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:	4042485
Status:	Closed
Facility Name:	Circle K Convenience Store #1234
Address:	1501 N. Lincoln Avenue Urbana, IL 61801
County:	Champaign
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z000999
Green Tag Issue Date:	8/1/2024
Green Tag Expiration Date:	1/23/2025

Owner Details

Owner Name:	Bushmann, L.L.C.
Owner Address:
Owner Status:	Current Owner
Purchase Date:	10/28/2004
Type of Financial Responsibility:	Guarantee
Financial Responsibility Reporting Due Date:	10/24/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	8/1/2024	12/31/2026

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0032329	Bushmann, L.L.C.	Current Owner	10/28/2004

Permits (Unexpired)

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Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
00031-2025REM	Removal	Approved / Issued	1/10/2025	1/10/2025	7/10/2025	Documents

Notice of Violations (Current)

No Notice of Violations Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
N/A	1/22/2025	Removal Log	00031-2025REM

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	15000	Gasoline - Regular	Removed	Federal		$0.00	01/22/2025 - REM
2	10000	Gasoline - Premium	Removed	Federal		$0.00	01/22/2025 - REM

Dispenser Information

Name\ID	Status
1/2	Active
3/4	Active
5/6	Active
7/8	Active
9/10	Active

MFD Motorfuel Dispensing Forms

No Forms Found