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

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Facility Details

Facility Number:	1046842
Status:	Active
Facility Name:	Costco Gasoline #1353
Address:	4000 Stadium Drive Loves Park, IL 61111
County:	Winnebago
Property Parcel:	12-02-226-012
Facility Type:	Unattended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y001371
Green Tag Issue Date:	10/5/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Costco Wholesale Corporation
Owner Address:	P.O. Box 35005 Seattle, WA 98124
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	3/6/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Unattended Self Service	10/5/2023	12/31/2025

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0029489	Costco Wholesale Corporation	Current Owner

Permits (Unexpired)

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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	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	30000	Gasoline - Regular	Currently in use	Federal		$0.00
2	30000	Gasoline - Regular	Currently in use	Federal		$0.00
3	30000	Gasoline - Premium	Currently in use	Federal		$0.00
4	1500	Ultrazol - Fuel Additive	Currently in use	Federal		$0.00

Dispenser Information

Name\ID	Status
1/2	Active
3/4	Active
5/6	Active
7/8	Active
9/10	Active
11/12	Active
13/14	Active
15/16	Active
17/18	Active
19/20	Active
21/22	Active
23/24	Active

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
1046842	Costco Gasoline #1353	Loves Park	02/12/2020	Letter Form
1046842	Costco Gasoline #1353	Loves Park	08/06/2019	Letter Form
1046842	Costco Gasoline #1353	Loves Park	05/14/2019	Letter Form