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:	1007129
Status:	Active
Facility Name:	Circle K #1425
Address:	3819 Broadway Rockford, IL 61108
County:	Winnebago
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y001358
Green Tag Issue Date:	9/1/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Mac's Convenience Stores, LLC
Owner Address:	1100 Situs Court, Suite 100 Raleigh, NC 27606
Owner Status:	Current Owner
Purchase Date:	10/10/2014
Type of Financial Responsibility:	Guarantee
Financial Responsibility Reporting Due Date:	10/27/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	9/1/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0030949	Mac's Convenience Stores, LLC	Current Owner	10/10/2014
U0013268	Tri-Star Marketing, Inc.	Former Owner	4/11/1999

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
06-1391	11/6/2006	Removal Log	01610-2006REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
06-1391	Eligible	3/29/2007	4/18/2007	$10,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Mid-grade		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	10/9/1986		Abandoned Material:
Current Age:	37		Abandoned Date:
Install Date:	9/30/1986		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/30/1986

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	3/6/2024	3/6/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	3/6/2024	3/6/2025
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Drop Tube Valve	3/6/2024	3/6/2027
Piping	Fiberglass Double Wall Ameron	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/22/2022	4/22/2025
Leak Detect - Piping	Sump Sensor	3/6/2024	3/6/2025
Spill Contain Device	Double Wall Spill Bucket	3/6/2024	3/6/2027
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron	Precision Test	Pass	3/6/2024

Tank Number 2

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	10/9/1986		Abandoned Material:
Current Age:	37		Abandoned Date:
Install Date:	9/30/1986		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/30/1986

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	3/6/2024	3/6/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	4/10/2024	4/10/2025
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Drop Tube Valve	3/6/2024	3/6/2027
Piping	Fiberglass Double Wall Ameron	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/22/2022	4/22/2025
Leak Detect - Piping	Sump Sensor	3/6/2024	3/6/2025
Spill Contain Device	Double Wall Spill Bucket	3/6/2024	3/6/2027
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron	Precision Test	Pass	3/6/2024

Tank Number 3

Capacity:	15000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	10/9/1986		Abandoned Material:
Current Age:	37		Abandoned Date:
Install Date:	9/30/1986		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/30/1986

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	3/6/2024	3/6/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	3/6/2024	3/6/2025
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Drop Tube Valve	3/6/2024	3/6/2027
Piping	Fiberglass Double Wall Ameron	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/22/2022	4/22/2025
Leak Detect - Piping	Sump Sensor	3/6/2024	3/6/2025
Spill Contain Device	Double Wall Spill Bucket	3/6/2024	3/6/2027
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron	Precision Test	Pass	3/6/2024

Tank Number 4

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	9/1/1986
OSFM First Notify Date:	4/25/1986		Abandoned Material:
Current Age:	16		Abandoned Date:
Install Date:	1/1/1970		Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	9/1/1986
OSFM First Notify Date:	4/25/1986		Abandoned Material:
Current Age:	16		Abandoned Date:
Install Date:	1/1/1970		Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 6

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	9/1/1986
OSFM First Notify Date:	4/25/1986		Abandoned Material:
Current Age:	16		Abandoned Date:
Install Date:	1/1/1970		Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 7

Capacity:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	9/1/1986
OSFM First Notify Date:	4/25/1986		Abandoned Material:
Current Age:	16		Abandoned Date:
Install Date:	1/1/1970		Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 8

Capacity:	5000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	1/31/2007		Abandoned Material:
Current Age:	17		Abandoned Date:
Install Date:	10/25/2006		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	10/25/2006

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	3/6/2024	3/6/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	3/6/2024	3/6/2025
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	3/6/2024	3/6/2025
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Drop Tube Valve	3/6/2024	3/6/2027
Piping	Fiberglass Double Wall Ameron	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/22/2022	4/22/2025
Leak Detect - Piping	Sump Sensor	3/6/2024	3/6/2025
Spill Contain Device	Double Wall Spill Bucket	3/6/2024	3/6/2027
Tank	Fiberglass Brine Filled Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron	Precision Test	Pass	3/6/2024

Tank Number 9

Capacity:	5000		Petroleum Use:
Product:	E85		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	1/31/2007		Abandoned Material:
Current Age:	17		Abandoned Date:
Install Date:	10/25/2006		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	10/25/2006

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	3/6/2024	3/6/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	3/6/2024	3/6/2025
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	3/6/2024	3/6/2025
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Drop Tube Valve	3/6/2024	3/6/2027
Piping	Fiberglass Double Wall Ameron	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/22/2022	4/22/2025
Leak Detect - Piping	Non-Discriminating Sump Sensor	3/30/2022	3/30/2023
Leak Detect - Piping	Sump Sensor	3/6/2024	3/6/2025
Spill Contain Device	Double Wall Spill Bucket	3/6/2024	3/6/2027
Tank	Fiberglass Brine Filled Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron	Precision Test	Pass	3/6/2024

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/22/2022	4/22/2025
Leak Detect - Piping	Sump Sensor	3/6/2024	3/6/2025

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/22/2022	4/22/2025
Leak Detect - Piping	Sump Sensor	3/6/2024	3/6/2025

Name\ID 13/14

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/22/2022	4/22/2025
Leak Detect - Piping	Sump Sensor	3/6/2024	3/6/2025

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/22/2022	4/22/2025
Leak Detect - Piping	Sump Sensor	3/6/2024	3/6/2025

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/22/2022	4/22/2025
Leak Detect - Piping	Sump Sensor	3/6/2024	3/6/2025

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/22/2022	4/22/2025
Leak Detect - Piping	Sump Sensor	3/6/2024	3/6/2025

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/22/2022	4/22/2025
Leak Detect - Piping	Sump Sensor	3/6/2024	3/6/2025

MFD Motorfuel Dispensing Forms

No Forms Found