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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: 5019579
Status: Active
Facility Name: Medland, Inc.
Address: 216 N. State Street
Jerseyville, IL 62052
County: Jersey
Property Parcel:
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Y001972
Green Tag Issue Date: 8/31/2023
Green Tag Expiration Date: 12/31/2025

Owner Details

Owner Name: Medland, Inc.
Owner Address: P.O. Box 306
Jerseyville, IL 62052
Owner Status: Current Owner
Purchase Date: 1/1/1986
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 3/14/2026

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 8/31/2023 12/31/2025

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0010053 Medland, Inc. Current Owner 1/1/1986

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

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information



Tank Number 1

Capacity: 10000 Petroleum Use: None
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 4/15/1986 Abandoned Material:
Current Age: 39 Abandoned Date:
Install Date: 1/1/1986 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 1/1/1986

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank STIP3 Cathodic Protection with Dielectric Coating 5/23/2023 5/23/2026
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 5/29/2024 5/29/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 5/29/2024 5/29/2025
Overfill Prev Device Overfill Drop Tube Valve 6/21/2022 6/21/2025
Piping Flexible Double Wall A.P.T. Poly Tech N/A N/A
Piping Single Wall STP/Tanktop Sump 6/21/2022 6/21/2025
Leak Detect - Piping Sump Sensor 5/29/2024 5/29/2025
Spill Contain Device Single Wall Spill Bucket 6/21/2022 6/21/2025
Tank STIP3 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
Piping Flexible Double Wall A.P.T. Poly Tech Precision Test (Piping) Pass 5/29/2024



Tank Number 2

Capacity: 10000 Petroleum Use: None
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 4/15/1986 Abandoned Material:
Current Age: 39 Abandoned Date:
Install Date: 1/1/1986 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 1/1/1986

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank STIP3 Cathodic Protection with Dielectric Coating 5/23/2023 5/23/2026
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 5/29/2024 5/29/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 5/29/2024 5/29/2025
Overfill Prev Device Overfill Drop Tube Valve 6/21/2022 6/21/2025
Piping Flexible Double Wall A.P.T. Poly Tech N/A N/A
Piping Single Wall STP/Tanktop Sump 6/21/2022 6/21/2025
Leak Detect - Piping Sump Sensor 5/29/2024 5/29/2025
Spill Contain Device Single Wall Spill Bucket 6/21/2022 6/21/2025
Tank STIP3 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
Piping Flexible Double Wall A.P.T. Poly Tech Precision Test (Piping) Pass 5/29/2024



Tank Number 3

Capacity: 10000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 4/15/1986 Abandoned Material:
Current Age: 39 Abandoned Date:
Install Date: 1/1/1986 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 1/1/1986

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank STIP3 Cathodic Protection with Dielectric Coating 5/23/2023 5/23/2026
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 5/29/2024 5/29/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 5/29/2024 5/29/2025
Overfill Prev Device Overfill Drop Tube Valve 6/21/2022 6/21/2025
Piping Flexible Double Wall A.P.T. Poly Tech N/A N/A
Piping Single Wall STP/Tanktop Sump 6/21/2022 6/21/2025
Leak Detect - Piping Non-Discriminating Sump Sensor 5/26/2021 5/26/2022
Leak Detect - Piping Sump Sensor 5/29/2024 5/29/2025
Spill Contain Device Single Wall Spill Bucket 6/21/2022 6/21/2025
Tank STIP3 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
Piping Flexible Double Wall A.P.T. Poly Tech Precision Test (Piping) Pass 5/29/2024

Dispenser Information



Name\ID 1/2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated Not Installed N/A N/A



Name\ID 11/12

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated Not Installed N/A N/A



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated Not Installed N/A N/A



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated Not Installed N/A N/A



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated Not Installed N/A N/A



Name\ID 9/10

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated Not Installed N/A N/A

MFD Motorfuel Dispensing Forms

No Forms Found

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