Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	4047047
Status:	Active
Facility Name:	Costco Gasoline
Address:	2100 N Neil Street Champaign, IL 61820
County:	Champaign
Property Parcel:	41-20-01-205-006
Facility Type:	Unattended Self-Service Station
Owner Type:	Private
Green Tag Decal:	X002707
Green Tag Issue Date:	9/22/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	Costco Wholesale Corporation
Owner Address:	P.O. Box 35005 Seattle, WA 98124
Owner Status:	Current Owner
Purchase Date:	1/1/2020
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	3/6/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Unattended Self Service	9/28/2022	12/31/2024

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0029489	Costco Wholesale Corporation	Current Owner	1/1/2020

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

NOV Number: E0020241127 (Pending) Issue Date: 4/16/2024 Expiration Date: 6/15/2024 View NOV Form

Tanks	Deficiency
Facility	A/B operator retraining required as a result of issuance of the Notice of Violation
Facility	Annual Emergency Stop Inspection not completed or inspection report not available.
1, 2, 3	Line interstitial sensor functional test not accomplished (Required annually). - Transition sumps.
Facility	Miscellaneous - Unless otherwise required by the manufacturer, the dispenser product piping sump jumper tubes shall be removed or the product piping test boots pulled back after testing to allow the interstice to be open to the sump sensors.
Facility	Missing copies of Annual Walkthrough Inspection Report.
1, 2, 3, 4	Required monthly tank interstitial sensor records not available.
1, 2, 3, 4	Required monthly tank leak test records not available.
1, 2, 3, 4	Shear valve inspection report not completed (Required during Annual Walkthrough Inspection).

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:	30000	Petroleum Use:
Product:	Gasoline - Regular	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	9/2/2020	Abandoned Material:
Current Age:	3	Abandoned Date:
Install Date:	7/15/2020	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	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	8/9/2023	8/9/2024
Leak Detect - Piping	Siphon Bar	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus	8/9/2023	8/9/2024
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	8/9/2023	8/9/2024
Overfill Prev Device	Overfill Alarm	8/9/2023	8/9/2026
Overfill Prev Device	Overfill Drop Tube Valve	8/9/2023	8/9/2026
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/9/2023	8/9/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	8/9/2023	8/9/2024
Piping	Single Wall Transition Sump	8/9/2023	8/9/2026
Leak Detect - Piping	Sump Sensor with positive shutdown
Spill Contain Device	Single Wall Spill Bucket	8/9/2023	8/9/2026
Tank	Fiberglass Brine Filled Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	Siphon Bar	Functional	Pass	9/8/2022
Piping	Flexible Double Wall OPW Flexworks	Precision Test	Pass	8/9/2023
Tank	Fiberglass Brine Filled Double Wall Containment Solutions	Precision Test (Tank)	Pass	9/25/2020

Tank Number 2

Capacity:	30000	Petroleum Use:
Product:	Gasoline - Regular	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	9/2/2020	Abandoned Material:
Current Age:	3	Abandoned Date:
Install Date:	7/15/2020	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	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	8/9/2023	8/9/2024
Leak Detect - Piping	Siphon Bar	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus	8/9/2023	8/9/2024
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	8/9/2023	8/9/2024
Overfill Prev Device	Overfill Alarm	8/9/2023	8/9/2026
Overfill Prev Device	Overfill Drop Tube Valve	8/9/2023	8/9/2026
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/9/2023	8/9/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	8/9/2023	8/9/2024
Piping	Single Wall Transition Sump	8/9/2023	8/9/2026
Leak Detect - Piping	Sump Sensor with positive shutdown
Spill Contain Device	Single Wall Spill Bucket	8/9/2023	8/9/2026
Tank	Fiberglass Brine Filled Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	Siphon Bar	Functional	Pass	9/8/2022
Piping	Flexible Double Wall OPW Flexworks	Precision Test	Pass	8/9/2023
Tank	Fiberglass Brine Filled Double Wall Containment Solutions	Precision Test (Tank)	Pass	9/25/2020

Tank Number 3

Capacity:	30000	Petroleum Use:
Product:	Gasoline - Premium	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	9/2/2020	Abandoned Material:
Current Age:	3	Abandoned Date:
Install Date:	7/15/2020	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	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	8/9/2023	8/9/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus	8/9/2023	8/9/2024
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	8/9/2023	8/9/2024
Overfill Prev Device	Overfill Alarm	8/9/2023	8/9/2026
Overfill Prev Device	Overfill Drop Tube Valve	8/9/2023	8/9/2026
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/9/2023	8/9/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	8/9/2023	8/9/2024
Piping	Single Wall Transition Sump	8/9/2023	8/9/2026
Leak Detect - Piping	Sump Sensor with positive shutdown
Spill Contain Device	Single Wall Spill Bucket	8/9/2023	8/9/2026
Tank	Fiberglass Brine Filled Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall OPW Flexworks	Precision Test	Pass	8/9/2023
Tank	Fiberglass Brine Filled Double Wall Containment Solutions	Precision Test (Tank)	Pass	9/25/2020

Tank Number 4

Capacity:	1500	Petroleum Use:
Product:	Ultrazol - Fuel Additive	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	9/2/2020	Abandoned Material:
Current Age:	3	Abandoned Date:
Install Date:	7/15/2020	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	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	8/9/2023	8/9/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus	8/9/2023	8/9/2024
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	8/9/2023	8/9/2024
Overfill Prev Device	Overfill Alarm	8/9/2023	8/9/2026
Overfill Prev Device	Overfill Drop Tube Valve	8/9/2023	8/9/2026
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/9/2023	8/9/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	8/9/2023	8/9/2024
Spill Contain Device	Single Wall Spill Bucket	8/9/2023	8/9/2026
Tank	Fiberglass Brine Filled Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall OPW Flexworks	Precision Test	Pass	8/9/2023
Tank	Fiberglass Brine Filled Double Wall Containment Solutions	Precision Test (Tank)	Pass	9/25/2020

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/9/2023	8/9/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	8/9/2023	8/9/2024

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/9/2023	8/9/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	8/9/2023	8/9/2024

Name\ID 13/14

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/9/2023	8/9/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	8/9/2023	8/9/2024

Name\ID 15/16

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/9/2023	8/9/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	8/9/2023	8/9/2024

Name\ID 17/18

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/9/2023	8/9/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	8/9/2023	8/9/2024

Name\ID 19/20

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/9/2023	8/9/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	8/9/2023	8/9/2024

Name\ID 21/22

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/9/2023	8/9/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	8/9/2023	8/9/2024

Name\ID 23/24

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/9/2023	8/9/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	8/9/2023	8/9/2024

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/9/2023	8/9/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	8/9/2023	8/9/2024

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/9/2023	8/9/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	8/9/2023	8/9/2024

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/9/2023	8/9/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	8/9/2023	8/9/2024

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/9/2023	8/9/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	8/9/2023	8/9/2024

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
4047047	Costco Gasoline	Champaign	05/04/2020	Letter Form