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JB Pritzker, Governor
Michele L Pankow, State Fire Marshal
Division of Petroleum & Chemical Safety
State of Illinois
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Division of Petroleum & Chemical Safety
Facility Details
Facility Number:
4047226
Status:
Active
Facility Name:
Sam's Club #6334
Address:
4334 Prospect Drive Decatur, IL 62526
County:
Macon
Property Parcel:
07-07-26-151-002
Facility Type:
Attended Self-Service Station
Owner Type:
Private
Green Tag Decal:
AA01045
Green Tag Issue Date:
6/6/2025
Green Tag Expiration Date:
12/31/2027
Owner Details
Owner Name:
Sam's West, Inc.
Owner Address:
2101 SE Simple Savings Drive Bentonville, AR 727160745
Owner Status:
Current Owner
Purchase Date:
1/28/1992
Type of Financial Responsibility:
Commercial Insurance
Financial Responsibility Reporting Due Date:
4/29/2026
Motor Fuel Dispensing Permits
MFD Permit Type
Issue Date
Expiration Date
Self Service
6/6/2025
12/31/2027
Owner Summary
Click for Facility/Tank Ownership history
Owner Number
Owner Name
Owner Status
Purchase Date
U0029973
Sam's West, Inc.
Current Owner
1/28/1992
Permits (Unexpired)
Click for permit history
No Active Permits Found
Notice of Violatlions (Current)
No Notice of Violations Found
IEMA Numbers Associated with the Facility
No IEMA Numbers Found
LUST
Fund Eligibility and Deductibility Determinations
No Applications Found
Pay Tank Fees Online
Tank Information
Tank Number 1
Capacity:
20000
Petroleum Use:
Product:
Gasoline - Regular
CERCLA Substance:
Status:
Currently in use
CAS Code:
Regulated Status:
Federal
Removed Date:
OSFM
First Notify Date:
9/28/2021
Abandoned Material:
Current Age:
3
Abandoned Date:
Install Date:
7/21/2021
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
9/28/2021
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
Mechanical Pressurized Line Leak Detection
8/6/2025
8/6/2026
Leak Detect - Tank
Non-Discriminating Interstitial Monitoring Sensors With Monitor
8/6/2025
8/6/2026
Overfill Prev Device
Overfill Drop Tube Valve
9/6/2024
9/6/2027
Piping
Flexible Double Wall OPW Flexworks
N/A
N/A
Piping
Single Wall STP/Tanktop Sump
8/20/2024
8/20/2027
Leak Detect - Piping
Sump Sensor with positive shutdown
8/6/2025
8/6/2026
Spill Contain Device
Double Wall Spill Bucket
8/6/2025
8/6/2028
Tank
Fiberglass Double Wall XERXES
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Piping
Flexible Double Wall OPW Flexworks
Precision Test (Piping)
Pass
8/6/2025
Tank
Fiberglass Double Wall XERXES
Precision Test (Tank)
Pass
9/30/2021
Tank Number 2
Capacity:
20000
Petroleum Use:
Product:
Gasoline - Regular
CERCLA Substance:
Status:
Currently in use
CAS Code:
Regulated Status:
Federal
Removed Date:
OSFM
First Notify Date:
9/28/2021
Abandoned Material:
Current Age:
3
Abandoned Date:
Install Date:
7/21/2021
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
9/28/2021
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
Mechanical Pressurized Line Leak Detection
8/6/2025
8/6/2026
Leak Detect - Tank
Non-Discriminating Interstitial Monitoring Sensors With Monitor
8/6/2025
8/6/2026
Overfill Prev Device
Overfill Drop Tube Valve
8/13/2024
8/13/2027
Piping
Flexible Double Wall OPW Flexworks
N/A
N/A
Piping
Single Wall STP/Tanktop Sump
8/20/2024
8/20/2027
Leak Detect - Piping
Sump Sensor with positive shutdown
8/6/2025
8/6/2026
Spill Contain Device
Double Wall Spill Bucket
8/6/2025
8/6/2028
Tank
Fiberglass Double Wall XERXES
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Piping
Flexible Double Wall OPW Flexworks
Precision Test (Piping)
Pass
8/6/2025
Tank
Fiberglass Double Wall XERXES
Precision Test (Tank)
Pass
9/30/2021
Tank Number 3
Capacity:
12000
Petroleum Use:
Product:
Gasoline - Premium
CERCLA Substance:
Status:
Currently in use
CAS Code:
Regulated Status:
Federal
Removed Date:
OSFM
First Notify Date:
9/28/2021
Abandoned Material:
Current Age:
3
Abandoned Date:
Install Date:
7/21/2021
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
9/28/2021
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
Mechanical Pressurized Line Leak Detection
8/6/2025
8/6/2026
Leak Detect - Tank
Non-Discriminating Interstitial Monitoring Sensors With Monitor
8/6/2025
8/6/2026
Overfill Prev Device
Overfill Drop Tube Valve
8/13/2024
8/13/2027
Piping
Flexible Double Wall OPW Flexworks
N/A
N/A
Piping
Single Wall STP/Tanktop Sump
8/20/2024
8/20/2027
Leak Detect - Piping
Sump Sensor with positive shutdown
8/6/2025
8/6/2026
Spill Contain Device
Double Wall Spill Bucket
8/6/2025
8/6/2028
Tank
Fiberglass Double Wall XERXES
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Piping
Flexible Double Wall OPW Flexworks
Precision Test (Piping)
Pass
8/6/2025
Tank
Fiberglass Double Wall XERXES
Precision Test (Tank)
Pass
9/30/2021
Tank Number 4
Capacity:
8000
Petroleum Use:
None
Product:
Diesel Fuel
CERCLA Substance:
Status:
Currently in use
CAS Code:
Regulated Status:
Federal
Removed Date:
OSFM
First Notify Date:
9/28/2021
Abandoned Material:
Current Age:
3
Abandoned Date:
Install Date:
7/21/2021
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
9/28/2021
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
Mechanical Pressurized Line Leak Detection
8/6/2025
8/6/2026
Leak Detect - Tank
Non-Discriminating Interstitial Monitoring Sensors With Monitor
8/6/2025
8/6/2026
Overfill Prev Device
Overfill Drop Tube Valve
8/13/2024
8/13/2027
Piping
Flexible Double Wall OPW Flexworks
N/A
N/A
Piping
Single Wall STP/Tanktop Sump
8/20/2024
8/20/2027
Leak Detect - Piping
Sump Sensor with positive shutdown
8/6/2025
8/6/2026
Spill Contain Device
Double Wall Spill Bucket
8/6/2025
8/6/2028
Tank
Fiberglass Double Wall XERXES
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Piping
Flexible Double Wall OPW Flexworks
Precision Test (Piping)
Pass
8/6/2025
Tank
Fiberglass Double Wall XERXES
Precision Test (Tank)
Pass
9/30/2021
Dispenser Information
Name\ID 1/2
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
8/20/2024
8/20/2027
Leak Detect - Piping
Sump Sensor with positive shutdown
8/6/2025
8/6/2026
Name\ID 11/12
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
8/20/2024
8/20/2027
Leak Detect - Piping
Sump Sensor with positive shutdown
8/6/2025
8/6/2026
Name\ID 13/14
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
8/20/2024
8/20/2027
Leak Detect - Piping
Sump Sensor with positive shutdown
8/6/2025
8/6/2026
Name\ID 15/16
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
8/20/2024
8/20/2027
Leak Detect - Piping
Sump Sensor with positive shutdown
8/6/2025
8/6/2026
Name\ID 3/4
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
8/20/2024
8/20/2027
Leak Detect - Piping
Sump Sensor with positive shutdown
8/6/2025
8/6/2026
Name\ID 5/6
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
8/20/2024
8/20/2027
Leak Detect - Piping
Sump Sensor with positive shutdown
8/6/2025
8/6/2026
Name\ID 7/8
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
8/20/2024
8/20/2027
Leak Detect - Piping
Sump Sensor with positive shutdown
8/6/2025
8/6/2026
Name\ID 9/10
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
8/20/2024
8/20/2027
Leak Detect - Piping
Sump Sensor with positive shutdown
8/6/2025
8/6/2026
MFD
Motorfuel Dispensing Forms
Facility Number
Name
City
Received Date
Letter
4047226
Sam's Club #6334
Decatur
04/21/2021
Letter
Form
