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

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Facility Details

Facility Number:	1029623
Status:	Closed
Facility Name:	Rockford Country Club
Address:	2500 Oxford Street Rockford, IL 61103
County:	Winnebago
Property Parcel:
Facility Type:	Golf Course
Owner Type:	Private
Green Tag Decal:	T005097
Green Tag Issue Date:	6/28/2018
Green Tag Expiration Date:	12/31/2020

Owner Details

Owner Name:	Rockford Country Club
Owner Address:	2500 Oxford Street Rockford, IL 61103
Owner Status:	Current Owner / Operator
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	4/17/2019

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Fleet	6/28/2018	12/31/2020

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0012985	Rockford Country Club	Current Owner / Operator

Permits (Unexpired)

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No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
N/A	10/1/2019	Removal Log	01641-2019REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
20191075	Eligible	3/27/2020	4/2/2020	$5,000	Letter

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Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	550	Diesel Fuel	Removed	Federal		$0.00	10/01/2019 - REM
2	550	Gasoline	Removed	Federal		$0.00	10/01/2019 - REM
3	550	Gasoline	Removed	Federal		$0.00	04/26/2011 - REM
4	550	Diesel Fuel	Removed	Federal		$0.00	11/01/1989 - REM
5	550	Gasoline	Removed	Federal		$0.00	11/01/1989 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found