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

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Facility Details

Facility Number:	3046722
Status:	Active
Facility Name:	Hy-Vee Fast and Fresh
Address:	2810 18th Ave Rock Island, IL 61201
County:	Rock Island
Property Parcel:
Facility Type:	Commercial / Retail
Owner Type:	Private
Green Tag Decal:	Y001393
Green Tag Issue Date:	11/8/2023
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
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	11/8/2023	12/31/2025
Unattended Self Service	11/8/2023	12/31/2025

Owner Summary

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

Permits (Unexpired)

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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	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	15000	Gasoline - Regular	Currently in use	Federal		$0.00
2	6000	Gasoline - Premium	Currently in use	Federal		$0.00
3	6000	Diesel Fuel	Currently in use	Federal		$0.00

Dispenser Information

Name\ID	Status
1/2	Active
3/4	Active
5/6	Active
7/8	Active
9/10	Active
11/12	Active

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
3046722	Hy-Vee Fast and Fresh	Rock Island	07/17/2019	Letter Form