Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 1015016
Status: Active
Facility Name: Kelley Williamson Mobil
Address: 10 S. Stephenson
Cedarville, IL 61013
County: Stephenson
Property Parcel:
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: X003006
Green Tag Issue Date: 1/19/2022
Green Tag Expiration Date: 12/31/2024

Owner Details

Owner Name: Kelley Williamson Company
Owner Address: 1132 Harrison Avenue
Rockford, IL 61104
Owner Status: Current Owner
Purchase Date:
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 3/15/2025

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 1/19/2022 12/31/2024

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0008336 Kelley Williamson Company Current Owner

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

NOV Number: E0020240361 (Pending)    Issue Date: 2/8/2024    Expiration Date: 4/8/2024    View NOV Form

Tanks Deficiency
4, 5, 6 Annual leak detection certification not completed (Required annually). - Leak detection equipment does not shut down STP when leak is detected/simulated. Repair/replace as necessary to maintain proper leak detection.

IEMA Numbers Associated with the Facility

IEMA Number Inspection Date Inspection Type Permit Number
11-0163 4/5/2011 Abandonment Log 00208-2011ABN
11-0163 4/5/2011 Removal Log 00209-2011REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number Status OSFM Received Date OSFM Response Date Deductible Letter
11-0163 Eligible 5/18/2011 7/12/2011 $5,000
Pay Tank Fees Online

Tank Information



Tank Number 1

Capacity: 10000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Abandoned in place CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 4/14/1986 Abandoned Material: Inert material mixed with portland cement
Current Age: 40 Abandoned Date: 4/5/2011
Install Date: 1/1/1984 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 Lining Materials Internal 3/17/2006 3/17/2011
Leak Detect - Piping Electronic Pressurized Line Leak Detection 2/22/2010 2/22/2011
Leak Detect - Piping Sump Sensor
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device Ball Float Vent Valve
Overfill Prev Device Overfill Alarm
Piping Flexible 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
Leak Detect - Piping Sump Sensor Sensor Functional Pass 1/8/2008



Tank Number 2

Capacity: 10000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 4/5/2011
OSFM First Notify Date: 4/14/1986 Abandoned Material:
Current Age: 27 Abandoned Date:
Install Date: 1/1/1984 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 Lining Materials Internal 3/17/2006 3/17/2011
Leak Detect - Piping Electronic Pressurized Line Leak Detection 2/22/2010 2/22/2011
Leak Detect - Piping Sump Sensor
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device Ball Float Vent Valve
Overfill Prev Device Overfill Alarm
Piping Flexible 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
Leak Detect - Piping Sump Sensor Sensor Functional Pass 1/8/2008



Tank Number 3

Capacity: 10000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 4/5/2011
OSFM First Notify Date: 4/14/1986 Abandoned Material:
Current Age: 27 Abandoned Date:
Install Date: 1/1/1984 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 Lining Materials Internal 3/17/2006 3/17/2011
Leak Detect - Piping Electronic Pressurized Line Leak Detection 2/22/2010 2/22/2011
Leak Detect - Piping Sump Sensor
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device Ball Float Vent Valve
Overfill Prev Device Overfill Alarm
Piping Flexible 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
Leak Detect - Piping Sump Sensor Sensor Functional Pass 1/8/2008



Tank Number 4

Capacity: 8000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 8/13/2012 Abandoned Material:
Current Age: 13 Abandoned Date:
Install Date: 4/8/2011 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 4/8/2011

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 4/30/2024 4/30/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 4/30/2024 4/30/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 4/30/2024 4/30/2025
Overfill Prev Device Overfill Alarm 4/30/2024 4/30/2027
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX N/A N/A
Piping Single Wall STP/Tanktop Sump 4/30/2024 4/30/2027
Leak Detect - Piping Sump Sensor with positive shutdown 4/30/2024 4/30/2025
Spill Contain Device Single Wall Spill Bucket 4/30/2024 4/30/2027
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX Precision Test Pass 3/27/2023



Tank Number 5

Capacity: 12000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 8/13/2012 Abandoned Material:
Current Age: 13 Abandoned Date:
Install Date: 4/8/2011 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 4/8/2011

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 4/30/2024 4/30/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 4/30/2024 4/30/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 4/30/2024 4/30/2025
Overfill Prev Device Overfill Alarm 4/30/2024 4/30/2027
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX N/A N/A
Piping Single Wall STP/Tanktop Sump 4/30/2024 4/30/2027
Leak Detect - Piping Sump Sensor with positive shutdown 4/30/2024 4/30/2025
Spill Contain Device Single Wall Spill Bucket 4/30/2024 4/30/2027
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX Precision Test Pass 3/27/2023



Tank Number 6

Capacity: 8000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 8/13/2012 Abandoned Material:
Current Age: 13 Abandoned Date:
Install Date: 4/8/2011 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 4/8/2011

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 4/30/2024 4/30/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 4/30/2024 4/30/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 4/30/2024 4/30/2025
Overfill Prev Device Overfill Alarm 4/30/2024 4/30/2027
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX N/A N/A
Piping Single Wall STP/Tanktop Sump 4/30/2024 4/30/2027
Leak Detect - Piping Sump Sensor with positive shutdown 4/30/2024 4/30/2025
Spill Contain Device Single Wall Spill Bucket 4/30/2024 4/30/2027
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX Precision Test Pass 3/27/2023

Dispenser Information



Name\ID 1/2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/30/2024 4/30/2027
Leak Detect - Piping Sump Sensor with positive shutdown 4/30/2024 4/30/2025



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/30/2024 4/30/2027
Leak Detect - Piping Sump Sensor with positive shutdown 4/30/2024 4/30/2025



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/30/2024 4/30/2027
Leak Detect - Piping Sump Sensor with positive shutdown 4/30/2024 4/30/2025

MFD Motorfuel Dispensing Forms

No Forms Found