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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:	05-000-628-10
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

Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
00784-2025ABN	Abandon in Place	Approved / Issued	6/24/2025	6/25/2025	12/26/2025	Documents

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