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:	1046004
Status:	Active
Facility Name:	Walmart Store #3837
Address:	13397 Quail Trail Roscoe, IL 61072
County:	Winnebago
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y001251
Green Tag Issue Date:	1/4/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Wal-Mart Stores, Inc.
Owner Address:	2101 SE Simple Savings Drive Bentonville, AR 727160745
Owner Status:	Current Owner
Purchase Date:	10/16/2015
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	4/29/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	1/4/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0017352	Wal-Mart Stores, Inc.	Current Owner	10/16/2015

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:	2/1/2016		Abandoned Material:
Current Age:	8		Abandoned Date:
Install Date:	10/16/2015		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/13/2016

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	10/10/2023	10/10/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD	10/10/2023	10/10/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	10/10/2023	10/10/2024
Manway At Grade	Accessible Manway Accessible at Grade	N/A	N/A
Overfill Prev Device	Overfill Drop Tube Valve	11/30/2021	11/30/2024
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	1/27/2022	1/27/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	10/10/2023	10/10/2024
Spill Contain Device	Double Wall Spill Bucket	10/10/2023	10/10/2026
Tank	Fiberglass 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
Piping	Flexible Double Wall OPW Flexworks	Precision Test	Pass	10/10/2023
Piping	Transition Sump UDC Sump FRP fiberglass	Precision Test	Pass	11/9/2022
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	12/1/2020

Tank Number 2

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	2/1/2016		Abandoned Material:
Current Age:	8		Abandoned Date:
Install Date:	10/16/2015		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/13/2016

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	10/10/2023	10/10/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD	10/10/2023	10/10/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	10/10/2023	10/10/2024
Manway At Grade	Accessible Manway Accessible at Grade	N/A	N/A
Overfill Prev Device	Overfill Drop Tube Valve	11/30/2021	11/30/2024
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	1/27/2022	1/27/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	10/10/2023	10/10/2024
Spill Contain Device	Double Wall Spill Bucket	10/10/2023	10/10/2026
Tank	Fiberglass 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
Piping	Flexible Double Wall OPW Flexworks	Precision Test	Pass	10/10/2023
Piping	Transition Sump UDC Sump FRP fiberglass	Precision Test	Pass	11/9/2022
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	12/1/2020

Tank Number 3

Capacity:	8000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	2/1/2016		Abandoned Material:
Current Age:	8		Abandoned Date:
Install Date:	10/16/2015		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/13/2016

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	10/10/2023	10/10/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD	10/10/2023	10/10/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	10/10/2023	10/10/2024
Manway At Grade	Accessible Manway Accessible at Grade	N/A	N/A
Overfill Prev Device	Overfill Drop Tube Valve	11/30/2021	11/30/2024
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	1/27/2022	1/27/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	10/10/2023	10/10/2024
Spill Contain Device	Double Wall Spill Bucket	10/10/2023	10/10/2026
Tank	Fiberglass 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
Piping	Flexible Double Wall OPW Flexworks	Precision Test	Pass	10/10/2023
Piping	Transition Sump UDC Sump FRP fiberglass	Precision Test	Pass	11/9/2022
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	12/1/2020

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	1/27/2022	1/27/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	10/10/2023	10/10/2024

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	2/17/2022	2/17/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	10/10/2023	10/10/2024

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	1/27/2022	1/27/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	10/10/2023	10/10/2024

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	1/27/2022	1/27/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	10/10/2023	10/10/2024

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	1/27/2022	1/27/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	10/10/2023	10/10/2024

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	1/27/2022	1/27/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	10/10/2023	10/10/2024

MFD Motorfuel Dispensing Forms

No Forms Found