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:	2013683
Status:	Active
Facility Name:	Roundy's Supermarkets, Inc.
Address:	10 East Golf Road Des Plaines, IL 60016
County:	Cook
Property Parcel:	09-18-100-004-0000
Facility Type:	Commercial / Retail
Owner Type:	Private
Green Tag Decal:	Z000023
Green Tag Issue Date:	4/5/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Roundy's Supermarket, Inc. A division of the Kroger Co.
Owner Address:	875 E. Wisconsin Ave. Milwaukee, WI 53202
Owner Status:	Current Owner
Purchase Date:	3/20/2017
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	8/1/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	4/5/2024	12/31/2026

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0038806	Roundy's Supermarket, Inc. A division of the Kroger Co.	Current Owner	3/20/2017
U0006577	Hausman Bus Sales, Inc.	Former Owner

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
99-1504	7/7/1999	Removal Log	01015-1999REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
99-1504	Eligible	7/23/1999	8/3/1999	$10,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	1000		Petroleum Use:
Product:	Used Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/22/1999
OSFM First Notify Date:	5/1/1986		Abandoned Material:
Current Age:	18		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	12/21/1998		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	560		Petroleum Use:
Product:	New Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/22/1999
OSFM First Notify Date:	5/1/1986		Abandoned Material:
Current Age:	18		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	12/21/1998		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	560		Petroleum Use:
Product:	Transmission Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/22/1999
OSFM First Notify Date:	5/1/1986		Abandoned Material:
Current Age:	18		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	12/21/1998		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	20000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	9/13/2022		Abandoned Material:
Current Age:	1		Abandoned Date:
Install Date:	6/23/2022		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/9/2022

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	8/14/2023	8/14/2024
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors with monitor	8/14/2023	8/14/2024
Overfill Prev Device	Overfill Alarm	9/14/2022	9/14/2025
Overfill Prev Device	Overfill Drop Tube Valve	9/14/2022	9/14/2025
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Fiberglass Single Wall Piping A.O. Smith	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	7/28/2022	7/28/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	8/14/2023	8/14/2024
Spill Contain Device	Double Wall Spill Bucket	7/28/2022	7/28/2025
Tank	Fiberglass Brine Filled Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Single Wall Piping A.O. Smith	Precision Test	Pass	9/14/2022
Piping	Flexible Double Wall OPW Flexworks	Precision Test	Pass	9/14/2022
Tank	Fiberglass Brine Filled Double Wall XERXES	Precision Test (Tank)	Pass	9/14/2022

Tank Number 5

Capacity:	10000		Petroleum Use:	None
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	9/13/2022		Abandoned Material:
Current Age:	1		Abandoned Date:
Install Date:	6/23/2022		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/9/2022

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	8/14/2023	8/14/2024
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors with monitor	8/14/2023	8/14/2024
Overfill Prev Device	Overfill Alarm	9/14/2022	9/14/2025
Overfill Prev Device	Overfill Drop Tube Valve	9/14/2022	9/14/2025
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Fiberglass Single Wall Piping A.O. Smith	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	7/28/2022	7/28/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	8/14/2023	8/14/2024
Spill Contain Device	Double Wall Spill Bucket	7/28/2022	7/28/2025
Tank	Fiberglass Brine Filled Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Single Wall Piping A.O. Smith	Precision Test	Pass	9/14/2022
Piping	Flexible Double Wall OPW Flexworks	Precision Test	Pass	9/14/2022
Tank	Fiberglass Brine Filled Double Wall XERXES	Precision Test (Tank)	Pass	9/14/2022

Tank Number 6

Capacity:	8000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	9/13/2022		Abandoned Material:
Current Age:	1		Abandoned Date:
Install Date:	6/23/2022		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/9/2022

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	8/14/2023	8/14/2024
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors with monitor	8/14/2023	8/14/2024
Overfill Prev Device	Overfill Alarm	9/14/2022	9/14/2025
Overfill Prev Device	Overfill Drop Tube Valve	9/14/2022	9/14/2025
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Fiberglass Single Wall Piping A.O. Smith	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	7/28/2022	7/28/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	8/14/2023	8/14/2024
Spill Contain Device	Double Wall Spill Bucket	7/28/2022	7/28/2025
Tank	Fiberglass Brine Filled Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Single Wall Piping A.O. Smith	Precision Test	Pass	9/14/2022
Piping	Flexible Double Wall OPW Flexworks	Precision Test	Pass	9/14/2022
Tank	Fiberglass Brine Filled Double Wall XERXES	Precision Test (Tank)	Pass	9/14/2022

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	7/28/2022	7/28/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	8/14/2023	8/14/2024

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	7/28/2022	7/28/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	8/14/2023	8/14/2024

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	7/28/2022	7/28/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	8/14/2023	8/14/2024

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	7/28/2022	7/28/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	8/14/2023	8/14/2024

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	7/28/2022	7/28/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	8/14/2023	8/14/2024

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
2013683	Roundy's Supermarkets, Inc.	Des Plaines	09/13/2022	Letter Form