Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 5029957
Status: Active
Facility Name: Golden Convenient, LLC
Address: 200 Emminaga Road
Golden, IL 62339
County: Adams
Property Parcel:
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Y000711
Green Tag Issue Date: 3/3/2023
Green Tag Expiration Date: 12/31/2025

Owner Details

Owner Name: Golden Convenient, LLC
Owner Address: 200 Emminaga Road
Golden, IL 62339
Owner Status: Current Owner
Purchase Date: 11/20/2016
Type of Financial Responsibility: Designated Savings Account
Financial Responsibility Reporting Due Date: 5/17/2026

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 3/3/2023 12/31/2025

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0038678 Golden Convenient, LLC Current Owner 11/20/2016
U0021278 Forman Enterprises, Inc. Former Owner 12/2/1998
U0019435 R&P Quik Ser Former Owner 9/15/1989
U0020646 Golden Pit Stop Former Owner 12/31/1967

Permits (Unexpired)

Click for permit history
Permit Number Type Status OSFM Receive Date Issue Date Expiration Date Documents
00599-2025CAT Cathodic Protection Approved / Issued 5/14/2025 5/15/2025 11/17/2025 Documents

Notice of Violations (Current)

NOV Number: E0020250851 (Pending)    Issue Date: 4/1/2025    Expiration Date: 5/31/2025    View NOV Form

Tanks Violation
4, 5, 6 Spill prevention equipment contains liquid/debris and must be cleared of materials and maintained clean and dry.
4 Water in containment with required interstitial sensors - Remove water and repair containments to prevent water ingress.
4, 5, 6 Water in containment without required interstitial sensors - install cathodic protection on all exposed steel. - All Dispenser UDC's.

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: 2000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 8/12/1999
OSFM First Notify Date: 9/6/1989 Abandoned Material:
Current Age: 15 Abandoned Date:
Install Date: Red Tag Issue Date:
Last Used Date: 12/20/1998 Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 2

Capacity: 2000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 8/12/1999
OSFM First Notify Date: 9/6/1989 Abandoned Material:
Current Age: 15 Abandoned Date:
Install Date: Red Tag Issue Date:
Last Used Date: 12/20/1998 Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 3

Capacity: 4000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 8/25/1999
OSFM First Notify Date: 9/6/1989 Abandoned Material:
Current Age: 15 Abandoned Date:
Install Date: Red Tag Issue Date:
Last Used Date: 12/20/1998 Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 4

Capacity: 6000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 9/6/1989 Abandoned Material:
Current Age: 41 Abandoned Date:
Install Date: 9/6/1983 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 6/13/2024 6/13/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350j with CSLD 6/13/2024 6/13/2025
Overfill Prev Device Overfill Drop Tube Valve 8/15/2022 8/15/2025
Piping Flexible Double Wall Environ Geo Flex N/A N/A
Piping Flex Connector Steel N/A N/A
Piping Single Wall STP/Tanktop Sump 8/15/2022 8/15/2025
Leak Detect - Piping Sump Sensor 6/13/2024 6/13/2025
Spill Contain Device Single Wall Spill Bucket 8/15/2022 8/15/2025
Tank Fiberglass 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 5

Capacity: 12000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 1/6/2000 Abandoned Material:
Current Age: 25 Abandoned Date:
Install Date: 8/10/1999 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 8/10/1999

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 6/13/2024 6/13/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350j with CSLD 6/13/2024 6/13/2025
Overfill Prev Device Overfill Drop Tube Valve 8/15/2022 8/15/2025
Piping Flexible Double Wall Environ Geo Flex N/A N/A
Piping Flex Connector Steel N/A N/A
Piping Single Wall STP/Tanktop Sump 6/13/2024 6/13/2027
Leak Detect - Piping Sump Sensor 6/13/2024 6/13/2025
Spill Contain Device Single Wall Spill Bucket 8/15/2022 8/15/2025
Tank Fiberglass 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: 4000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 1/26/2000 Abandoned Material:
Current Age: 25 Abandoned Date:
Install Date: 9/30/1999 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 9/30/1999

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 6/13/2024 6/13/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350j with CSLD 6/13/2024 6/13/2025
Overfill Prev Device Overfill Drop Tube Valve 8/15/2022 8/15/2025
Piping Flexible Double Wall Environ Geo Flex N/A N/A
Piping Flex Connector Steel N/A N/A
Piping Single Wall STP/Tanktop Sump 6/13/2024 6/13/2027
Leak Detect - Piping Sump Sensor 6/13/2024 6/13/2025
Spill Contain Device Single Wall Spill Bucket 8/15/2022 8/15/2025
Tank Fiberglass 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



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 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

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