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:	1046514
Status:	Active
Facility Name:	Jefferson Street Mobil
Address:	515 East Jefferson Street Rockford, IL 61107
County:	Winnebago
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	X001376
Green Tag Issue Date:	9/29/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	Kelley Williamson Company
Owner Address:	1132 Harrison Avenue Rockford, IL 61104
Owner Status:	Current Owner
Purchase Date:
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	9/29/2022	12/31/2024

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0008336	Kelley Williamson Company	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:	15000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/19/2018		Abandoned Material:
Current Age:	6		Abandoned Date:
Install Date:	12/4/2017		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/5/2017

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	Electronic Pressurized Line Leak Detection	3/21/2024	3/21/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	3/21/2024	3/21/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	3/21/2024	3/21/2025
Manway At Grade	Accessible Manway Accessible at Grade	N/A	N/A
Overfill Prev Device	Overfill Alarm	3/21/2024	3/21/2027
Overfill Prev Device	Overfill Drop Tube Valve	3/21/2024	3/21/2027
Piping	Flexible Double Wall A.P.T. Poly Tech S175SC	N/A	N/A
Piping	Double Wall STP/Tanktop Sump	3/21/2024	3/21/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	3/21/2024	3/21/2025
Spill Contain Device	Double Wall Spill Bucket	3/21/2024	3/21/2027
Tank	Fiberglass Double Wall Containment Solutions	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:	7000		Petroleum Use:
Product:	Gasoline - Mid-grade		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/19/2018		Abandoned Material:
Current Age:	6		Abandoned Date:
Install Date:	12/4/2017		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/5/2017

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	Electronic Pressurized Line Leak Detection	3/21/2024	3/21/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	3/21/2024	3/21/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	3/15/2023	3/15/2024
Manway At Grade	Accessible Manway Accessible at Grade	N/A	N/A
Overfill Prev Device	Overfill Alarm	3/21/2024	3/21/2027
Overfill Prev Device	Overfill Drop Tube Valve	3/21/2024	3/21/2027
Piping	Flexible Double Wall A.P.T. Poly Tech S150SC	N/A	N/A
Piping	Double Wall STP/Tanktop Sump	3/21/2024	3/21/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	3/21/2024	3/21/2025
Spill Contain Device	Double Wall Spill Bucket	3/21/2024	3/21/2027
Tank	Fiberglass Double Wall Containment Solutions	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:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/19/2018		Abandoned Material:
Current Age:	6		Abandoned Date:
Install Date:	12/4/2017		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/5/2017

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	Electronic Pressurized Line Leak Detection	3/21/2024	3/21/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	3/21/2024	3/21/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	3/21/2024	3/21/2025
Manway At Grade	Accessible Manway Accessible at Grade	N/A	N/A
Overfill Prev Device	Overfill Alarm	3/21/2024	3/21/2027
Overfill Prev Device	Overfill Drop Tube Valve	3/21/2024	3/21/2027
Piping	Flexible Double Wall A.P.T. Poly Tech S150SC	N/A	N/A
Piping	Double Wall STP/Tanktop Sump	3/21/2024	3/21/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	3/21/2024	3/21/2025
Spill Contain Device	Double Wall Spill Bucket	3/21/2024	3/21/2027
Tank	Fiberglass Double Wall Containment Solutions	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:	None
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/19/2018		Abandoned Material:
Current Age:	6		Abandoned Date:
Install Date:	12/4/2017		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/5/2017

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	Electronic Pressurized Line Leak Detection	3/21/2024	3/21/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	3/21/2024	3/21/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	3/21/2024	3/21/2025
Manway At Grade	Accessible Manway Accessible at Grade	N/A	N/A
Overfill Prev Device	Overfill Alarm	3/21/2024	3/21/2027
Overfill Prev Device	Overfill Drop Tube Valve	3/21/2024	3/21/2027
Piping	Flexible Double Wall A.P.T. Poly Tech P200SC	N/A	N/A
Piping	Double Wall STP/Tanktop Sump	3/21/2024	3/21/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	3/21/2024	3/21/2025
Spill Contain Device	Double Wall Spill Bucket	3/21/2024	3/21/2027
Tank	Fiberglass Double Wall Containment Solutions	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:	3000		Petroleum Use:
Product:	Diesel Exhaust Fluid (Non-Regulated)		CERCLA Substance:
Status:	Unknown		CAS Code:
Regulated Status:	Non-Regulated		Removed Date:
OSFM First Notify Date:	6/19/2018		Abandoned Material:
Current Age:	6		Abandoned Date:
Install Date:	12/4/2017		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/5/2017

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	Sump Sensor	6/18/2018	6/18/2019
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD
Manway At Grade	Accessible Manway Accessible at Grade	N/A	N/A
Overfill Prev Device	Overfill Alarm
Spill Contain Device	Double Wall Spill Bucket
Tank	Fiberglass Double Wall Containment Solutions	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	Double Wall UDC Sump	3/21/2024	3/21/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	3/21/2024	3/21/2025

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Double Wall UDC Sump	3/21/2024	3/21/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	3/21/2024	3/21/2025

Name\ID 13/14

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Double Wall UDC Sump	3/21/2024	3/21/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	3/21/2024	3/21/2025

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Double Wall UDC Sump	3/21/2024	3/21/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	3/21/2024	3/21/2025

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Double Wall UDC Sump	3/21/2024	3/21/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	3/21/2024	3/21/2025

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Double Wall UDC Sump	3/21/2024	3/21/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	3/21/2024	3/21/2025

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Double Wall UDC Sump	3/21/2024	3/21/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	3/21/2024	3/21/2025

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
1046514	Jefferson Street Mobil	Rockford	05/30/2018	Letter Form