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:	7000440
Status:	Closed
Facility Name:	Fleetwoods General Stores of Willisville
Address:	981 Highway 4 Willisville, IL 62997
County:	Perry
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	O002401
Green Tag Issue Date:	8/30/2013
Green Tag Expiration Date:	12/31/2015

Owner Details

Owner Name:	Fleetwoods General Stores, Inc.
Owner Address:	P.O. Box 448 Duquoin, IL 62832
Owner Status:	Current Owner
Purchase Date:	4/14/2008
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	9/4/2014

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	8/30/2013	12/31/2015

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0032492	Fleetwoods General Stores, Inc.	Current Owner	4/14/2008
U0032104	Cutler Kwik Stop, Inc.	Former Owner	8/3/2004
U0003947	Dee J Country Store	Former Owner	6/1/1984

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
15-0905	9/10/2015	Removal Log	00837-2015REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
15-0905	Eligible	8/25/2015	9/25/2015	$5,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	4000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/10/2015
OSFM First Notify Date:	12/18/1985		Abandoned Material:
Current Age:	31		Abandoned Date:
Install Date:	7/2/1984		Red Tag Issue Date:
Last Used Date:	3/10/2015		Fee Due:	$0.00
Product Date:	7/2/1984

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	8/30/2013	8/30/2016
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	11/25/2009	11/25/2014
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	8/4/2014	8/4/2015
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flexible Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/10/2015
OSFM First Notify Date:	12/18/1985		Abandoned Material:
Current Age:	31		Abandoned Date:
Install Date:	7/2/1984		Red Tag Issue Date:
Last Used Date:	3/10/2015		Fee Due:	$0.00
Product Date:	7/2/1984

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	8/30/2013	8/30/2016
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	11/25/2009	11/25/2014
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	8/4/2014	8/4/2015
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flexible Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel 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