Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	1043398
Status:	Active
Facility Name:	Applewood Mobil
Address:	5542 E. Riverside Blvd. Loves Park, IL 61111
County:	Winnebago
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y001125
Green Tag Issue Date:	6/6/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Kelley Williamson Company
Owner Address:	1132 Harrison Avenue Rockford, IL 61104
Owner Status:	Current Owner
Purchase Date:	1/31/2013
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	6/6/2023	12/31/2025
Unattended Self Service	6/6/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0008336	Kelley Williamson Company	Current Owner	1/31/2013
U0015806	Vista Marketing Group	Former Owner	6/1/2007

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

NOV Number: E0020241026 (Pending) Issue Date: 4/9/2024 Expiration Date: 6/8/2024 View NOV Form

Tanks	Deficiency
1, 2, 3, 4	Annual electronic line leak detector test not completed. - Annual third party testing required on all line leak detectors. FAILED REPORT 4/1/2024
1, 2, 3, 4	Annual leak detection certification not completed (Required annually). - Annual leak detection certification (ATG) not completed. FAILED REPORT 4/1/2024

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:	6/1/2007	Abandoned Material:
Current Age:	17	Abandoned Date:
Install Date:	5/25/2007	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	5/25/2007

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	Electronic Pressurized Line Leak Detection	4/1/2024	4/1/2025
Leak Detect - Tank	Automatic Tank Gauging Incon TS 550 with SCALD	4/6/2023	4/1/2024
Overfill Prev Device	Overfill Alarm	4/1/2024	4/1/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	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	4/1/2024	4/1/2027
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	12000	Petroleum Use:
Product:	Gasoline - Regular	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	6/1/2007	Abandoned Material:
Current Age:	17	Abandoned Date:
Install Date:	5/25/2007	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	5/25/2007

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	Electronic Pressurized Line Leak Detection	4/1/2024	4/1/2025
Leak Detect - Tank	Automatic Tank Gauging Incon TS 550 with SCALD	4/6/2023	4/1/2024
Overfill Prev Device	Overfill Alarm	4/1/2024	4/1/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	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	4/1/2024	4/1/2027
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	12000	Petroleum Use:
Product:	Gasoline - Premium	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	6/1/2007	Abandoned Material:
Current Age:	17	Abandoned Date:
Install Date:	5/25/2007	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	5/25/2007

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	Electronic Pressurized Line Leak Detection	4/1/2024	4/1/2025
Leak Detect - Tank	Automatic Tank Gauging Incon TS 550 with SCALD	4/6/2023	4/1/2024
Overfill Prev Device	Overfill Alarm	4/1/2024	4/1/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	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	4/1/2024	4/1/2027
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	12000	Petroleum Use:
Product:	Diesel Fuel	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	6/1/2007	Abandoned Material:
Current Age:	17	Abandoned Date:
Install Date:	5/25/2007	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	5/25/2007

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	Electronic Pressurized Line Leak Detection	4/6/2023	4/1/2024
Leak Detect - Tank	Automatic Tank Gauging Incon TS 550 with SCALD	4/1/2024	4/1/2025
Overfill Prev Device	Overfill Alarm	4/1/2024	4/1/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	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	4/1/2024	4/1/2027
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

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 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