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:	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

Click for Facility/Tank Ownership history

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

Permits (Unexpired)

Click for permit history

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 1

Capacity:	1000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/23/1998
OSFM First Notify Date:	3/6/1995		Abandoned Material:
Current Age:	12		Abandoned Date:
Install Date:	7/1/1985		Red Tag Issue Date:
Last Used Date:	4/23/1998		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 2

Capacity:	12000		Petroleum Use:
Product:	Ultra Low Sulfur Diesel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	3/6/1995		Abandoned Material:
Current Age:	38		Abandoned Date:
Install Date:	7/1/1985		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	Mechanical Pressurized Line Leak Detection	3/20/2024	3/20/2025
Leak Detect - Tank	Automatic Tank Gauging Franklin Fueling Systems EVO 200	3/20/2024	3/20/2025
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Drop Tube Valve	3/18/2022	3/18/2025
Piping	Flexible Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	3/31/2023	3/31/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	3/20/2024	3/20/2025
Spill Contain Device	Single Wall Spill Bucket	3/31/2023	3/31/2026
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall	Precision Test	Pass	3/20/2024

Tank Number 3

Capacity:	12000		Petroleum Use:
Product:	Dyed Diesel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	3/6/1995		Abandoned Material:
Current Age:	38		Abandoned Date:
Install Date:	7/1/1985		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	Mechanical Pressurized Line Leak Detection	3/20/2024	3/20/2025
Leak Detect - Tank	Automatic Tank Gauging Franklin Fueling Systems EVO 200	3/20/2024	3/20/2025
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Drop Tube Valve	3/18/2022	3/18/2025
Piping	Flexible Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	3/31/2023	3/31/2026
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall	Precision Test	Pass	3/20/2024

Tank Number 4

Capacity:	550		Petroleum Use:
Product:	New Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/2/2015
OSFM First Notify Date:	7/24/2015		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/1/1999		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:	1000		Petroleum Use:
Product:	Motor Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/2/2015
OSFM First Notify Date:	7/24/2015		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/1/1999		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 6

Capacity:	1000		Petroleum Use:
Product:	Motor Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/2/2015
OSFM First Notify Date:	7/24/2015		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/1/1999		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 7

Capacity:	550		Petroleum Use:
Product:	Water		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Non-Regulated		Removed Date:	9/2/2015
OSFM First Notify Date:	7/24/2015		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/1/1999		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

Name\ID 1

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	3/31/2023	3/31/2026

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	3/31/2023	3/31/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	3/20/2024	3/20/2025

Name\ID 3

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found