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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:
6024057
Status:
Closed
Facility Name:
Fleetwoods General Stores, Inc.
Address:
302 E. Pine Street
Percy, IL 62272
County:
Randolph
Property Parcel:
Facility Type:
Attended Self-Service Station
Owner Type:
Private
Green Tag Decal:
L003291
Green Tag Issue Date:
6/1/2010
Green Tag Expiration Date:
12/31/2012
Owner Details
Owner Name:
Fleetwoods General Stores, Inc.
Owner Address:
P.O. Box 448
Duquoin, IL 62832
Owner Status:
Current Owner
Purchase Date:
8/18/2008
Type of Financial Responsibility:
Commercial Insurance
Financial Responsibility Reporting Due Date:
4/29/2014
Motor Fuel Dispensing Permits
MFD Permit Type
Issue Date
Expiration Date
Self Service
6/1/2010
12/31/2012
Owner Summary
Click for Facility/Tank Ownership history
Owner Number
Owner Name
Owner Status
Purchase Date
U0032492
Fleetwoods General Stores, Inc.
Current Owner
8/18/2008
U0034720
Percy Truck Stop, Inc.
Former Owner
3/31/2008
U0032798
Barlas, Inc.
Former Owner
6/30/2005
U0031532
Baker Energy, Inc.
Former Owner
8/27/2003
U0029789
Clark Retail Enterprises, Inc.
Former Owner
3/7/2001
U0015891
Wade Oil Co
Former Owner
12/31/1967
U0015982
Wareco Service, Inc.
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
IEMA Number
Inspection Date
Inspection Type
Permit Number
15-0962
9/25/2015
Removal Log
00921-2015REM
LUST
Fund Eligibility and Deductibility Determinations
IEMA Number
Status
OSFM Received Date
OSFM Response Date
Deductible
Letter
05-1379
Eligible
2/7/2006
2/24/2006
$10,000
15-0962
Eligible
9/8/2015
10/8/2015
$5,000
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:
9/25/2015
OSFM
First Notify Date:
1/19/1987
Abandoned Material:
Current Age:
27
Abandoned Date:
Install Date:
12/1/1987
Red Tag Issue Date:
Last Used Date:
1/31/2012
Fee Due:
$0.00
Product Date:
12/1/1987
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Sacrificial Anode Cathodic Protection
5/1/2009
5/1/2012
Corrosion Prot - Piping
Fiberglass Non-Corrosive
N/A
N/A
Corrosion Prot - Tank
STIP3 Cathodic Protection with Dielectric Coating
5/1/2009
5/1/2012
Leak Detect - Piping
Mechanical Pressurized Line Leak Detection
7/6/2011
7/6/2012
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 350
Overfill Prev Device
Overfill Drop Tube Valve
Piping
Fiberglass Single Wall Piping
N/A
N/A
Spill Contain Device
Single Wall Spill Bucket
Tank
STIP3 Single Wall
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 2
Capacity:
10000
Petroleum Use:
Product:
Diesel Fuel
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
9/25/2015
OSFM
First Notify Date:
1/19/1987
Abandoned Material:
Current Age:
27
Abandoned Date:
Install Date:
12/1/1987
Red Tag Issue Date:
Last Used Date:
1/31/2012
Fee Due:
$0.00
Product Date:
12/1/1987
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Sacrificial Anode Cathodic Protection
5/1/2009
5/1/2012
Corrosion Prot - Piping
Fiberglass Non-Corrosive
N/A
N/A
Corrosion Prot - Tank
STIP3 Cathodic Protection with Dielectric Coating
5/1/2009
5/1/2012
Leak Detect - Piping
Mechanical Pressurized Line Leak Detection
7/6/2011
7/6/2012
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 350
Overfill Prev Device
Overfill Drop Tube Valve
Piping
Fiberglass Single Wall Piping
N/A
N/A
Spill Contain Device
Single Wall Spill Bucket
Tank
STIP3 Single Wall
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 3
Capacity:
10000
Petroleum Use:
Product:
Gasoline
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
9/25/2015
OSFM
First Notify Date:
1/19/1987
Abandoned Material:
Current Age:
27
Abandoned Date:
Install Date:
12/1/1987
Red Tag Issue Date:
Last Used Date:
1/31/2012
Fee Due:
$0.00
Product Date:
12/1/1987
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Sacrificial Anode Cathodic Protection
5/1/2009
5/1/2012
Corrosion Prot - Piping
Fiberglass Non-Corrosive
N/A
N/A
Corrosion Prot - Tank
STIP3 Cathodic Protection with Dielectric Coating
5/1/2009
5/1/2012
Leak Detect - Piping
Mechanical Pressurized Line Leak Detection
7/6/2011
7/6/2012
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 350
Overfill Prev Device
Overfill Drop Tube Valve
Piping
Fiberglass Single Wall Piping
N/A
N/A
Spill Contain Device
Single Wall Spill Bucket
Tank
STIP3 Single Wall
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Dispenser Information
MFD
Motorfuel Dispensing Forms
No Forms Found
