Information
JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety
State of Illinois
Employment Opportunities
Ready Illinois
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Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 1045624
Status: Active
Facility Name: Meijer Gas Station #192
Address: 2011 Perryville Rd
Rockford, IL 61107
County: Winnebago
Property Parcel: 12-14-152-009
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Y001290
Green Tag Issue Date: 4/3/2023
Green Tag Expiration Date: 12/31/2025

Owner Details

Owner Name: Meijer Great Lakes Limited Partnership
Owner Address: 2929 Walker Avenue, NW
Grand Rapids, MI 495449428
Owner Status: Current Owner
Purchase Date: 4/22/2015
Type of Financial Responsibility: Self-Insurance
Financial Responsibility Reporting Due Date: 7/27/2024

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 4/3/2023 12/31/2025

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0023695 Meijer Great Lakes Limited Partnership Current Owner 4/22/2015

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: 20000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 4/22/2015 Abandoned Material:
Current Age: 9 Abandoned Date:
Install Date: 7/10/2014 Red Tag Issue Date:
Last Used Date: Fee Due:
Product Date: 4/7/2015

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 12/18/2023 12/18/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus 12/18/2023 12/18/2024
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 12/18/2023 12/18/2024
Manway At Grade Accessible Manway Accessible at Grade N/A N/A
Overfill Prev Device Overfill Alarm 12/18/2023 12/18/2026
Overfill Prev Device Overfill Drop Tube Valve 4/17/2024 4/17/2027
Overfill Prev Device Overfill Drop Tube Valve 4/17/2024 4/17/2027
Piping Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping N/A N/A
Piping Single Wall STP/Tanktop Sump 12/26/2023 12/26/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/18/2023 12/18/2024
Spill Contain Device Single Wall Spill Bucket 12/26/2023 12/26/2026
Spill Contain Device Single Wall Spill Bucket 12/26/2023 12/26/2026
Tank Fiberglass Brine Filled Double Wall XERXES N/A N/A
Vent, Riser, Fill Piping Steel risers N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



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: 4/22/2015 Abandoned Material:
Current Age: 9 Abandoned Date:
Install Date: 7/10/2014 Red Tag Issue Date:
Last Used Date: Fee Due:
Product Date: 4/7/2015

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 12/18/2023 12/18/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus 12/18/2023 12/18/2024
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 12/18/2023 12/18/2024
Manway At Grade Accessible Manway Accessible at Grade N/A N/A
Overfill Prev Device Overfill Alarm 12/18/2023 12/18/2026
Overfill Prev Device Overfill Drop Tube Valve 4/17/2024 4/17/2027
Piping Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping N/A N/A
Piping Single Wall STP/Tanktop Sump 12/26/2023 12/26/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/18/2023 12/18/2024
Spill Contain Device Single Wall Spill Bucket 12/26/2023 12/26/2026
Tank Fiberglass Brine Filled Double Wall XERXES N/A N/A
Vent, Riser, Fill Piping Steel risers N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 3

Capacity: 8000 Petroleum Use:
Product: E85 CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 4/22/2015 Abandoned Material:
Current Age: 9 Abandoned Date:
Install Date: 7/10/2014 Red Tag Issue Date:
Last Used Date: Fee Due:
Product Date: 4/7/2015

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 12/18/2023 12/18/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus 12/18/2023 12/18/2024
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 12/18/2023 12/18/2024
Manway At Grade Accessible Manway Accessible at Grade N/A N/A
Overfill Prev Device Overfill Alarm 12/18/2023 12/18/2026
Overfill Prev Device Overfill Drop Tube Valve 2/8/2021 12/18/2023
Piping Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping N/A N/A
Piping Single Wall STP/Tanktop Sump 12/26/2023 12/26/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/18/2023 12/18/2024
Spill Contain Device Single Wall Spill Bucket 12/26/2023 12/26/2026
Tank Fiberglass Brine Filled Double Wall XERXES N/A N/A
Vent, Riser, Fill Piping Steel risers N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



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: 4/22/2015 Abandoned Material:
Current Age: 9 Abandoned Date:
Install Date: 7/10/2014 Red Tag Issue Date:
Last Used Date: Fee Due:
Product Date: 4/7/2015

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 12/18/2023 12/18/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus 12/18/2023 12/18/2024
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 12/18/2023 12/18/2024
Manway At Grade Accessible Manway Accessible at Grade N/A N/A
Overfill Prev Device Overfill Alarm 12/18/2023 12/18/2026
Overfill Prev Device Overfill Drop Tube Valve 12/18/2023 12/18/2026
Piping Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping N/A N/A
Piping Single Wall STP/Tanktop Sump 12/26/2023 12/26/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/18/2023 12/18/2024
Spill Contain Device Single Wall Spill Bucket 12/26/2023 12/26/2026
Tank Fiberglass Brine Filled Double Wall XERXES N/A N/A
Vent, Riser, Fill Piping Steel risers N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 5

Capacity: 6000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 4/22/2015 Abandoned Material:
Current Age: 9 Abandoned Date:
Install Date: 7/10/2014 Red Tag Issue Date:
Last Used Date: Fee Due:
Product Date: 4/7/2015

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 12/18/2023 12/18/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus 12/18/2023 12/18/2024
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 12/18/2023 12/18/2024
Manway At Grade Accessible Manway Accessible at Grade N/A N/A
Overfill Prev Device Overfill Alarm 12/18/2023 12/18/2026
Overfill Prev Device Overfill Drop Tube Valve 12/18/2023 12/18/2026
Piping Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping N/A N/A
Piping Single Wall STP/Tanktop Sump 12/26/2023 12/26/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/18/2023 12/18/2024
Spill Contain Device Single Wall Spill Bucket 12/26/2023 12/26/2026
Tank Fiberglass Brine Filled Double Wall XERXES N/A N/A
Vent, Riser, Fill Piping Steel risers 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 12/26/2023 12/26/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/18/2023 12/18/2024



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 12/26/2023 12/26/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/18/2023 12/18/2024



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 12/26/2023 12/26/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/18/2023 12/18/2024



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 12/26/2023 12/26/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/18/2023 12/18/2024



Name\ID 9/10

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 12/26/2023 12/26/2026
Leak Detect - Piping Sump Sensor with positive shutdown 12/18/2023 12/18/2024

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