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:	7033254
Status:	Active
Facility Name:	Doug's Food Mart
Address:	201 South Division Street Norris City, IL 62896
County:	White
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y000928
Green Tag Issue Date:	5/2/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	David Dale
Owner Address:	601 Gossett Drive Norris City, IL 62869
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Certificate of Deposit
Financial Responsibility Reporting Due Date:	9/5/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	5/2/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0023091	Dale, David	Current Owner

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

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	2/2/1995		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	12/28/1994		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/28/1994

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/30/2022	11/30/2025
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/30/2022	11/30/2025
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/30/2022	11/30/2025
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/30/2022	11/30/2025
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	11/20/2024	11/20/2025
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC	11/20/2024	11/20/2025
Overfill Prev Device	Overfill Drop Tube Valve	11/20/2024	11/20/2027
Piping	Flexible Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	11/20/2024	11/20/2027
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall	Precision Test (Piping)	Pass	11/20/2024

Tank Number 2

Capacity:	10000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	2/2/1995		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	12/28/1994		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/28/1994

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/30/2022	11/30/2025
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/30/2022	11/30/2025
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/30/2022	11/30/2025
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	11/30/2022	11/30/2025
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	11/20/2024	11/20/2025
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC	11/20/2024	11/20/2025
Overfill Prev Device	Overfill Drop Tube Valve	11/20/2024	11/20/2027
Piping	Flexible Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	11/20/2024	11/20/2027
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall	Precision Test (Piping)	Pass	11/20/2024

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found