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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: 5047577
Status: Active
Facility Name: Jack Flash Pana
Address: 11 South Poplar Street
Pana, IL 62557
County: Christian
Property Parcel: 11-25-22-102-023-00
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Y002276
Green Tag Issue Date: 12/27/2023
Green Tag Expiration Date: 12/31/2025

Owner Details

Owner Name: Wortman Development, LLC
Owner Address: P.O. Box 217
1301 Mansfield Drive
Effingham, IL 62401
Owner Status: Current Owner
Purchase Date: 8/3/2021
Type of Financial Responsibility: Self-Insurance
Financial Responsibility Reporting Due Date: 6/29/2026

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 12/27/2023 12/31/2025

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0040172 Wortman Development, LLC Current Owner 8/3/2021
U0036726 Wortman Holdings, LLC Former Owner

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: 20000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 12/15/2023 Abandoned Material:
Current Age: 2 Abandoned Date:
Install Date: 5/4/2023 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 Composite Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 12/10/2024 12/10/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 12/10/2024 12/10/2025
Overfill Prev Device Overfill Drop Tube Valve 11/17/2023 11/17/2026
Piping Flexible Double Wall OPW Flexworks N/A N/A
Piping Fiberglass Single Wall Piping Ameron Dualoy 3000/L N/A N/A
Piping Single Wall STP/Tanktop Sump 8/18/2023 8/18/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/10/2024 12/10/2025
Spill Contain Device Single Wall Spill Bucket 8/9/2023 8/9/2026
Tank Composite Double Wall Lannon N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping Ameron Dualoy 3000/L Precision Test (Piping) Pass 12/19/2023
Piping Flexible Double Wall OPW Flexworks Precision Test (Piping) Pass 12/10/2024



Tank Number 2

Capacity: 5000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 12/15/2023 Abandoned Material:
Current Age: 2 Abandoned Date:
Install Date: 5/4/2023 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 Composite Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 12/10/2024 12/10/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 12/10/2024 12/10/2025
Overfill Prev Device Overfill Drop Tube Valve 11/17/2023 11/17/2026
Piping Flexible Double Wall OPW Flexworks N/A N/A
Piping Fiberglass Single Wall Piping Ameron Dualoy 3000/L N/A N/A
Piping Single Wall STP/Tanktop Sump 8/18/2023 8/18/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/21/2023 12/21/2024
Spill Contain Device Single Wall Spill Bucket 8/9/2023 8/9/2026
Tank Composite Double Wall Lannon N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping Ameron Dualoy 3000/L Precision Test (Piping) Pass 12/19/2023
Piping Flexible Double Wall OPW Flexworks Precision Test (Piping) Pass 12/10/2024



Tank Number 3

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: 12/15/2023 Abandoned Material:
Current Age: 2 Abandoned Date:
Install Date: 5/4/2023 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 Composite Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 12/10/2024 12/10/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 12/10/2024 12/10/2025
Overfill Prev Device Overfill Drop Tube Valve 12/17/2023 12/17/2026
Piping Flexible Double Wall OPW Flexworks N/A N/A
Piping Fiberglass Single Wall Piping Ameron Dualoy 3000/L N/A N/A
Piping Single Wall STP/Tanktop Sump 8/18/2023 8/18/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/10/2024 12/10/2025
Spill Contain Device Single Wall Spill Bucket 8/9/2023 8/9/2026
Tank Composite Double Wall Lannon N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping Ameron Dualoy 3000/L Precision Test (Piping) Pass 12/19/2023
Piping Flexible Double Wall OPW Flexworks Precision Test (Piping) Pass 12/10/2024



Tank Number 4

Capacity: 20000 Petroleum Use: None
Product: B-11 CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 12/15/2023 Abandoned Material:
Current Age: 2 Abandoned Date:
Install Date: 5/18/2023 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 Composite Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 12/10/2024 12/10/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 12/10/2024 12/10/2025
Overfill Prev Device Overfill Drop Tube Valve 12/17/2023 12/17/2026
Piping Flexible Double Wall OPW Flexworks N/A N/A
Piping Fiberglass Single Wall Piping Ameron Dualoy 3000/L N/A N/A
Piping Single Wall STP/Tanktop Sump 8/18/2023 8/18/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/10/2024 12/10/2025
Spill Contain Device Single Wall Spill Bucket 8/9/2023 8/9/2026
Tank Composite Double Wall Lannon N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping Ameron Dualoy 3000/L Precision Test (Piping) Pass 12/19/2023
Piping Flexible Double Wall OPW Flexworks Precision Test (Piping) Pass 12/10/2024

Dispenser Information



Name\ID 1/2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/18/2023 8/18/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/10/2024 12/10/2025



Name\ID 11/12

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/18/2023 8/18/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/10/2024 12/10/2025



Name\ID 13/14

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/18/2023 8/18/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/10/2024 12/10/2025



Name\ID 15/16

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/18/2023 8/18/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/10/2024 12/10/2025



Name\ID 17/18

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/18/2023 8/18/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/10/2024 12/10/2025



Name\ID 19M

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/18/2023 8/18/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/10/2024 12/10/2025



Name\ID 19S/20M

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/18/2023 8/18/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/10/2024 12/10/2025



Name\ID 20S/21M

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/18/2023 8/18/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/10/2024 12/10/2025



Name\ID 21S

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/18/2023 8/18/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/10/2024 12/10/2025



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/18/2023 8/18/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/10/2024 12/10/2025



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/18/2023 8/18/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/10/2024 12/10/2025



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/18/2023 8/18/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/10/2024 12/10/2025



Name\ID 9/10

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/18/2023 8/18/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/10/2024 12/10/2025

MFD Motorfuel Dispensing Forms

Facility Number Name City Received Date Letter
5047577 Jack Flash Pana Pana 12/11/2023 Letter Form
Office of the Illinois State Fire Marshal
1035 Stevenson Dr. Springfield, IL 62704 | (217) 785-0969 | Contact Us