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:	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

Click for Facility/Tank Ownership history

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

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
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

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	550		Petroleum Use:	None
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/1/2019
OSFM First Notify Date:	3/17/1992		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	1/1/1989		Red Tag Issue Date:
Last Used Date:	9/1/2019		Fee Due:	$0.00
Product Date:	1/1/1989

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	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300c	1/15/2019	1/15/2020
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	1/15/2019	1/15/2020
Overfill Prev Device	Overfill Drop Tube Valve	1/15/2019	1/15/2022
Piping	Fiberglass Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	550		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/1/2019
OSFM First Notify Date:	3/17/1992		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	1/1/1989		Red Tag Issue Date:
Last Used Date:	9/1/2019		Fee Due:	$0.00
Product Date:	1/1/1989

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	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300c	1/15/2019	1/15/2020
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	1/15/2019	1/15/2020
Overfill Prev Device	Overfill Drop Tube Valve	1/15/2019	1/15/2022
Piping	Fiberglass Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	550		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/26/2011
OSFM First Notify Date:	3/17/1992		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:	1/1/1989		Red Tag Issue Date:
Last Used Date:	8/1/2008		Fee Due:	$0.00
Product Date:	1/1/1989

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	550		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/1/1989
OSFM First Notify Date:	4/17/1992		Abandoned Material:
Current Age:	36		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	10/1/1989		Fee Due:	$0.00
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:	550		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/1/1989
OSFM First Notify Date:	4/17/1992		Abandoned Material:
Current Age:	36		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	10/1/1989		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found