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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:
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
Click for Facility/Tank Ownership history
Owner Number
Owner Name
Owner Status
Purchase Date
U0032329
Bushmann, L.L.C.
Current Owner
10/28/2004
Permits (Unexpired)
Click for permit history
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 1
Capacity:
15000
Petroleum Use:
Product:
Gasoline - Regular
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
1/22/2025
OSFM
First Notify Date:
2/1/2005
Abandoned Material:
Current Age:
20
Abandoned Date:
Install Date:
10/28/2004
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
10/28/2004
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Flexible Non-Corrosive
N/A
N/A
Corrosion Prot - Tank
Fiberglass Non-Corrosive
N/A
N/A
Leak Detect - Piping
Electronic Pressurized Line Leak Detection
10/25/2024
10/25/2025
Leak Detect - Tank
Non-Discriminating Interstitial Monitoring Sensors With Monitor
10/25/2024
10/25/2025
Overfill Prev Device
Overfill Drop Tube Valve
11/15/2023
11/15/2026
Piping
Flexible Double Wall
N/A
N/A
Piping
Single Wall STP/Tanktop Sump
3/4/2022
3/4/2025
Leak Detect - Piping
Sump Sensor
10/25/2024
10/25/2025
Spill Contain Device
Single Wall Spill Bucket
11/15/2023
11/15/2026
Tank
Fiberglass Double Wall
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Piping
Flexible Double Wall
Precision Test (Piping)
Pass
10/25/2024
Tank Number 2
Capacity:
10000
Petroleum Use:
Product:
Gasoline - Premium
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
1/22/2025
OSFM
First Notify Date:
2/1/2005
Abandoned Material:
Current Age:
20
Abandoned Date:
Install Date:
10/28/2004
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
10/28/2004
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Flexible Non-Corrosive
N/A
N/A
Corrosion Prot - Tank
Fiberglass Non-Corrosive
N/A
N/A
Leak Detect - Piping
Electronic Pressurized Line Leak Detection
10/25/2024
10/25/2025
Leak Detect - Tank
Non-Discriminating Interstitial Monitoring Sensors With Monitor
10/25/2024
10/25/2025
Overfill Prev Device
Overfill Drop Tube Valve
11/15/2023
11/15/2026
Piping
Flexible Double Wall
N/A
N/A
Piping
Single Wall STP/Tanktop Sump
3/4/2022
3/4/2025
Leak Detect - Piping
Sump Sensor
10/25/2024
10/25/2025
Spill Contain Device
Single Wall Spill Bucket
11/15/2023
11/15/2026
Tank
Fiberglass Double Wall
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Piping
Flexible Double Wall
Precision Test (Piping)
Pass
10/25/2024
Dispenser Information
Name\ID 1/2
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
Leak Detect - Piping
Piping Sump Sensors Not Regulated Not Installed
N/A
N/A
Name\ID 3/4
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
Leak Detect - Piping
Piping Sump Sensors Not Regulated Not Installed
N/A
N/A
Name\ID 5/6
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
Leak Detect - Piping
Piping Sump Sensors Not Regulated Not Installed
N/A
N/A
Name\ID 7/8
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
Leak Detect - Piping
Piping Sump Sensors Not Regulated Not Installed
N/A
N/A
Name\ID 9/10
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
Leak Detect - Piping
Piping Sump Sensors Not Regulated Not Installed
N/A
N/A
MFD
Motorfuel Dispensing Forms
No Forms Found
