Information

JB Pritzker, Governor

Michele L Pankow, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
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Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	6007996
Status:	Active
Facility Name:	Jack Flash - Farina
Address:	1003 W. Washington St. Farina, IL 62838
County:	Fayette
Property Parcel:	08-21-32-126-001
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z001767
Green Tag Issue Date:	7/1/2024
Green Tag Expiration Date:	12/31/2026

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:	2/3/2021
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	10/1/2026

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	7/1/2024	12/31/2026
Self Service	7/1/2024	12/31/2026

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0040172	Wortman Development, LLC	Current Owner	2/3/2021
U0008722	L. Keller Oil Properties, Inc.	Former Owner	1/1/1989
U0033182	Wortman-Keller Development, LLC	Former Owner / Operator	3/26/2006

Permits (Unexpired)

Click for permit history

No Active Permits Found

Notice of Violatlions (Current)

No Notice of Violations Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
06-0136	2/7/2006	Removal Log	00072-2006REM
06-0346	3/22/2006	Removal Log	00250-2006REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
05-1539	Eligible	3/27/2006	4/6/2006	$15,000
06-0153	Eligible	3/27/2006	4/6/2006	$15,000
05-1539	Eligible	7/23/2012	8/14/2012	$15,000
06-0153	Eligible	7/23/2012	8/14/2012	$15,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	2/4/2006
OSFM First Notify Date:	4/20/1986		Abandoned Material:
Current Age:	35		Abandoned Date:
Install Date:	1/1/1971		Red Tag Issue Date:
Last Used Date:	11/15/2005		Fee Due:	$0.00
Product Date:	1/1/1971

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:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	2/4/2006
OSFM First Notify Date:	4/20/1986		Abandoned Material:
Current Age:	35		Abandoned Date:
Install Date:	1/1/1971		Red Tag Issue Date:
Last Used Date:	11/15/2005		Fee Due:	$0.00
Product Date:	1/1/1971

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:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/22/2006
OSFM First Notify Date:	4/20/1986		Abandoned Material:
Current Age:	35		Abandoned Date:
Install Date:	1/1/1971		Red Tag Issue Date:
Last Used Date:	11/15/2005		Fee Due:	$0.00
Product Date:	1/1/1971

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:	12000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/22/2006
OSFM First Notify Date:	10/20/1989		Abandoned Material:
Current Age:	19		Abandoned Date:
Install Date:	1/1/1987		Red Tag Issue Date:
Last Used Date:	11/15/2005		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 5

Capacity:	1000		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	3/22/2006
OSFM First Notify Date:	7/1/1992		Abandoned Material:
Current Age:	32		Abandoned Date:
Install Date:	1/1/1974		Red Tag Issue Date:
Last Used Date:	11/15/2005		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 6

Capacity:	15000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/5/2006		Abandoned Material:
Current Age:	19		Abandoned Date:
Install Date:	4/14/2006		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	6/2/2006

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	4/7/2025	4/7/2028
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	4/7/2025	4/7/2028
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	4/7/2025	4/7/2028
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	4/7/2025	4/7/2028
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	4/7/2025	4/7/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300j with CSLD	4/7/2025	4/7/2026
Overfill Prev Device	Overfill Drop Tube Valve	4/11/2024	4/11/2027
Piping	Flexible Double Wall A.P.T. Poly Tech	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/11/2024	4/11/2027
Leak Detect - Piping	Sump Sensor	4/7/2025	4/7/2026
Spill Contain Device	Single Wall Spill Bucket	4/11/2024	4/11/2027
Tank	Composite Single Wall ACT 100	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
Piping	Flexible Double Wall A.P.T. Poly Tech	Precision Test (Piping)	Pass	4/7/2025

Tank Number 7

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/5/2006		Abandoned Material:
Current Age:	19		Abandoned Date:
Install Date:	4/14/2006		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	6/2/2006

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	4/7/2025	4/7/2028
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	4/7/2025	4/7/2028
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	4/7/2025	4/7/2028
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	4/7/2025	4/7/2028
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	4/7/2025	4/7/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300j with CSLD	4/7/2025	4/7/2026
Overfill Prev Device	Overfill Drop Tube Valve	4/11/2024	4/11/2027
Piping	Flexible Double Wall A.P.T. Poly Tech	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/11/2024	4/11/2027
Leak Detect - Piping	Sump Sensor	4/7/2025	4/7/2026
Spill Contain Device	Single Wall Spill Bucket	4/11/2024	4/11/2027
Tank	Composite Single Wall ACT 100	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
Piping	Flexible Double Wall A.P.T. Poly Tech	Precision Test (Piping)	Pass	4/7/2025

Tank Number 8

Capacity:	15000		Petroleum Use:
Product:	B-11		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/5/2006		Abandoned Material:
Current Age:	19		Abandoned Date:
Install Date:	4/14/2006		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	6/2/2006

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	4/7/2025	4/7/2028
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	4/7/2025	4/7/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300j with CSLD	4/7/2025	4/7/2026
Overfill Prev Device	Overfill Drop Tube Valve	4/11/2024	4/11/2027
Piping	Flexible Double Wall A.P.T. Poly Tech	N/A	N/A
Piping	STP/Tanktop Sump containment FRP	4/11/2024	4/11/2027
Leak Detect - Piping	Sump Sensor	4/7/2025	4/7/2026
Spill Contain Device	Double Wall Spill Bucket	4/11/2024	4/11/2027
Tank	Composite Single Wall ACT 100	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
Piping	Flexible Double Wall A.P.T. Poly Tech	Precision Test (Piping)	Pass	4/7/2025

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/11/2024	4/11/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/7/2025	4/7/2026

Name\ID 11

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 11S

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 12

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 12S

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 13

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 13S

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 14

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 14S

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 7/8

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 9/10

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