill Prev Device	Overfill Drop Tube Valve	11/30/2023	11/30/2026
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	11/30/2023	11/30/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	11/25/2024	11/25/2025
Spill Contain Device	Single Wall Spill Bucket	11/30/2023	11/30/2026
Tank	Composite Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test (Piping)	Pass	12/9/2019
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test (Piping)	Pass	11/25/2024
Tank	Composite Single Wall	Precision Test (Tank)	Pass	12/1/2020

Tank Number 8

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	10/6/1998		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	9/11/1998		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/11/1998

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	11/25/2024	11/25/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	11/25/2024	11/25/2025
Overfill Prev Device	Overfill Drop Tube Valve	11/30/2023	11/30/2026
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	11/30/2023	11/30/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	11/25/2024	11/25/2025
Spill Contain Device	Single Wall Spill Bucket	11/30/2023	11/30/2026
Tank	Composite Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test (Piping)	Pass	12/9/2019
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test (Piping)	Pass	11/25/2024
Tank	Composite Single Wall	Precision Test (Tank)	Pass	12/1/2020

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/30/2023	11/30/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	11/25/2024	11/25/2025

Name\ID 1/3 old

Status:	Removed

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	N/A	N/A

Name\ID 10/12 old

Status:	Removed

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	N/A	N/A

Name\ID 2/4 old

Status:	Removed

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	N/A	N/A

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/30/2023	11/30/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	11/25/2024	11/25/2025

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/30/2023	11/30/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	11/25/2024	11/25/2025

Name\ID 5/7 old

Status:	Removed

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	N/A	N/A

Name\ID 6/8 old

Status:	Removed

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	N/A	N/A

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/30/2023	11/30/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	11/25/2024	11/25/2025

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/30/2023	11/30/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	11/25/2024	11/25/2025

Name\ID 9/11

Status:	InActive

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	N/A	N/A

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
4008047	Holiday Jack Flash	Effingham	11/23/2020	Letter Form
4008047	Holiday Jack Flash	Effingham	11/17/2020	Letter Form