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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

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Facility Details

Facility Number:	5006081
Status:	Active
Facility Name:	Jay Sadhimaa Five, Inc.
Address:	152 W. Chestnut Street Mason City, IL 62664
County:	Mason
Property Parcel:	20-07-223-010
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	AA00562
Green Tag Issue Date:	7/1/2025
Green Tag Expiration Date:	12/31/2027

Owner Details

Owner Name:	Jay Sadhimaa Five, Inc.
Owner Address:	152 W. Chestnut Street Mason City, IL 62664
Owner Status:	Current Owner
Purchase Date:	10/5/2023
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	1/14/2026

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	11/7/2023	12/31/2025

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0041105	Jay Sadhimaa Five, Inc.	Current Owner	10/5/2023
U0035972	Spring Hill Petroleum, Inc.	Former Owner	10/6/2010
U0031126	Sunrise Ag. Service Company	Former Owner	8/15/2003
U0029789	Clark Retail Enterprises, Inc.	Former Owner	3/6/2001
U0015984	Wareco Service, Inc.	Former Owner

Permits (Unexpired)

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Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
00484-2025REM	Removal	Approved / Issued	4/23/2025	4/23/2025	10/23/2025	Documents
00482-2025INS	Install	Approved / Issued	4/22/2025	4/23/2025	10/23/2025	Documents

Notice of Violatlions (Current)

No Notice of Violations Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
N/A	5/14/2025	Removal Log	00484-2025REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
20250455	Eligible	7/31/2025	7/31/2025	$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	8300	Gasoline - Regular	Removed	Federal		$0.00	05/14/2025 - REM
2	8300	Gasoline - Premium	Removed	Federal		$0.00	05/14/2025 - REM
3	8300	Diesel Fuel	Removed	Federal		$0.00	05/14/2025 - REM
4	4000	Kerosene	Removed	Federal		$0.00	05/14/2025 - REM
5	12000	Gasoline - Regular	Currently in use	Federal		$0.00
6	4000	Gasoline - Premium	Currently in use	Federal		$0.00
7	4000	Diesel Fuel	Currently in use	Federal		$0.00

Dispenser Information

Name\ID	Status
1/2	InActive
3/4	InActive
5/6	Active
7/8	Active
9	Active
UDC-1/2	Active
UDC-3/4	Active

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
5006081	Jay Sadhimaa Five, Inc.	Mason City	04/22/2025	Letter Form