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:	1007421
Status:	Active
Facility Name:	AZ Green, LLC
Address:	4962 South 20th Street Rockford, IL 61109
County:	Winnebago
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y001142
Green Tag Issue Date:	7/24/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	A Z Green, LLC
Owner Address:	4962 20th Street Rockford, IL 61109
Owner Status:	Current Owner
Purchase Date:	6/28/2012
Type of Financial Responsibility:	Designated Savings Account
Financial Responsibility Reporting Due Date:	12/16/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	7/24/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0036606	A Z Green, LLC	Current Owner	6/28/2012
U0033300	Samuelson & 20th Street, Inc.	Former Owner	11/22/2005
U0028787	Clark Retail Enterprises, Inc.,	Former Owner	5/3/2000
U0029789	Clark Retail Enterprises, Inc.	Former Owner
U0004916	Exel Sales Inc	Former Owner

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

No Deficiencies 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:	12000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/19/2012
OSFM First Notify Date:	4/24/1986		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:			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	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	4/23/2008	4/23/2013
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	8/22/2012	8/22/2013
Leak Detect - Piping	Sump Sensor	11/1/2010	11/1/2011
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD
Overfill Prev Device	Overfill Alarm
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel 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:	10/19/2012
OSFM First Notify Date:	4/24/1986		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:			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	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	4/23/2008	4/23/2013
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	8/22/2012	8/22/2013
Leak Detect - Piping	Sump Sensor	11/1/2010	11/1/2011
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD
Overfill Prev Device	Overfill Alarm
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/19/2012
OSFM First Notify Date:	4/24/1986		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:			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	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	4/23/2008	4/23/2013
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	8/22/2012	8/22/2013
Leak Detect - Piping	Sump Sensor	11/1/2010	11/1/2011
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD
Overfill Prev Device	Overfill Alarm
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	10/4/2012		Abandoned Material:
Current Age:	11		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/14/2012

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	6/29/2023	6/29/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD	6/29/2023	6/29/2024
Overfill Prev Device	Overfill Alarm	5/26/2022	5/26/2025
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/29/2021	4/29/2024
Leak Detect - Piping	Sump Sensor	6/29/2023	6/29/2024
Piping	Single Wall Transition Sump	4/29/2021	4/29/2024
Leak Detect - Piping	Sump Sensor	6/29/2023	6/29/2024
Spill Contain Device	Single Wall Spill Bucket	4/29/2021	4/29/2024
Tank	Fiberglass Double Wall XERXES	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

Tank Number 5

Capacity:	8000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	10/4/2012		Abandoned Material:
Current Age:	11		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/14/2012

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	6/29/2023	6/29/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD	6/29/2023	6/29/2024
Overfill Prev Device	Overfill Alarm	5/26/2022	5/26/2025
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/29/2021	4/29/2024
Leak Detect - Piping	Sump Sensor	6/29/2023	6/29/2024
Spill Contain Device	Single Wall Spill Bucket	4/29/2021	4/29/2024
Tank	Fiberglass Double Wall XERXES	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

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/26/2022	5/26/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	6/29/2023	6/29/2024

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/26/2022	5/26/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	6/29/2023	6/29/2024

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/26/2022	5/26/2025
Leak Detect - Piping	Sump Sensor	6/29/2023	6/29/2024

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/26/2022	5/26/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	6/29/2023	6/29/2024

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/26/2022	5/26/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	6/29/2023	6/29/2024

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/26/2022	5/26/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	6/29/2023	6/29/2024

MFD Motorfuel Dispensing Forms

No Forms Found