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

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Facility Details

Facility Number:	7006061
Status:	Active
Facility Name:	Circle K #4701209
Address:	2701 Broadway Mount Vernon, IL 62864
County:	Jefferson
Property Parcel:	06-25-482-003
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y000007
Green Tag Issue Date:	1/3/2023
Green Tag Expiration Date:	12/31/2025

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:	6/29/2021
Type of Financial Responsibility:	Guarantee
Financial Responsibility Reporting Due Date:	10/24/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	3/7/2023	12/31/2025

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0030949	Mac's Convenience Stores, LLC	Current Owner	6/29/2021
U0029789	Clark Retail Enterprises, Inc.	Former Owner	3/7/2001
U0002262	Wareco Service, Inc.	Former Owner	1/1/1974

Permits (Unexpired)

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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
98-2308	9/17/1998	Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
92-2862	Eligible	3/19/1997	4/29/1997	$10,000
96-1805	Eligible	8/24/1999	9/7/1999	$10,000

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	10000	Gasoline	Removed	Federal			09/17/1998 - REM
2	10000	Gasoline	Removed	Federal			09/17/1998 - REM
3	10000	Gasoline	Removed	Federal			09/17/1998 - REM
4	500	Kerosene	Removed	Federal		$0.00
5	12000	Gasoline	Removed	Exempt			03/26/1999 - REM
6	12000	Gasoline	Removed	Exempt			03/26/1999 - REM
7	6000	Gasoline	Removed	Exempt			03/26/1999 - REM
8	6000	Diesel Fuel	Removed	Exempt			03/26/1999 - REM
9	12000	Gasoline - Regular	Currently in use	Federal		$0.00
10	12000	Gasoline - Premium	Currently in use	Federal		$0.00
11	6000	Gasoline - Regular	Currently in use	Federal		$0.00
12	6000	B-11	Currently in use	Federal		$0.00

Dispenser Information

Name\ID	Status
1/2	Active
3/4	Active
5/6	Active
7/8	Active
9/10	Active

MFD Motorfuel Dispensing Forms

No Forms Found