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:	1040639
Status:	Active
Facility Name:	Woodman's Store #30
Address:	3205 McFarland Rd. Rockford, IL 61114
County:	Winnebago
Property Parcel:	12-11-152-001
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y001139
Green Tag Issue Date:	7/19/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Woodman's Food Market, Inc.
Owner Address:	2631 Liberty Lane Janesville, WI 535450741
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	3/28/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	7/19/2023	12/31/2025
Unattended Self Service	7/19/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0030284	Woodman's Food Market, Inc.	Current Owner

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:	1/29/2002		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:	10/4/2001		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/10/2002

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	2/20/2024	2/20/2025
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC with CSLD	2/20/2024	2/20/2025
Overfill Prev Device	Overfill Alarm	2/2/2022	2/2/2025
Piping	Fiberglass Double Wall A.O. Smith	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	2/2/2022	2/2/2025
Leak Detect - Piping	Sump Sensor	2/20/2024	2/20/2025
Spill Contain Device	Single Wall Spill Bucket	2/2/2022	2/2/2025
Tank	Fiberglass Single Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall A.O. Smith	Precision Test	Pass	2/20/2024

Tank Number 2

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	1/29/2002		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:	10/4/2001		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/10/2002

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	2/20/2024	2/20/2025
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC with CSLD	2/20/2024	2/20/2025
Overfill Prev Device	Overfill Alarm	2/2/2022	2/2/2025
Piping	Fiberglass Double Wall A.O. Smith	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	2/2/2022	2/2/2025
Leak Detect - Piping	Sump Sensor	2/20/2024	2/20/2025
Spill Contain Device	Single Wall Spill Bucket	2/2/2022	2/2/2025
Tank	Fiberglass Single Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall A.O. Smith	Precision Test	Pass	2/20/2024

Tank Number 3

Capacity:	6000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	1/29/2002		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:	10/4/2001		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/10/2002

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	2/20/2024	2/20/2025
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC with CSLD	2/20/2024	2/20/2025
Overfill Prev Device	Overfill Alarm	2/2/2022	2/2/2025
Piping	Fiberglass Double Wall A.O. Smith	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	2/2/2022	2/2/2025
Leak Detect - Piping	Sump Sensor	2/20/2024	2/20/2025
Spill Contain Device	Single Wall Spill Bucket	2/2/2022	2/2/2025
Tank	Fiberglass Single Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall A.O. Smith	Precision Test	Pass	2/20/2024

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

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 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

Facility Number	Name	City	Received Date	Letter
1040639	Woodman's Store #30	Rockford	12/13/2022	Letter Form