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:	7045106
Status:	Closed
Facility Name:	Sand Ridge Station
Address:	82 Sand Ridge Road Gorham, IL 62940
County:	Jackson
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:
Green Tag Issue Date:
Green Tag Expiration Date:

Owner Details

Owner Name:	Jesse Mifflin
Owner Address:	83 Sand Ridge Road Gorham, IL 62940
Owner Status:	Current Owner
Purchase Date:	9/1/1972
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0036465	Mifflin, Jesse	Current Owner	9/1/1972

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
12-0310	5/14/2012	Removal Log	00344-2012REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
12-0310	Eligible	4/17/2012	6/5/2012	$5,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	560		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	5/14/2012
OSFM First Notify Date:	4/6/2012		Abandoned Material:
Current Age:	52		Abandoned Date:
Install Date:	1/1/1960		Red Tag Issue Date:
Last Used Date:	6/1/1976		Fee Due:	$0.00
Product Date:	1/1/1960

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found