Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	3044568
Status:	Active
Facility Name:	Hy Vee Gas
Address:	500 17th Avenue Drive Silvis, IL 61282
County:	Rock Island
Property Parcel:
Facility Type:	Attended Self-Service/Unattended Self-Service
Owner Type:	Private
Green Tag Decal:	X000239
Green Tag Issue Date:	4/19/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	Hy-Vee, Inc.
Owner Address:	5820 Westown Parkway West Des Moines, IA 50266
Owner Status:	Current Owner
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	4/19/2022	12/31/2024
Unattended Self Service	4/19/2022	12/31/2024

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0030721	Hy-Vee, Inc.	Current Owner

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

NOV Number: E0020241038 (Pending) Issue Date: 4/5/2024 Expiration Date: 6/4/2024 View NOV Form

Tanks	Deficiency
Facility	Annual Emergency Stop Inspection not completed or inspection report not available.
Facility	Missing copies of 30 day Walkthrough Inspection Report. - This form can be found at https://sfm.illinois.gov/about/divisions/petroleum-chemical-safety/applications-and-forms.html
Facility	Missing list of designated Class A/B & C Operators - This form can be found at https://sfm.illinois.gov/about/divisions/petroleum-chemical-safety/applications-and-forms.html
1, 2, 3, 4, 5	Monthly line interstitial sensor records not available.
1, 2, 3, 4, 5	Precision tank test required.
1, 2, 3, 4, 5	Required monthly tank leak test records not available.
1, 2, 3, 4, 5	Spill prevention equipment contains liquid/debris and must be cleared of materials and maintained clean and dry.

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:	1/22/2010	Abandoned Material:
Current Age:	14	Abandoned Date:
Install Date:	11/3/2009	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	12/22/2009

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	11/29/2023	11/29/2024
Leak Detect - Piping	Siphon Bar	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	11/29/2023	11/29/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	11/29/2023	11/29/2024
Overfill Prev Device	Overfill Drop Tube Valve	12/17/2021	12/17/2024
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/20/2023	10/20/2026
Leak Detect - Piping	Sump Sensor	11/29/2023	11/29/2024
Spill Contain Device	Single Wall Spill Bucket	10/20/2023	10/20/2026
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	11/29/2023

Tank Number 2

Capacity:	14000	Petroleum Use:
Product:	Gasoline - Regular	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	1/22/2010	Abandoned Material:
Current Age:	14	Abandoned Date:
Install Date:	11/3/2009	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	12/22/2009

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 Plus with CSLD	11/29/2023	11/29/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	11/29/2023	11/29/2024
Overfill Prev Device	Overfill Drop Tube Valve	12/17/2021	12/17/2024
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/20/2023	10/20/2026
Leak Detect - Piping	Sump Sensor	11/29/2023	11/29/2024
Spill Contain Device	Single Wall Spill Bucket	10/20/2023	10/20/2026
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	11/29/2023

Tank Number 3

Capacity:	20000	Petroleum Use:
Product:	Gasoline - Regular	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	1/22/2010	Abandoned Material:
Current Age:	14	Abandoned Date:
Install Date:	11/3/2009	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	12/22/2009

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	11/29/2023	11/29/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	11/29/2023	11/29/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	11/29/2023	11/29/2024
Overfill Prev Device	Overfill Drop Tube Valve	12/17/2021	12/17/2024
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/20/2023	10/20/2026
Leak Detect - Piping	Sump Sensor	11/29/2023	11/29/2024
Spill Contain Device	Single Wall Spill Bucket	10/20/2023	10/20/2026
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

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:	1/22/2010	Abandoned Material:
Current Age:	14	Abandoned Date:
Install Date:	11/3/2009	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	12/22/2009

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	11/29/2023	11/29/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	11/29/2023	11/29/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	11/29/2023	11/29/2024
Overfill Prev Device	Overfill Drop Tube Valve	12/17/2021	12/17/2024
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/20/2023	10/20/2026
Leak Detect - Piping	Sump Sensor	11/29/2023	11/29/2024
Spill Contain Device	Single Wall Spill Bucket	10/20/2023	10/20/2026
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:	1/22/2010	Abandoned Material:
Current Age:	14	Abandoned Date:
Install Date:	11/3/2009	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	12/22/2009

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	11/29/2023	11/29/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	11/29/2023	11/29/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	11/29/2023	11/29/2024
Overfill Prev Device	Overfill Drop Tube Valve	12/17/2021	12/17/2024
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/20/2023	10/20/2026
Leak Detect - Piping	Sump Sensor	11/29/2023	11/29/2024
Spill Contain Device	Single Wall Spill Bucket	10/20/2023	10/20/2026
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	10/20/2023	10/20/2026
Leak Detect - Piping	Sump Sensor	11/29/2023	11/29/2024

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	10/20/2023	10/20/2026
Leak Detect - Piping	Sump Sensor	11/29/2023	11/29/2024

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	10/20/2023	10/20/2026
Leak Detect - Piping	Sump Sensor	11/29/2023	11/29/2024

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	10/20/2023	10/20/2026
Leak Detect - Piping	Sump Sensor	11/29/2023	11/29/2024

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	10/20/2023	10/20/2026
Leak Detect - Piping	Sump Sensor	11/29/2023	11/29/2024

MFD Motorfuel Dispensing Forms

No Forms Found