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: 6044295
Status: Active
Facility Name: Crown 12
Address: 5810 Bond Avenue
Centreville, IL 62205
County: St. Clair
Property Parcel:
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Y000155
Green Tag Issue Date: 4/14/2023
Green Tag Expiration Date: 12/31/2025

Owner Details

Owner Name: Majed Abusaid
Owner Address: 3700 Union Blvd.
St. Louis, MO 63115
Owner Status: Current Owner
Purchase Date:
Type of Financial Responsibility: Designated Savings Account
Financial Responsibility Reporting Due Date: 8/2/2025

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 4/14/2023 12/31/2025

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0038061 Abusaid, Majed Current Owner
U0035573 Quality Value Mart, Inc. Former Owner
U0032549 Kings Food Market of IL, 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

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information



Tank Number 1

Capacity: 15000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 9/21/2009 Abandoned Material:
Current Age: 15 Abandoned Date:
Install Date: 5/21/2009 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 8/26/2009

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
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 9/19/2024 9/19/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD 9/19/2024 9/19/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 9/19/2024 9/19/2025
Overfill Prev Device Overfill Drop Tube Valve 1/27/2023 1/27/2026
Piping Flexible Double Wall OPW Flexworks N/A N/A
Piping Single Wall STP/Tanktop Sump 10/28/2022 10/28/2025
Leak Detect - Piping Sump Sensor with positive shutdown 9/19/2024 9/19/2025
Spill Contain Device Single Wall Spill Bucket 10/28/2022 10/28/2025
Tank Composite Double Wall Modern Welding Glasteel II 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 OPW Flexworks Precision Test (Piping) Pass 12/15/2019



Tank Number 2

Capacity: 5000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 9/21/2009 Abandoned Material:
Current Age: 15 Abandoned Date:
Install Date: 5/21/2009 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 8/26/2009

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
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 9/19/2024 9/19/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD 9/19/2024 9/19/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 9/19/2024 9/19/2025
Overfill Prev Device Overfill Drop Tube Valve 1/27/2023 1/27/2026
Piping Flexible Double Wall OPW Flexworks N/A N/A
Piping Single Wall STP/Tanktop Sump 10/28/2022 10/28/2025
Leak Detect - Piping Non-Discriminating Sump Sensor 11/10/2021 11/10/2022
Leak Detect - Piping Sump Sensor with positive shutdown 9/19/2024 9/19/2025
Spill Contain Device Single Wall Spill Bucket 1/27/2023 1/27/2026
Tank Composite Double Wall Modern Welding Glasteel II 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 OPW Flexworks Precision Test (Piping) Pass 12/15/2019

Dispenser Information



Name\ID 1/2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 10/28/2022 10/28/2025
Leak Detect - Piping Sump Sensor with positive shutdown 9/19/2024 9/19/2025



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 10/28/2022 10/28/2025
Leak Detect - Piping Sump Sensor with positive shutdown 9/19/2024 9/19/2025



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 10/28/2022 10/28/2025
Leak Detect - Piping Sump Sensor with positive shutdown 9/19/2024 9/19/2025



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 10/28/2022 10/28/2025
Leak Detect - Piping Sump Sensor with positive shutdown 9/19/2024 9/19/2025

MFD Motorfuel Dispensing Forms

No Forms Found

Office of the Illinois State Fire Marshal
1035 Stevenson Dr. Springfield, IL 62704 | (217) 785-0969 | Contact Us