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:	5006069
Status:	Closed
Facility Name:	Mac's #1219
Address:	238 East Morton Jacksonville, IL 62650
County:	Morgan
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	P001294
Green Tag Issue Date:	7/1/2014
Green Tag Expiration Date:	12/31/2016

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:	8/20/2003
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	12/1/2016

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	4/8/2014	12/31/2016

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0030949	Mac's Convenience Stores, LLC	Current Owner	8/20/2003
U0029789	Clark Retail Enterprises, Inc.	Former Owner	3/7/2001
U0015984	Wareco Service, Inc.	Former Owner

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
16-0404	5/18/2016	Removal Log	00409-2016REM
16-0404	5/17/2016	Removal Log	00409-2016REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
04-0148	Eligible	7/23/2004	8/10/2004	$10,000
20160404	Eligible	7/26/2016	7/27/2016	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	5/18/2016
OSFM First Notify Date:	12/10/1985		Abandoned Material:
Current Age:	45		Abandoned Date:
Install Date:	1/1/1971		Red Tag Issue Date:
Last Used Date:	5/18/2016		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	2/24/2014	2/24/2017
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	7/20/2010	7/20/2015
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	6/2/2015	6/2/2016
Leak Detect - Tank	Automatic Tank Gauging Incon TS 550 with SCALD
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	5/18/2016
OSFM First Notify Date:	12/10/1985		Abandoned Material:
Current Age:	39		Abandoned Date:
Install Date:	1/1/1977		Red Tag Issue Date:
Last Used Date:	5/18/2016		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	2/24/2014	2/24/2017
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	7/20/2010	7/20/2015
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	6/2/2015	6/2/2016
Leak Detect - Tank	Automatic Tank Gauging Incon TS 550 with SCALD
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	10000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	5/18/2016
OSFM First Notify Date:	12/10/1985		Abandoned Material:
Current Age:	40		Abandoned Date:
Install Date:	1/1/1976		Red Tag Issue Date:
Last Used Date:	5/18/2016		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	2/24/2014	2/24/2017
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	7/21/2010	7/21/2015
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	6/2/2015	6/2/2016
Leak Detect - Tank	Automatic Tank Gauging Incon TS 550 with SCALD
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	5/17/2016
OSFM First Notify Date:	12/10/1985		Abandoned Material:
Current Age:	39		Abandoned Date:
Install Date:	1/1/1977		Red Tag Issue Date:
Last Used Date:	5/17/2016		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	2/24/2014	2/24/2017
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	7/20/2010	7/20/2015
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	6/2/2015	6/2/2016
Leak Detect - Tank	Automatic Tank Gauging Incon TS 550 with SCALD
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 6

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	5/17/2016
OSFM First Notify Date:	12/10/1985		Abandoned Material:
Current Age:	37		Abandoned Date:
Install Date:	1/1/1979		Red Tag Issue Date:
Last Used Date:	5/17/2016		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	2/24/2014	2/24/2017
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	7/21/2010	7/21/2015
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	6/2/2015	6/2/2016
Leak Detect - Tank	Automatic Tank Gauging Incon TS 550 with SCALD
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 7

Capacity:	6000		Petroleum Use:
Product:	Kerosene		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	5/17/2016
OSFM First Notify Date:	12/10/1985		Abandoned Material:
Current Age:	39		Abandoned Date:
Install Date:	1/1/1977		Red Tag Issue Date:
Last Used Date:	5/17/2016		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	2/24/2014	2/24/2017
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	7/20/2010	7/20/2015
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	6/2/2015	6/2/2016
Leak Detect - Tank	Automatic Tank Gauging Incon TS 550 with SCALD
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found