Information

JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
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Ready Illinois
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Division of Petroleum & Chemical Safety

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

Click for Facility/Tank Ownership history

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)

Click for permit history

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 1

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/8/2017
OSFM First Notify Date:	12/30/1985		Abandoned Material:
Current Age:	36		Abandoned Date:
Install Date:	9/4/1980		Red Tag Issue Date:
Last Used Date:	3/6/2017		Fee Due:	$0.00
Product Date:	9/4/1980

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	12/13/2011	12/13/2016
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	12/22/2015	12/22/2016
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC with CSLD
Overfill Prev Device	Ball Float Vent Valve
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel 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 2

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/7/2017
OSFM First Notify Date:	12/30/1985		Abandoned Material:
Current Age:	36		Abandoned Date:
Install Date:	9/4/1980		Red Tag Issue Date:
Last Used Date:	3/6/2017		Fee Due:	$0.00
Product Date:	9/4/1980

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	12/13/2011	12/13/2016
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	12/22/2015	12/22/2016
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC with CSLD
Overfill Prev Device	Ball Float Vent Valve
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel 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 3

Capacity:	10000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/7/2017
OSFM First Notify Date:	12/30/1985		Abandoned Material:
Current Age:	36		Abandoned Date:
Install Date:	9/4/1980		Red Tag Issue Date:
Last Used Date:	3/6/2017		Fee Due:	$0.00
Product Date:	9/4/1980

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	12/13/2011	12/13/2016
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	12/22/2015	12/22/2016
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC with CSLD
Overfill Prev Device	Ball Float Vent Valve
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel 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 4

Capacity:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	12/1/1979
OSFM First Notify Date:	5/3/1986		Abandoned Material:
Current Age:	37		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/1/1978		Fee Due:
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 5

Capacity:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	12/1/1979
OSFM First Notify Date:	5/3/1986		Abandoned Material:
Current Age:	37		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/1/1978		Fee Due:
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 6

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	12/1/1979
OSFM First Notify Date:	5/3/1986		Abandoned Material:
Current Age:	37		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/1/1978		Fee Due:
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 7

Capacity:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	12/1/1979
OSFM First Notify Date:	5/3/1986		Abandoned Material:
Current Age:	27		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/1/1978		Fee Due:
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 8

Capacity:	560		Petroleum Use:
Product:	Used Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	12/1/1979
OSFM First Notify Date:	5/3/1986		Abandoned Material:
Current Age:	37		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/1/1978		Fee Due:
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 9

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/5/2017		Abandoned Material:
Current Age:	8		Abandoned Date:
Install Date:	4/12/2017		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	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	7/12/2024	7/12/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	7/12/2024	7/12/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	7/12/2024	7/12/2025
Overfill Prev Device	Overfill Drop Tube Valve	8/19/2023	8/19/2026
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/19/2023	8/19/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	7/12/2024	7/12/2025
Spill Contain Device	Single Wall Spill Bucket	8/19/2023	8/19/2026
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 10

Capacity:	4000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/5/2017		Abandoned Material:
Current Age:	8		Abandoned Date:
Install Date:	4/12/2017		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	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	7/12/2024	7/12/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	7/12/2024	7/12/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	7/12/2024	7/12/2025
Overfill Prev Device	Overfill Drop Tube Valve	8/19/2023	8/19/2026
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/19/2023	8/19/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	7/12/2024	7/12/2025
Spill Contain Device	Single Wall Spill Bucket	8/19/2023	8/19/2026
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 11

Capacity:	4000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/5/2017		Abandoned Material:
Current Age:	8		Abandoned Date:
Install Date:	4/12/2017		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	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	7/12/2024	7/12/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	7/12/2024	7/12/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	7/12/2024	7/12/2025
Overfill Prev Device	Overfill Drop Tube Valve	8/19/2023	8/19/2026
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/19/2023	8/19/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	7/12/2024	7/12/2025
Spill Contain Device	Single Wall Spill Bucket	8/19/2023	8/19/2026
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test (Piping)	Pass	4/29/2024

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/19/2023	8/19/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	7/12/2024	7/12/2025

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/19/2023	8/19/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	7/12/2024	7/12/2025

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/19/2023	8/19/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	7/12/2024	7/12/2025

MFD Motorfuel Dispensing Forms

No Forms Found