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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

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Facility Details

Facility Number:	6000112
Status:	Closed
Facility Name:	Meadowbrook Dairy Store
Address:	Highway 140 Bethalto, IL 62010
County:	Madison
Property Parcel:
Facility Type:	Attended Self-Service/Unattended Self-Service
Owner Type:	Private
Green Tag Decal:	B002921
Green Tag Issue Date:	5/10/2000
Green Tag Expiration Date:	12/31/2003

Owner Details

Owner Name:	Dickerson Petroleum
Owner Address:	920 North Illinois Street Belleville, IL 62220
Owner Status:	Current Owner
Purchase Date:	12/1/1984
Type of Financial Responsibility:	Other (add note) and Self-Insurance
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0004080	Dickerson Petroleum	Current Owner	12/1/1984

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
04-0602	6/23/2004	Removal Log	04616-2004REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
04-0602	Eligible	5/13/2004	5/24/2004	$10,000

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	06/23/2004 - REM
2	10000	Gasoline	Removed	Federal		$0.00	06/23/2004 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found