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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:	1033925
Status:	Active
Facility Name:	Sandy Hollow Quad Office
Address:	4781 Sandy Hollow Road Rockford, IL 61109
County:	Winnebago
Property Parcel:
Facility Type:	Construction
Owner Type:	Private
Green Tag Decal:	Z000832
Green Tag Issue Date:	1/31/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Northern Illinois Service Company
Owner Address:	4781 Sandy Hollow Road Rockford, IL 61109
Owner Status:	Current Owner
Purchase Date:	1/1/1976
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	11/27/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Fleet	1/31/2024	12/31/2026

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0023837	Northern Illinois Service Company	Current Owner	1/1/1976

Permits (Unexpired)

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Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
00247-2024UPG	Upgrade	Approved / Issued	3/4/2024	3/4/2024	9/4/2024	Documents

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	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	1000	Gasoline	Removed	Federal		$0.00	04/23/1998 - REM
2	12000	Ultra Low Sulfur Diesel	Currently in use	Federal		$0.00
3	12000	Dyed Diesel	Currently in use	Federal		$0.00
4	550	New Oil	Removed	Federal		$0.00	09/02/2015 - REM
5	1000	Motor Oil	Removed	Federal		$0.00	09/02/2015 - REM
6	1000	Motor Oil	Removed	Federal		$0.00	09/02/2015 - REM
7	550	Water	Removed	Non-Regulated		$0.00	09/02/2015 - REM

Dispenser Information

Name\ID	Status
1	Active
1/2	Active
3	Active

MFD Motorfuel Dispensing Forms

No Forms Found