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

Facility Details

Facility Number:	6024131
Status:	Closed
Facility Name:	Circle K #1341
Address:	2411 Lebanon Avenue Belleville, IL 62221
County:	St. Clair
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	T002241
Green Tag Issue Date:	4/12/2018
Green Tag Expiration Date:	12/31/2020

Owner Details

Owner Name:	Mac's Convenience Stores, LLC
Owner Address:	1100 Situs Court, Suite 100 Raleigh, NC 27606
Owner Status:	Current Owner
Purchase Date:	2/12/2013
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	11/19/2019

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	4/12/2018	12/31/2020

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0030949	Mac's Convenience Stores, LLC	Current Owner	2/12/2013
U0004080	Dickerson Petroleum	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
19-0619	6/19/2019	Removal Log	00820-2019REM
19-0619	6/20/2019	Removal Log	00820-2019REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
20190619	Eligible	8/3/2019	8/6/2019	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/19/2019
OSFM First Notify Date:	3/31/1987		Abandoned Material:
Current Age:	37		Abandoned Date:
Install Date:	1/1/1982		Red Tag Issue Date:
Last Used Date:	4/29/2019		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	1/11/2019	1/11/2020
Corrosion Prot - Piping	Isolation Boots Flex Connector	N/A	N/A
Corrosion Prot - Tank	Impressed Current Cathodic Protection	1/11/2019	1/11/2020
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	11/6/2018	11/6/2019
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC	11/6/2018	11/6/2019
Overfill Prev Device	Overfill Drop Tube Valve	12/18/2018	12/18/2021
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	12/18/2018	12/18/2021
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 - Regular		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/20/2019
OSFM First Notify Date:	3/31/1987		Abandoned Material:
Current Age:	37		Abandoned Date:
Install Date:	1/1/1982		Red Tag Issue Date:
Last Used Date:	4/29/2019		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	1/11/2019	1/11/2020
Corrosion Prot - Piping	Isolation Boots Flex Connector	N/A	N/A
Corrosion Prot - Tank	Impressed Current Cathodic Protection	1/11/2019	1/11/2020
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	11/6/2018	11/6/2019
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC	11/6/2018	11/6/2019
Overfill Prev Device	Overfill Drop Tube Valve	11/6/2018	11/6/2021
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	12/18/2018	12/18/2021
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:	Gasoline - Premium		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/20/2019
OSFM First Notify Date:	3/31/1987		Abandoned Material:
Current Age:	3		Abandoned Date:
Install Date:	3/9/2016		Red Tag Issue Date:
Last Used Date:	4/29/2019		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	1/11/2019	1/11/2020
Corrosion Prot - Piping	Isolation Boots Flex Connector	N/A	N/A
Corrosion Prot - Tank	Stand Alone System Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	11/6/2018	11/6/2019
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC	11/6/2018	11/6/2019
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	11/6/2018	11/6/2019
Overfill Prev Device	Overfill Drop Tube Valve	11/6/2018	11/6/2021
Piping	Fiberglass Single Wall Piping Ameron Dualoy 3000/L	N/A	N/A
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	12/18/2018	12/18/2021
Tank	Stand Alone System	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

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found