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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

 

Facility Details

Facility Number: 1034915
Status: Active
Facility Name: Belvidere Mobil Mart
Address: 1776 Logan Ave
Belvidere, IL 61008
County: Boone
Property Parcel:
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Z000854
Green Tag Issue Date: 3/18/2024
Green Tag Expiration Date: 12/31/2026

Owner Details

Owner Name: Kelley Williamson Company
Owner Address: 1132 Harrison Avenue
Rockford, IL 61104
Owner Status: Current Owner
Purchase Date: 7/30/1996
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 3/15/2025

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 3/18/2024 12/31/2026

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0008336 Kelley Williamson Company Current Owner 7/30/1996

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: 12000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 2/21/1997 Abandoned Material:
Current Age: 27 Abandoned Date:
Install Date: 7/30/1996 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 10/17/1996

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Fiberglass Chase N/A N/A
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
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 5/2/2024 5/2/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 5/2/2024 5/2/2025
Overfill Prev Device Overfill Alarm 5/2/2024 5/2/2027
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX N/A N/A
Piping Flexible Double Wall Ameron Flex III N/A N/A
Piping Flexible Single Wall Piping in Chase N/A N/A
Piping Single Wall STP/Tanktop Sump
Leak Detect - Piping Non-Discriminating Sump Sensor 4/20/2021 4/20/2022
Leak Detect - Piping Piping Sump Sensors Not Regulated N/A N/A
Piping Single Wall Transition Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated Not Installed N/A N/A
Spill Contain Device Single Wall Spill Bucket 5/2/2024 5/2/2027
Tank Fiberglass Double Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX Precision Test Pass 6/21/2023
Piping Flexible Double Wall Ameron Flex III Precision Test Pass 5/2/2024



Tank Number 2

Capacity: 8000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 2/21/1997 Abandoned Material:
Current Age: 27 Abandoned Date:
Install Date: 7/30/1996 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 10/17/1996

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Fiberglass Chase N/A N/A
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
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 5/2/2024 5/2/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 5/2/2024 5/2/2025
Overfill Prev Device Overfill Alarm 5/2/2024 5/2/2027
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX N/A N/A
Piping Flexible Double Wall Ameron Flex III N/A N/A
Piping Flexible Single Wall Piping in Chase N/A N/A
Piping Single Wall STP/Tanktop Sump
Leak Detect - Piping Non-Discriminating Sump Sensor 4/20/2021 4/20/2022
Leak Detect - Piping Piping Sump Sensors Not Regulated N/A N/A
Spill Contain Device Single Wall Spill Bucket 4/20/2021 4/20/2024
Tank Fiberglass Double Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX Precision Test Pass 6/21/2023
Piping Flexible Double Wall Ameron Flex III Precision Test Pass 5/2/2024
Piping Flexible Single Wall Piping in Chase Precision Test Pass 2/19/2021



Tank Number 3

Capacity: 8000 Petroleum Use:
Product: Gasoline - Mid-grade CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 2/21/1997 Abandoned Material:
Current Age: 27 Abandoned Date:
Install Date: 7/30/1996 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 10/17/1996

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Fiberglass Chase N/A N/A
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
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 5/2/2024 5/2/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 5/2/2024 5/2/2025
Overfill Prev Device Overfill Alarm 5/2/2024 5/2/2027
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX N/A N/A
Piping Flexible Double Wall Ameron Flex III N/A N/A
Piping Flexible Single Wall Piping in Chase N/A N/A
Piping Single Wall STP/Tanktop Sump
Leak Detect - Piping Non-Discriminating Sump Sensor 4/20/2021 4/20/2022
Leak Detect - Piping Piping Sump Sensors Not Regulated N/A N/A
Spill Contain Device Single Wall Spill Bucket 5/2/2024 5/2/2027
Tank Fiberglass Double Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX Precision Test Pass 6/21/2023
Piping Flexible Double Wall Ameron Flex III Precision Test Pass 5/2/2024
Piping Flexible Single Wall Piping in Chase Precision Test Pass 2/19/2021



Tank Number 4

Capacity: 8000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 6/2/2008 Abandoned Material:
Current Age: 16 Abandoned Date:
Install Date: 4/8/2008 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 4/8/2008

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 Mechanical Pressurized Line Leak Detection 5/2/2024 5/2/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 5/2/2024 5/2/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 5/2/2024 5/2/2025
Overfill Prev Device Overfill Alarm 5/2/2024 5/2/2027
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX N/A N/A
Piping Single Wall STP/Tanktop Sump 5/2/2024 5/2/2027
Leak Detect - Piping Sump Sensor 5/2/2024 5/2/2025
Spill Contain Device Single Wall Spill Bucket 5/2/2024 5/2/2027
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX Precision Test Pass 5/2/2024

Dispenser Information



Name\ID 1/2

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



Name\ID 11/12

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



Name\ID 13/14

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



Name\ID 15/16

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 5/2/2024 5/2/2027
Leak Detect - Piping Sump Sensor 5/2/2024 5/2/2025



Name\ID 3/4

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



Name\ID 5/6

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



Name\ID 7/8

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



Name\ID 9/10

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

Office of the Illinois State Fire Marshal
1035 Stevenson Dr. Springfield, IL 62704 | (217) 785-0969 | Contact Us