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JB Pritzker, Governor
Michele L Pankow, State Fire Marshal
Division of Petroleum & Chemical Safety
State of Illinois
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Division of Petroleum & Chemical Safety
Facility Details
Facility Number:
7039708
Status:
Active
Facility Name:
KBJ's C-Store (Jayvira Corporation, Inc.)
Address:
10894 Bridgeport Rd. Bridgeport, IL 62417
County:
Lawrence
Property Parcel:
06-000-628-10
Facility Type:
Attended Self-Service Station
Owner Type:
Private
Green Tag Decal:
Z001741
Green Tag Issue Date:
5/7/2024
Green Tag Expiration Date:
12/31/2026
Owner Details
Owner Name:
J & K 2017 Investments, Inc.
Owner Address:
10894 Bridgeport Road Bridgeport, IL 62417
Owner Status:
Current Owner
Purchase Date:
3/2/2017
Type of Financial Responsibility:
Commercial Insurance
Financial Responsibility Reporting Due Date:
7/11/2026
Motor Fuel Dispensing Permits
MFD Permit Type
Issue Date
Expiration Date
Self Service
5/7/2024
12/31/2026
Owner Summary
Click for Facility/Tank Ownership history
Owner Number
Owner Name
Owner Status
Purchase Date
U0041531
J & K 2017 Investments, Inc.
Current Owner
3/2/2017
U0039064
Patel, Jagruti
Former Owner
5/1/2017
U0034234
L E Anderson Bros. Oil, Inc.
Former Owner
8/9/2000
U0000619
L.E. Anderson Brothers Oil Company, Inc.
Former Owner
6/8/2000
U0029463
Bell, Chuck
Former Owner
6/8/2000
U0035804
Patel, Vikram Kumar
Former Owner
U0033836
Kirit
Former Owner
Permits (Unexpired)
Click for permit history
No Active Permits Found
Notice of Violatlions (Current)
No Notice of Violations Found
IEMA Numbers Associated with the Facility
IEMA Number
Inspection Date
Inspection Type
Permit Number
2025-0387
7/2/2025
Abandonment Log
00784-2025ABN
LUST
Fund Eligibility and Deductibility Determinations
IEMA Number
Status
OSFM Received Date
OSFM Response Date
Deductible
Letter
20250387
Eligible
7/23/2025
7/24/2025
$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:
6/20/2000
OSFM
First Notify Date:
8/10/2000
Abandoned Material:
Current Age:
0
Abandoned Date:
Install Date:
6/8/2000
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
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
Leak Detect - Piping
Sump Sensor
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device
Ball Float Vent Valve OPW 53
Piping
Flexible Double Wall Total Containment Omniflex II
N/A
N/A
Spill Contain Device
Single Wall Spill Bucket
Tank
Fiberglass Single Wall
N/A
N/A
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:
6/20/2000
OSFM
First Notify Date:
8/10/2000
Abandoned Material:
Current Age:
0
Abandoned Date:
Install Date:
6/8/2000
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
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
Leak Detect - Piping
Sump Sensor
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device
Ball Float Vent Valve OPW 53
Piping
Flexible Double Wall Total Containment Omniflex II
N/A
N/A
Spill Contain Device
Single Wall Spill Bucket
Tank
Fiberglass Single Wall
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 3
Capacity:
10000
Petroleum Use:
Product:
Diesel Fuel
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
6/20/2000
OSFM
First Notify Date:
8/10/2000
Abandoned Material:
Current Age:
0
Abandoned Date:
Install Date:
6/8/2000
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
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
Leak Detect - Piping
Sump Sensor
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device
Ball Float Vent Valve OPW 53
Piping
Flexible Double Wall Total Containment Omniflex II
N/A
N/A
Spill Contain Device
Single Wall Spill Bucket
Tank
Fiberglass Single Wall
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 4
Capacity:
10000
Petroleum Use:
Product:
Gasoline - Regular
CERCLA Substance:
Status:
Currently in use
CAS Code:
Regulated Status:
Federal
Removed Date:
OSFM
First Notify Date:
8/10/2000
Abandoned Material:
Current Age:
25
Abandoned Date:
Install Date:
6/26/2000
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
6/26/2000
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
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
5/28/2025
5/28/2026
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 350 with CSLD
5/28/2025
5/28/2026
Overfill Prev Device
Overfill Drop Tube Valve
5/28/2025
5/28/2028
Piping
Flexible Double Wall OPW Flexworks
N/A
N/A
Piping
Single Wall STP/Tanktop Sump
5/28/2025
5/28/2028
Leak Detect - Piping
Sump Sensor with positive shutdown
5/28/2025
5/28/2026
Spill Contain Device
Double Wall Spill Bucket
5/28/2025
5/28/2028
Tank
Fiberglass Single Wall
N/A
N/A
Vent, Riser, Fill Piping
Steel risers
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Piping
Flexible Double Wall OPW Flexworks
Precision Test (Piping)
Pass
5/28/2025
Tank Number 5
Capacity:
10000
Petroleum Use:
Product:
Gasoline - Premium
CERCLA Substance:
Status:
Abandoned in place
CAS Code:
Regulated Status:
Federal
Removed Date:
OSFM
First Notify Date:
8/10/2000
Abandoned Material:
Inert material mixed with portland cement
Current Age:
25
Abandoned Date:
7/2/2025
Install Date:
6/26/2000
Red Tag Issue Date:
Last Used Date:
9/1/2024
Fee Due:
$0.00
Product Date:
6/26/2000
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
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
1/23/2024
1/23/2025
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 350 with CSLD
5/28/2025
5/28/2026
Overfill Prev Device
Overfill Drop Tube Valve
5/17/2022
5/17/2025
Piping
Flexible Double Wall OPW Flexworks
N/A
N/A
Piping
Single Wall STP/Tanktop Sump
5/17/2022
5/17/2025
Leak Detect - Piping
Sump Sensor with positive shutdown
1/23/2024
1/23/2025
Spill Contain Device
Double Wall Spill Bucket
5/17/2022
5/17/2025
Tank
Fiberglass Single Wall
N/A
N/A
Vent, Riser, Fill Piping
Steel risers
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Piping
Flexible Double Wall OPW Flexworks
Precision Test (Piping)
Pass
1/23/2024
Tank
Fiberglass Single Wall
Precision Test (Tank)
Fail
5/28/2025
Tank Number 6
Capacity:
10000
Petroleum Use:
None
Product:
Diesel Fuel
CERCLA Substance:
Status:
Currently in use
CAS Code:
Regulated Status:
Federal
Removed Date:
OSFM
First Notify Date:
8/10/2000
Abandoned Material:
Current Age:
25
Abandoned Date:
Install Date:
6/26/2000
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
6/26/2000
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
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
5/28/2025
5/28/2026
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 350 with CSLD
5/28/2025
5/28/2026
Overfill Prev Device
Overfill Drop Tube Valve
5/28/2025
5/28/2028
Piping
Flexible Double Wall OPW Flexworks
N/A
N/A
Piping
Single Wall STP/Tanktop Sump
5/28/2025
5/28/2028
Leak Detect - Piping
Sump Sensor with positive shutdown
5/28/2025
5/28/2026
Spill Contain Device
Double Wall Spill Bucket
5/28/2025
5/28/2028
Tank
Fiberglass Single Wall
N/A
N/A
Vent, Riser, Fill Piping
Steel risers
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Piping
Flexible Double Wall OPW Flexworks
Precision Test (Piping)
Pass
5/28/2025
Dispenser Information
Name\ID 1/2
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
5/28/2025
5/28/2028
Leak Detect - Piping
Sump Sensor with positive shutdown
5/28/2025
5/28/2026
Name\ID 3/4
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
5/28/2025
5/28/2028
Leak Detect - Piping
Sump Sensor with positive shutdown
5/28/2025
5/28/2026
Name\ID 5/6
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
5/28/2025
5/28/2028
Leak Detect - Piping
Sump Sensor with positive shutdown
5/28/2025
5/28/2026
Name\ID 7/8
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
5/28/2025
5/28/2028
Leak Detect - Piping
Sump Sensor with positive shutdown
5/28/2025
5/28/2026
Name\ID 9
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
5/28/2025
5/28/2028
Leak Detect - Piping
Sump Sensor with positive shutdown
5/28/2025
5/28/2026
Name\ID Sat
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
5/28/2025
5/28/2028
Leak Detect - Piping
Sump Sensor with positive shutdown
5/28/2025
5/28/2026
MFD
Motorfuel Dispensing Forms
No Forms Found
