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:	7006045
Status:	Closed
Facility Name:	Circle K #1217
Address:	511 East Walnut Carbondale, IL 62901
County:	Jackson
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	S000152
Green Tag Issue Date:	5/3/2017
Green Tag Expiration Date:	12/31/2019

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:	8/27/2003
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	5/3/2017	12/31/2019

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0030949	Mac's Convenience Stores, LLC	Current Owner	8/27/2003
U0029789	Clark Retail Enterprises, Inc.	Former Owner	3/7/2001
U0015991	Wareco Service, Inc.	Former Owner	1/1/1976

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
92-1137	5/14/1992	Removal Log
92-1138	5/14/1992	Removal Log
92-137	5/14/1992	Removal Log
N/A	12/12/2018	Removal Log	01786-2018REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
92-1137	Eligible	10/7/1993	11/24/1993	$10,000
92-1137	Eligible	5/22/2006	6/19/2006	$10,000
20181171	Eligible	1/22/2019	1/24/2019	$5,000	Letter

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:	8/1/1992
OSFM First Notify Date:	12/26/1985		Abandoned Material:
Current Age:	17		Abandoned Date:
Install Date:	1/1/1975		Red Tag Issue Date:
Last Used Date:	5/1/1990		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 2

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/1/1992
OSFM First Notify Date:	12/26/1985		Abandoned Material:
Current Age:	17		Abandoned Date:
Install Date:	1/1/1975		Red Tag Issue Date:
Last Used Date:	5/1/1991		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 3

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/1/1992
OSFM First Notify Date:	12/26/1985		Abandoned Material:
Current Age:	17		Abandoned Date:
Install Date:	1/1/1975		Red Tag Issue Date:
Last Used Date:	5/1/1991		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 4

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	12/12/2018
OSFM First Notify Date:	10/29/1992		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	8/31/1992		Red Tag Issue Date:
Last Used Date:	10/26/2018		Fee Due:	$0.00
Product Date:	8/31/1992

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector Flex connector spike anode	2/1/2016	2/1/2019
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	12/7/2017	12/7/2018
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	12/7/2017	12/7/2018
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Double Wall steel	N/A	N/A
Piping	Flexible Double Wall Total Containment Enviroflex non-corrosive	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	8000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	12/12/2018
OSFM First Notify Date:	10/29/1992		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	8/31/1992		Red Tag Issue Date:
Last Used Date:	10/26/2018		Fee Due:	$0.00
Product Date:	8/31/1992

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector Flex connector spike anode	2/1/2016	2/1/2019
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	12/7/2017	12/7/2018
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	12/7/2017	12/7/2018
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Double Wall steel	N/A	N/A
Piping	Flexible Double Wall Total Containment Enviroflex non-corrosive	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 6

Capacity:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	12/12/2018
OSFM First Notify Date:	10/29/1992		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	8/31/1992		Red Tag Issue Date:
Last Used Date:	10/26/2018		Fee Due:	$0.00
Product Date:	8/31/1992

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector Flex connector spike anode	2/1/2016	2/1/2019
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	12/26/2017	12/26/2018
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	12/7/2017	12/7/2018
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Double Wall steel	N/A	N/A
Piping	Flexible Double Wall Total Containment Enviroflex non-corrosive	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Double 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