Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 7040313
Status: Active
Facility Name: Sam's Club #8180
Address: 2707 Walton Way Marion, IL 62959
County: Williamson
Property Parcel: 06-15-201-011
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: AA03586
Green Tag Issue Date: 6/26/2025
Green Tag Expiration Date: 12/31/2027

Owner Details

Owner Name: Sam's West, Inc.
Owner Address: 2101 SE Simple Savings Drive Bentonville, AR 727160745
Owner Status: Current Owner
Purchase Date: 3/29/2001
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 4/29/2026

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 6/26/2025 12/31/2027

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0029973 Sam's West, Inc. Current Owner 3/29/2001

Permits (Unexpired)

Click for permit history
Permit Number Type Status OSFM Receive Date Issue Date Expiration Date Documents
00722-2025UPG Upgrade Approved / Issued 6/4/2025 6/10/2025 12/10/2025 Documents

Notice of Violatlions (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: 20000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 6/4/2001 Abandoned Material:
Current Age: 24 Abandoned Date:
Install Date: 3/31/2001 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 4/2/2001

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 4/10/2025 4/10/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus 6/17/2025 6/17/2026
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 4/10/2025 4/10/2026
Overfill Prev Device Overfill Drop Tube Valve 4/10/2025 4/10/2028
Piping Flexible Single Wall Piping in Chase N/A N/A
Piping Flexible Single Wall Piping N/A N/A
Piping Single Wall STP/Tanktop Sump
Leak Detect - Piping Non-Discriminating Sump Sensor 5/18/2022 5/18/2023
Leak Detect - Piping Piping Sump Sensors Not Regulated N/A N/A
Spill Contain Device Double Wall Spill Bucket 4/10/2025 4/10/2028
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping OPW Pisces SP-20 Precision Test (Piping) Pass 4/11/2024
Piping Flexible Single Wall Piping in Chase Precision Test (Piping) Pass 4/10/2025
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 4/10/2025



Tank Number 2

Capacity: 20000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 6/4/2001 Abandoned Material:
Current Age: 24 Abandoned Date:
Install Date: 3/31/2001 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 4/2/2001

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 4/10/2025 4/10/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus 6/17/2025 6/17/2026
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 4/10/2025 4/10/2026
Overfill Prev Device Overfill Drop Tube Valve 4/10/2025 4/10/2028
Piping Flexible Single Wall Piping N/A N/A
Piping Flexible Single Wall Piping in Chase N/A N/A
Piping Single Wall STP/Tanktop Sump
Leak Detect - Piping Non-Discriminating Sump Sensor 5/18/2022 5/18/2023
Leak Detect - Piping Piping Sump Sensors Not Regulated N/A N/A
Spill Contain Device Double Wall Spill Bucket 4/10/2025 4/10/2028
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping OPW Pisces SP-20 Precision Test (Piping) Pass 4/11/2024
Piping Flexible Single Wall Piping in Chase Precision Test (Piping) Pass 4/10/2025
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 4/10/2025



Tank Number 3

Capacity: 20000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 6/4/2001 Abandoned Material:
Current Age: 24 Abandoned Date:
Install Date: 3/31/2001 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 4/2/2001

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 4/10/2025 4/10/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus 6/17/2025 6/17/2026
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 4/10/2025 4/10/2026
Overfill Prev Device Overfill Drop Tube Valve 4/10/2025 4/10/2028
Piping Flexible Single Wall Piping N/A N/A
Piping Flexible Single Wall Piping in Chase N/A N/A
Piping Single Wall STP/Tanktop Sump
Leak Detect - Piping Non-Discriminating Sump Sensor 5/18/2022 5/18/2023
Leak Detect - Piping Piping Sump Sensors Not Regulated N/A N/A
Spill Contain Device Double Wall Spill Bucket 4/10/2025 4/10/2028
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping OPW Pisces SP-20 Precision Test (Piping) Pass 4/11/2024
Piping Flexible Single Wall Piping in Chase Precision Test (Piping) Pass 4/10/2025
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 4/10/2025

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 11/12

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



Name\ID 7/8

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 9/10

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