Division of Petroleum & Chemical Safety

 
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Facility Details

Facility Number: 5006081
Status: Not Installed
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: Y002350
Green Tag Issue Date: 11/7/2023
Green Tag Expiration Date: 12/31/2025

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

Click for Facility/Tank Ownership history
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)

Click for permit history
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 Violations (Current)

NOV Number: E0020250339 (Pending)    Issue Date: 2/7/2025    Expiration Date: 4/8/2025    View NOV Form

Tanks Violation
Facility Annual Emergency Stop Inspection not completed or inspection report not available.
1, 2, 3, 4 Annual leak detection certification not completed (Required annually).
Facility Facility Operation and Maintenance Plan not completed or available. - Adopt and implement a written operations and maintenance plan, signed by both the owner and either a Class A or Class B Operator designated for the UST facility An Operations & Maintenance template is available on the OSFM website.
1, 2, 3, 4 Flex connector sacrificial anode system not tested (required every 3 years) - Test anodes and replace as needed
Facility Missing copies of 30 day Walkthrough Inspection Report.
Facility Missing copies of Annual Walkthrough Inspection Report.
Facility Missing copy of emergency instructions or emergency procedures plan - Emergency Procedures plan shall be maintained on site for viewing and reference as necessary (See Operator Training Rules 176.645). The emergency plan template is available on the OSFM website.
Facility Missing list of designated Class A/B & C Operators - A comprehensive list of Class A / B / C Operator(s) shall be maintained on site.
1, 2, 3, 4 Overfill prevention equipment inspection(s) not completed (Required every 3 years).
1, 2, 3, 4 Triennial spill prevention equipment testing not completed.

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

No Applications Found

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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 Not Installed Federal $0.00
6 4000 Gasoline - Premium Not Installed Federal $0.00
7 4000 Diesel Fuel Not Installed Federal $0.00

Dispenser Information

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

MFD Motorfuel Dispensing Forms

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