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:	1018737
Status:	Active
Facility Name:	Jefferson High School
Address:	4145 Samuelson Road Rockford, IL 61109
County:	Winnebago
Property Parcel:
Facility Type:	School/College
Owner Type:	Other Local
Green Tag Decal:	Y003886
Green Tag Issue Date:	2/1/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Rockford Public Schools District 205
Owner Address:	501 Seventh Street Rockford, IL 611042092
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	12/27/2024

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0012974	Rockford Public Schools District 205	Current 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:	600		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	4/4/1986		Abandoned Material:
Current Age:	46		Abandoned Date:
Install Date:	8/1/1977		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	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300c	7/27/2023	7/27/2024
Overfill Prev Device	Overfill Drop Tube Valve	3/9/2022	3/9/2025
Piping	Flexible Double Wall Total Containment Omniflex II	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Non-Discriminating Sump Sensor	6/24/2021	6/24/2022
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	3/9/2022	3/9/2025
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found