Information

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

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Facility Details

Facility Number:	6000108
Status:	Active
Facility Name:	Collinsville Mini Mart
Address:	601 West Main St. Collinsville, IL 62234
County:	Madison
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y000187
Green Tag Issue Date:	6/26/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Bhavani Investment, Inc.
Owner Address:	601 West Main St. Collinsville, IL 62234
Owner Status:	Current Owner
Purchase Date:	4/12/2017
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	12/13/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	6/26/2023	12/31/2025

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0038646	Bhavani Investment, Inc.	Current Owner	4/12/2017
U0030949	Mac's Convenience Stores, LLC	Former Owner	2/15/2013
U0004080	Dickerson Petroleum	Former Owner	9/4/1980

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
17-0177	3/7/2017	Removal Log	01550-2016REM
17-0177	3/8/2017	Removal Log	01550-2016REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
20170177	Eligible	6/27/2017	6/27/2017	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	10000	Gasoline	Removed	Federal		$0.00	03/08/2017 - REM
2	10000	Gasoline	Removed	Federal		$0.00	03/07/2017 - REM
3	10000	Diesel Fuel	Removed	Federal		$0.00	03/07/2017 - REM
4	4000	Gasoline	Removed	Exempt			12/01/1979 - REM
5	4000	Gasoline	Removed	Exempt			12/01/1979 - REM
6	6000	Gasoline	Removed	Exempt			12/01/1979 - REM
7	8000	Gasoline	Removed	Exempt			12/01/1979 - REM
8	560	Used Oil	Removed	Exempt			12/01/1979 - REM
9	12000	Gasoline - Regular	Currently in use	Federal		$0.00
10	4000	Diesel Fuel	Currently in use	Federal		$0.00
11	4000	Gasoline - Premium	Currently in use	Federal		$0.00

Dispenser Information

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

MFD Motorfuel Dispensing Forms

No Forms Found