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:	7008002
Status:	Closed
Facility Name:	Circle K #146
Address:	101 Potomac Blvd. Mount Vernon, IL 62864
County:	Jefferson
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	O003153
Green Tag Issue Date:	5/28/2013
Green Tag Expiration Date:	12/31/2015

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:	7/25/2013
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	1/7/2016

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	4/5/2013	12/31/2015

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0030949	Mac's Convenience Stores, LLC	Current Owner	7/25/2013
U0030252	Kooshtard Property II, LLC	Former Owner	6/21/2001
U0023515	Johnson Oil Company, L.L.C.	Former Owner	8/3/1998
U0008722	L. Keller Oil Properties, Inc.	Former Owner	12/31/1967

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
13-1100	10/8/2013	Removal Log	00938-2013REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
98-0546	Eligible	4/7/1999	4/27/1999	$10,000
13-1100	Eligible	11/12/2013	11/19/2013	$5,000

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	12000	Gasoline	Removed	Federal		$0.00	10/08/2013 - REM
2	12000	Gasoline	Removed	Federal		$0.00	10/08/2013 - REM
3	6000	Gasoline	Removed	Federal		$0.00	10/08/2013 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found