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:	3001612
Status:	Closed
Facility Name:	7-Eleven Store #34454
Address:	1000 78th Avenue West Rock Island, IL 61201
County:	Rock Island
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	N004515
Green Tag Issue Date:	2/1/2013
Green Tag Expiration Date:	12/31/2014

Owner Details

Owner Name:	7-Eleven, Inc.
Owner Address:	3200 Hackberry Road - Gas Compliance Irving, TX 75063
Owner Status:	Current Owner
Purchase Date:	2/15/2010
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	12/5/2013

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	2/1/2013	12/31/2014

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0014207	7-Eleven, Inc.	Current Owner	2/15/2010
U0010646	Mother Hubbard's Cupboard	Former Owner	12/31/1967
U0033923	MHC Convenience LLC, Series 1	Former Owner / Operator	11/8/2006
U0035445	MHC Realty, LLC	Former Owner / Operator
U0022049	1000 - 78th W., Inc.	Former Owner / Operator

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
13-0575	5/16/2013	Removal Log	00297-2013REM
13-0575	5/17/2013	Removal Log	00297-2013REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
03-1505	Eligible	3/9/2004	3/17/2004	$10,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	5/17/2013
OSFM First Notify Date:	2/26/1986		Abandoned Material:	Inert material mixed with portland cement
Current Age:	29		Abandoned Date:	12/1/2003
Install Date:	4/1/1984		Red Tag Issue Date:
Last Used Date:			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:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	5/16/2013
OSFM First Notify Date:	2/26/1986		Abandoned Material:
Current Age:	29		Abandoned Date:
Install Date:	4/1/1984		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	1/21/2009	1/21/2014
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	10/31/2012	10/31/2013
Leak Detect - Piping	Sump Sensor	10/31/2012	10/31/2013
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R with CSLD
Overfill Prev Device	Ball Float Vent Valve EBW 308
Piping	Fiberglass Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	Sump Sensor	Sensor Functional	Pass	11/30/2010

Tank Number 3

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	5/15/2013
OSFM First Notify Date:	2/26/1986		Abandoned Material:
Current Age:	29		Abandoned Date:
Install Date:	4/1/1984		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	1/21/2009	1/21/2014
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	10/31/2012	10/31/2013
Leak Detect - Piping	Sump Sensor	10/31/2012	10/31/2013
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R with CSLD
Overfill Prev Device	Ball Float Vent Valve EBW 308
Piping	Fiberglass Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	Sump Sensor	Sensor Functional	Pass	11/30/2010

Tank Number 4

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	5/15/2013
OSFM First Notify Date:	9/2/1993		Abandoned Material:
Current Age:	20		Abandoned Date:
Install Date:	8/14/1992		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/1/1992

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Jacketed Steel Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	10/31/2012	10/31/2013
Leak Detect - Piping	Sump Sensor	10/31/2012	10/31/2013
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R with CSLD
Overfill Prev Device	Ball Float Vent Valve EBW 308
Piping	Fiberglass Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Composite Double Wall ACT 100	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	Sump Sensor	Sensor Functional	Pass	11/30/2010

Tank Number 5

Capacity:	8000		Petroleum Use:
Product:	Bio-Diesel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	5/15/2013
OSFM First Notify Date:	2/17/2004		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	10/22/2003		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	10/22/2003

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	10/31/2012	10/31/2013
Leak Detect - Piping	Sump Sensor	10/31/2012	10/31/2013
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R with CSLD
Overfill Prev Device	Ball Float Vent Valve EBW 308
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Flexible Double Wall A.P.T. Poly Tech	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Composite Double Wall Glasteel II	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	Non-Discriminating Sump Sensor	Sensor Functional	Pass	11/30/2010

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found