Information

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James A. Rivera, 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:	5010145
Status:	Closed
Facility Name:	Former Clark Station
Address:	907 South 12th Street Quincy, IL 62301
County:	Adams
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	F001101
Green Tag Issue Date:	1/26/2005
Green Tag Expiration Date:	12/31/2007

Owner Details

Owner Name:	Margul, Dorothy
Owner Address:	636 Hampshire, Suite 102 c/o Dr. Stan Margul, Co-Executor Creve Coeur, MO 63141
Owner Status:	Current Owner
Purchase Date:	7/17/1957
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	8/2/2004	8/1/2005

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0009689	Margul, Dorothy	Current Owner	7/17/1957
U0003073	Clark Retail Enterprises, Inc.	Former Owner	12/31/1967

Permits (Unexpired)

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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
06-0007	8/24/2006	Removal Log	01133-2006REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
06-0007	Eligible	2/16/2006	3/16/2006	$10,000

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	6000	Gasoline	Removed	Exempt			07/23/1986 - REM
2	6000	Gasoline	Removed	Exempt			07/23/1986 - REM
3	10000	Gasoline	Removed	Federal		$0.00	08/24/2006 - REM
4	10000	Gasoline	Removed	Federal		$0.00	08/24/2006 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found