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

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Facility Details

Facility Number:	4017305
Status:	Closed
Facility Name:	Circle K #4700097
Address:	1101 N. Prospect Champaign, IL 61820
County:	Champaign
Property Parcel:	41-20-11-230-020
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	U001602
Green Tag Issue Date:	1/4/2019
Green Tag Expiration Date:	12/27/2021

Owner Details

Owner Name:	Mac's Convenience Stores, LLC
Owner Address:	1100 Situs Court, Suite 100 Raleigh, NC 27606
Owner Status:	Current Owner
Purchase Date:	12/30/2020
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	3/17/2021	12/31/2023

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0030949	Mac's Convenience Stores, LLC	Current Owner	12/30/2020
U0030259	Kooshtard Property IV, LLC	Former Owner	6/21/2001
U0023515	Johnson Oil Company, L.L.C.	Former Owner	9/14/1994
U0014431	Amoco Oil Company	Former Owner	12/31/1967

Permits (Unexpired)

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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
21-0476	6/17/2021	Removal Log	00622-2021REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
90-0707	Eligible	3/18/1997	4/21/1997	$15,000
20210476	Eligible	12/13/2021	12/14/2021	$5,000	Letter

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Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	300	Heating Oil	Removed	State		$0.00	08/29/1990 - REM
2	1000	Used Oil	Removed	Federal		$0.00	08/29/1990 - REM
3	6000	Gasoline	Removed	Federal		$0.00	08/10/1990 - REM
4	6000	Gasoline	Removed	Federal		$0.00	08/10/1990 - REM
5	8000	Gasoline	Removed	Federal		$0.00	08/10/1990 - REM
6	12000	Gasoline	Removed	Federal		$0.00	04/13/1995 - REM
7	12000	Gasoline	Removed	Federal		$0.00	04/13/1995 - REM
8	12000	Gasoline	Removed	Federal		$0.00	04/13/1995 - REM
9	550	Used Oil	Removed	Federal		$0.00	04/13/1995 - REM
10	550	Heating Oil	Removed	State		$0.00	04/13/1995 - REM
11	12000	Gasoline - Regular	Removed	Federal		$0.00	06/17/2021 - REM
12	12000	Gasoline - Premium	Removed	Federal		$0.00	06/17/2021 - REM

Dispenser Information

Name\ID	Status
1/2	Active
3/4	Active
5/6	Active
7/8	Active

MFD Motorfuel Dispensing Forms

No Forms Found