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: 3042376
Status: Active
Facility Name: Hy-Vee, Inc.
Address: 2110 E. Main Street
Galesburg, IL 61401
County: Knox
Property Parcel:
Facility Type: Attended Self-Service/Unattended Self-Service
Owner Type: Private
Green Tag Decal: Y003245
Green Tag Issue Date: 11/1/2023
Green Tag Expiration Date: 12/31/2025

Owner Details

Owner Name: Hy-Vee, Inc.
Owner Address: 5820 Westown Parkway
West Des Moines, IA 50266
Owner Status: Current Owner / Operator
Purchase Date:
Type of Financial Responsibility: Letter of Credit
Financial Responsibility Reporting Due Date: 10/23/2024

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 11/1/2023 12/31/2025
Unattended Self Service 11/1/2023 12/31/2025

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0030721 Hy-Vee, Inc. Current Owner / Operator
U0032193 Hy Vee, 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

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information



Tank Number 1

Capacity: 14000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 1/6/2005 Abandoned Material:
Current Age: 19 Abandoned Date:
Install Date: 10/21/2004 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 10/21/2004

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 3/19/2024 3/19/2025
Leak Detect - Piping Electronic Pressurized Line Leak Detection 3/19/2024 3/19/2025
Leak Detect - Piping Siphon Bar N/A N/A
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 3/14/2023 3/14/2024
Overfill Prev Device Overfill Drop Tube Valve 3/19/2024 3/19/2027
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 3/19/2024 3/19/2027
Leak Detect - Piping Sump Sensor 3/19/2024 3/19/2025
Piping Single Wall STP/Tanktop Sump 3/19/2024 3/19/2027
Leak Detect - Piping Sump Sensor 3/19/2024 3/19/2025
Piping Single Wall Transition Sump 3/19/2024 3/19/2027
Leak Detect - Piping Sump Sensor 3/19/2024 3/19/2025
Spill Contain Device Single Wall Spill Bucket 3/9/2021 3/9/2024
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Leak Detect - Piping Siphon Bar Functional Pass 3/14/2023
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 4/9/2021



Tank Number 2

Capacity: 20000 Petroleum Use:
Product: Gasoline - Non Ethanol CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 1/6/2005 Abandoned Material:
Current Age: 19 Abandoned Date:
Install Date: 10/21/2004 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 10/21/2004

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 3/19/2024 3/19/2025
Leak Detect - Piping Electronic Pressurized Line Leak Detection 3/19/2024 3/19/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 3/14/2023 3/14/2024
Overfill Prev Device Overfill Drop Tube Valve 3/19/2024 3/19/2027
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 3/19/2024 3/19/2027
Leak Detect - Piping Non-Discriminating Sump Sensor
Leak Detect - Piping Non-Discriminating Sump Sensor 3/22/2021 3/22/2022
Leak Detect - Piping Sump Sensor 3/19/2024 3/19/2025
Piping Single Wall STP/Tanktop Sump 3/19/2024 3/19/2027
Leak Detect - Piping Sump Sensor 3/19/2024 3/19/2025
Spill Contain Device Single Wall Spill Bucket 3/19/2024 3/19/2027
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall A.P.T. Poly Tech P175SC Precision Test Pass 2/16/2021
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 2/11/2021



Tank Number 3

Capacity: 14000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 1/6/2005 Abandoned Material:
Current Age: 19 Abandoned Date:
Install Date: 10/21/2004 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 10/21/2004

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 Siphon Bar N/A N/A
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 3/14/2023 3/14/2024
Overfill Prev Device Overfill Drop Tube Valve 3/19/2024 3/19/2027
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 3/19/2024 3/19/2027
Leak Detect - Piping Sump Sensor 3/19/2024 3/19/2025
Piping Single Wall STP/Tanktop Sump 3/19/2024 3/19/2027
Leak Detect - Piping Sump Sensor 3/19/2024 3/19/2025
Spill Contain Device Single Wall Spill Bucket 3/19/2024 3/19/2027
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Leak Detect - Piping Siphon Bar Functional Pass 3/14/2023
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 4/9/2021



Tank Number 4

Capacity: 6000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 1/6/2005 Abandoned Material:
Current Age: 19 Abandoned Date:
Install Date: 10/21/2004 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 10/21/2004

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 3/19/2024 3/19/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 3/14/2023 3/14/2024
Overfill Prev Device Overfill Drop Tube Valve 3/19/2024 3/19/2027
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 3/19/2024 3/19/2027
Leak Detect - Piping Sump Sensor 3/19/2024 3/19/2025
Spill Contain Device Single Wall Spill Bucket 3/19/2024 3/19/2027
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 5

Capacity: 6000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 1/6/2005 Abandoned Material:
Current Age: 19 Abandoned Date:
Install Date: 10/21/2004 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 10/21/2004

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 3/19/2024 3/19/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 3/14/2023 3/14/2024
Overfill Prev Device Overfill Drop Tube Valve 3/19/2024 3/19/2027
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 3/19/2024 3/19/2027
Leak Detect - Piping Sump Sensor 3/19/2024 3/19/2025
Piping Single Wall Transition Sump 3/19/2024 3/19/2027
Leak Detect - Piping Sump Sensor 3/19/2024 3/19/2025
Spill Contain Device Single Wall Spill Bucket 3/19/2024 3/19/2027
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 3/19/2024 3/19/2027
Leak Detect - Piping Sump Sensor with positive shutdown 3/14/2023 3/14/2024



Name\ID 11/12

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 3/19/2024 3/19/2027
Leak Detect - Piping Sump Sensor with positive shutdown 3/19/2024 3/19/2025



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated Not Installed N/A N/A



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated Not Installed N/A N/A



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated Not Installed N/A N/A



Name\ID 9/10

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump
Leak Detect - Piping Piping Sump Sensors Not Regulated Not Installed N/A N/A

MFD Motorfuel Dispensing Forms

No Forms Found

Office of the Illinois State Fire Marshal
1035 Stevenson Dr. Springfield, IL 62704 | (217) 785-0969 | Contact Us