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:	4009945
Status:	Closed
Facility Name:	Clark #5596
Address:	1001 West Fayette Effingham, IL 62401
County:	Effingham
Property Parcel:
Facility Type:	Attended Self-Service/Unattended Self-Service
Owner Type:	Private
Green Tag Decal:	C003198
Green Tag Issue Date:	12/13/2001
Green Tag Expiration Date:	12/31/2004

Owner Details

Owner Name:	Niebrugge Oil Company
Owner Address:	P.O. Box 165 2101 South Banker Street Effingham, IL 624012814
Owner Status:	Current Owner
Purchase Date:	8/27/2002
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
U0017339	Niebrugge Oil Company	Current Owner	8/27/2002
U0020686	A-Jay Enterprises	Former Owner	1/27/1998
U0003073	Clark Retail Enterprises, Inc.	Former Owner	12/31/1967

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

IEMA Number	Inspection Date	Inspection Type	Permit Number
03-0004	3/19/2003	Removal Log	02211-2003REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
03-0004	Eligible	2/14/2003	3/6/2003	$10,000
20030004	Eligible	2/6/2019	2/6/2019	$10,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	7500		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/19/2003
OSFM First Notify Date:	5/2/1986		Abandoned Material:
Current Age:	33		Abandoned Date:
Install Date:	1/1/1970		Red Tag Issue Date:
Last Used Date:	12/10/2002		Fee Due:	$0.00
Product Date:	1/1/1970

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:	7500		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/19/2003
OSFM First Notify Date:	5/2/1986		Abandoned Material:
Current Age:	33		Abandoned Date:
Install Date:	1/1/1970		Red Tag Issue Date:
Last Used Date:	12/10/2002		Fee Due:	$0.00
Product Date:	1/1/1970

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