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:	7025271
Status:	Closed
Facility Name:	Carter Convenience Store
Address:	829 Loy Street Mill Shoals, IL 62862
County:	White
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	H001649
Green Tag Issue Date:	2/28/2006
Green Tag Expiration Date:	12/31/2009

Owner Details

Owner Name:	William Carter
Owner Address:	P.O. Box 505 Mill Shoals, IL 62862
Owner Status:	Current Owner / Operator
Purchase Date:	7/1/1999
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	11/1/2008

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0029365	Carter, William	Current Owner / Operator	7/1/1999
U0004682	Elledge Mary L	Former Owner / Operator

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
N/A	3/15/2011	Removal Log	01194-2010REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
00-0788	Eligible	2/11/2002	3/14/2002	$15,000
02-0190	Eligible	3/14/2002	3/15/2002	$15,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/19/2002
OSFM First Notify Date:	2/21/1990		Abandoned Material:
Current Age:	14		Abandoned Date:
Install Date:	1/1/1988		Red Tag Issue Date:
Last Used Date:	12/21/1998		Fee Due:	$0.00
Product Date:	1/1/1988

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:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/19/2002
OSFM First Notify Date:	2/21/1990		Abandoned Material:
Current Age:	14		Abandoned Date:
Install Date:	1/1/1988		Red Tag Issue Date:
Last Used Date:	12/21/1998		Fee Due:	$0.00
Product Date:	1/1/1988

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:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/19/2002
OSFM First Notify Date:	2/21/1990		Abandoned Material:
Current Age:	14		Abandoned Date:
Install Date:	1/1/1988		Red Tag Issue Date:
Last Used Date:	12/21/1998		Fee Due:	$0.00
Product Date:	1/1/1988

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:	2000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/19/2002
OSFM First Notify Date:	2/21/1990		Abandoned Material:
Current Age:	14		Abandoned Date:
Install Date:	1/1/1988		Red Tag Issue Date:
Last Used Date:	12/21/1998		Fee Due:	$0.00
Product Date:	1/1/1988

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Does Not Exist		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:			Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:
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 6

Capacity:	4000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Does Not Exist		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:			Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:
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 7

Capacity:	2000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Does Not Exist		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:			Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:
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 8

Capacity:	1000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/15/2011
OSFM First Notify Date:	2/8/2002		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	1/29/2002		Red Tag Issue Date:
Last Used Date:	10/1/2006		Fee Due:	$0.00
Product Date:	1/29/2002

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	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	601 - 2000 gallons Manual Tank Gauging & tank tightness testing
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flexible Double Wall Environ Geo Flex	N/A	N/A
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Composite Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 9

Capacity:	1000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/15/2011
OSFM First Notify Date:	2/8/2002		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	1/29/2002		Red Tag Issue Date:
Last Used Date:	10/1/2006		Fee Due:	$0.00
Product Date:	1/29/2002

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	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	601 - 2000 gallons Manual Tank Gauging & tank tightness testing
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flexible Double Wall Environ Geo Flex	N/A	N/A
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Composite Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 10

Capacity:	2000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/15/2011
OSFM First Notify Date:	4/2/2003		Abandoned Material:
Current Age:	8		Abandoned Date:
Install Date:	3/14/2003		Red Tag Issue Date:
Last Used Date:	10/1/2006		Fee Due:	$0.00
Product Date:	3/15/2003

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	601 - 2000 gallons Manual Tank Gauging & tank tightness testing
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flexible Double Wall Environ Geo Flex	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	STIP3 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