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:	2002267
Status:	Active
Facility Name:	Speedway #7422
Address:	7859 S. Harlem Avenue Burbank, IL 60459
County:	Cook
Property Parcel:	19-30-300-013-0000
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	X001038
Green Tag Issue Date:	10/3/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	Speedway, LLC
Owner Address:	P.O. Box 1500 Springfield, OH 45501
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	12/13/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	7/27/2022	12/31/2024

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0026552	Speedway, LLC	Current Owner
U0016241	Emro Marketing Company	Former Owner	12/31/1967

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
14-0449	4/21/2014	Removal Log	00244-2014REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
08-0445	Eligible	6/23/2008	7/21/2008	$10,000
09-0795	Eligible	12/3/2009	1/15/2010	$10,000
14-0449	Eligible	10/6/2014	11/20/2014	$5,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	12000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/21/2014
OSFM First Notify Date:	3/4/1988		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	9/1/1987		Red Tag Issue Date:
Last Used Date:	4/21/2014		Fee Due:	$0.00
Product Date:	9/1/1987

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	1/9/2013	1/9/2014
Leak Detect - Piping	Sump Sensor	1/9/2013	1/9/2014
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall A.O. Smith	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
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:	Kerosene		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/21/2014
OSFM First Notify Date:	3/4/1988		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	9/1/1987		Red Tag Issue Date:
Last Used Date:	4/21/2014		Fee Due:	$0.00
Product Date:	9/1/1987

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	1/9/2013	1/9/2014
Leak Detect - Piping	Sump Sensor	1/9/2013	1/9/2014
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall A.O. Smith	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
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:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/21/2014
OSFM First Notify Date:	3/4/1988		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	9/1/1987		Red Tag Issue Date:
Last Used Date:	4/21/2014		Fee Due:	$0.00
Product Date:	9/1/1987

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	1/9/2013	1/9/2014
Leak Detect - Piping	Sump Sensor	1/9/2013	1/9/2014
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall A.O. Smith	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
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:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/21/2014
OSFM First Notify Date:	3/4/1988		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	9/1/1987		Red Tag Issue Date:
Last Used Date:	4/21/2014		Fee Due:	$0.00
Product Date:	9/1/1987

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	1/9/2013	1/9/2014
Leak Detect - Piping	Sump Sensor	1/9/2013	1/9/2014
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall A.O. Smith	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	12000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/21/2014
OSFM First Notify Date:	3/4/1988		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	9/1/1987		Red Tag Issue Date:
Last Used Date:	4/21/2014		Fee Due:	$0.00
Product Date:	9/1/1987

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	1/9/2013	1/9/2014
Leak Detect - Piping	Sump Sensor	1/9/2013	1/9/2014
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall A.O. Smith	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 6

Capacity:	12000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/21/2014
OSFM First Notify Date:	3/4/1988		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	9/1/1987		Red Tag Issue Date:
Last Used Date:	4/21/2014		Fee Due:	$0.00
Product Date:	9/1/1987

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	1/9/2013	1/9/2014
Leak Detect - Piping	Sump Sensor	1/9/2013	1/9/2014
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall A.O. Smith	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 7

Capacity:	12000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/21/2014
OSFM First Notify Date:	3/4/1988		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	9/1/1987		Red Tag Issue Date:
Last Used Date:	4/21/2014		Fee Due:	$0.00
Product Date:	9/1/1987

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	1/9/2013	1/9/2014
Leak Detect - Piping	Sump Sensor	1/9/2013	1/9/2014
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall A.O. Smith	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 8

Capacity:	4000		Petroleum Use:
Product:	E85		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	9/14/2014		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	5/9/2014		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/7/2014

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	6/27/2023	6/27/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD	6/27/2023	6/27/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	6/27/2023	6/27/2024
Overfill Prev Device	Overfill Alarm	7/20/2023	7/20/2026
Overfill Prev Device	Overfill Drop Tube Valve	8/18/2023	8/18/2026
Piping	Flexible Double Wall Franklin Fueling Systems UPP	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/27/2023	6/27/2024
Spill Contain Device	Single Wall Spill Bucket	4/4/2024	4/4/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 9

Capacity:	8000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	9/14/2014		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	5/9/2014		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/7/2014

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	6/27/2023	6/27/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD	6/27/2023	6/27/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	6/27/2023	6/27/2024
Overfill Prev Device	Overfill Alarm	7/20/2023	7/20/2026
Overfill Prev Device	Overfill Drop Tube Valve	6/27/2023	6/27/2026
Piping	Flexible Double Wall Franklin Fueling Systems UPP	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/27/2023	6/27/2024
Spill Contain Device	Single Wall Spill Bucket	4/4/2024	4/4/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 10

Capacity:	12000		Petroleum Use:
Product:	B-11		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	9/14/2014		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	5/9/2014		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/7/2014

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	6/27/2023	6/27/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD	6/27/2023	6/27/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	6/27/2023	6/27/2024
Overfill Prev Device	Overfill Alarm	7/20/2023	7/20/2026
Overfill Prev Device	Overfill Drop Tube Valve	8/18/2023	8/18/2026
Piping	Flexible Double Wall Franklin Fueling Systems UPP	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/18/2023	8/18/2024
Spill Contain Device	Single Wall Spill Bucket	4/4/2024	4/4/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 11

Capacity:	20000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	9/14/2014		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	5/9/2014		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/7/2014

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	6/27/2023	6/27/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD	6/27/2023	6/27/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	6/27/2023	6/27/2024
Overfill Prev Device	Overfill Alarm	7/20/2023	7/20/2026
Overfill Prev Device	Overfill Drop Tube Valve	8/18/2023	8/18/2026
Overfill Prev Device	Overfill Drop Tube Valve	8/18/2023	8/18/2026
Piping	Flexible Double Wall Franklin Fueling Systems UPP	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/27/2023	6/27/2024
Spill Contain Device	Double Wall Spill Bucket	4/4/2024	4/4/2027
Spill Contain Device	Double Wall Spill Bucket	4/4/2024	4/4/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 12

Capacity:	20000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	9/14/2014		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	5/9/2014		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/7/2014

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	6/27/2023	6/27/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD	6/27/2023	6/27/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	6/27/2023	6/27/2024
Overfill Prev Device	Overfill Alarm	7/20/2023	7/20/2026
Overfill Prev Device	Overfill Drop Tube Valve	8/18/2023	8/18/2026
Overfill Prev Device	Overfill Drop Tube Valve	8/18/2023	8/18/2026
Piping	Flexible Double Wall Franklin Fueling Systems UPP	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/27/2023	6/27/2024
Spill Contain Device	Double Wall Spill Bucket	4/4/2024	4/4/2027
Spill Contain Device	Double Wall Spill Bucket	4/4/2024	4/4/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 13

Capacity:	20000		Petroleum Use:
Product:	B-11		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	9/14/2014		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	5/9/2014		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/7/2014

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	6/27/2023	6/27/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD	6/27/2023	6/27/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	6/27/2023	6/27/2024
Overfill Prev Device	Overfill Alarm	7/20/2023	7/20/2026
Overfill Prev Device	Overfill Drop Tube Valve	6/27/2023	6/27/2026
Overfill Prev Device	Overfill Drop Tube Valve	6/27/2023	6/27/2026
Piping	Flexible Double Wall Franklin Fueling Systems UPP	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Stand Alone Sump Sensor	6/27/2023	6/27/2024
Spill Contain Device	Single Wall Spill Bucket	4/4/2024	4/4/2027
Spill Contain Device	Single Wall Spill Bucket	4/4/2024	4/4/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Franklin Fueling Systems UPP	Precision Test	Pass	2/2/2021

Tank Number 14

Capacity:	20000		Petroleum Use:
Product:	B-11		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	9/14/2014		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	5/9/2014		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/7/2014

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	6/27/2023	6/27/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD	6/27/2023	6/27/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	6/27/2023	6/27/2024
Overfill Prev Device	Overfill Alarm	7/20/2023	7/20/2026
Overfill Prev Device	Overfill Drop Tube Valve	6/27/2023	6/27/2026
Overfill Prev Device	Overfill Drop Tube Valve	6/27/2023	6/27/2026
Piping	Flexible Double Wall Franklin Fueling Systems UPP	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/27/2023	6/27/2024
Spill Contain Device	Single Wall Spill Bucket	4/4/2024	4/4/2027
Spill Contain Device	Single Wall Spill Bucket	4/4/2024	4/4/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Franklin Fueling Systems UPP	Precision Test	Pass	2/2/2021

Tank Number 15

Capacity:	10000		Petroleum Use:
Product:	Diesel Exhaust Fluid (Non-Regulated)		CERCLA Substance:
Status:	Unknown		CAS Code:
Regulated Status:	Non-Regulated		Removed Date:
OSFM First Notify Date:	9/11/2014		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:	5/2/2014		Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:

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
Leak Detect - Piping	Sump Sensor
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 with CSLD
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors
Overfill Prev Device	Overfill Alarm
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flexible Double Wall Franklin Fueling Systems UPP	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Double Wall XERXES	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	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/27/2023	6/27/2024

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/27/2023	6/27/2024

Name\ID 13/14

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/27/2023	6/27/2024

Name\ID 15/16

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/27/2023	6/27/2024

Name\ID 17/18

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/27/2023	6/27/2024

Name\ID 19/20

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/27/2023	6/27/2024

Name\ID 21/22

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/27/2023	6/27/2024

Name\ID 23/24

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/27/2023	6/27/2024

Name\ID 25

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/27/2023	6/27/2024

Name\ID 25/26

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/27/2023	6/27/2024

Name\ID 26S/27

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/27/2023	6/27/2024

Name\ID 27S/28

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/27/2023	6/27/2024

Name\ID 28

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/27/2023	6/27/2024

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/27/2023	6/27/2024

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/27/2023	6/27/2024

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/27/2023	6/27/2024

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	6/27/2023	6/27/2024

MFD Motorfuel Dispensing Forms

No Forms Found