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:	3046791
Status:	Active
Facility Name:	QC Mart The Bend BP
Address:	243 12th Ave. East Moline, IL 61244
County:	Rock Island
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y001622
Green Tag Issue Date:	12/29/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Bethany Enterprises, Inc.
Owner Address:	101 Woodland Road Milan, IL 61264
Owner Status:	Current Owner
Purchase Date:	3/21/2019
Type of Financial Responsibility:	Designated Savings Account
Financial Responsibility Reporting Due Date:	11/20/2024

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	12/29/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0029168	Bethany Enterprises, Inc.	Current Owner	3/21/2019

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:	15000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/24/2019		Abandoned Material:
Current Age:	5		Abandoned Date:
Install Date:	3/21/2019		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	3/22/2019

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	11/17/2023	11/17/2024
Leak Detect - Tank	Automatic Tank Gauging Incon TS 550 with SCALD	11/17/2023	11/17/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	11/17/2023	11/17/2024
Overfill Prev Device	Overfill Drop Tube Valve	5/17/2022	5/17/2025
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	N/A	N/A
Piping	Flex Connector Steel	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/17/2022	5/17/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	11/17/2023	11/17/2024
Spill Contain Device	Single Wall Spill Bucket	5/17/2022	5/17/2025
Tank	Composite Double Wall Glasteel II	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	6000		Petroleum Use:	None
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/24/2019		Abandoned Material:
Current Age:	5		Abandoned Date:
Install Date:	3/21/2019		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	3/22/2019

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	11/17/2023	11/17/2024
Leak Detect - Tank	Automatic Tank Gauging Incon TS 550 with SCALD	11/17/2023	11/17/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	11/17/2023	11/17/2024
Overfill Prev Device	Overfill Drop Tube Valve	5/17/2022	5/17/2025
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	N/A	N/A
Piping	Flex Connector Steel	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/17/2022	5/17/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	11/17/2023	11/17/2024
Spill Contain Device	Single Wall Spill Bucket	5/17/2022	5/17/2025
Tank	Composite Double Wall Glasteel II	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	8000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/24/2019		Abandoned Material:
Current Age:	5		Abandoned Date:
Install Date:	3/21/2019		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	3/22/2019

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	11/17/2023	11/17/2024
Leak Detect - Tank	Automatic Tank Gauging Incon TS 550 with SCALD	11/17/2023	11/17/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	11/17/2023	11/17/2024
Overfill Prev Device	Overfill Drop Tube Valve	5/17/2022	5/17/2025
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	N/A	N/A
Piping	Flex Connector Steel	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/17/2022	5/17/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	11/17/2023	11/17/2024
Spill Contain Device	Single Wall Spill Bucket	5/17/2022	5/17/2025
Tank	Composite Double Wall Glasteel II	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	5/17/2022	5/17/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	11/17/2023	11/17/2024

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/17/2022	5/17/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	11/17/2023	11/17/2024

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/17/2022	5/17/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	11/17/2023	11/17/2024

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/17/2022	5/17/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	11/17/2023	11/17/2024

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/17/2022	5/17/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	11/17/2023	11/17/2024

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/17/2022	5/17/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	11/17/2023	11/17/2024

MFD Motorfuel Dispensing Forms

No Forms Found