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:	5045453
Status:	Active
Facility Name:	Hy-Vee Gas
Address:	1025 Outer Park Drive Springfield, IL 62704
County:	Sangamon
Property Parcel:	22-05.0-431-012
Facility Type:	Attended Self-Service/Unattended Self-Service
Owner Type:	Private
Green Tag Decal:	X000037
Green Tag Issue Date:	7/12/2022
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	7/12/2022	12/31/2024
Unattended Self Service	7/12/2022	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)

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:	20000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/28/2014		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:	10/17/2013		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	4/22/2014

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	4/25/2024	4/25/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450	4/25/2024	4/25/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	4/25/2024	4/25/2025
Overfill Prev Device	Overfill Drop Tube Valve	5/3/2021	5/3/2024
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/24/2024	4/24/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/25/2024	4/25/2025
Spill Contain Device	Single Wall Spill Bucket	4/25/2024	4/25/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	8000		Petroleum Use:
Product:	Gasoline - Mid-grade		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/28/2014		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:	10/17/2013		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	4/22/2014

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	4/25/2024	4/25/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450	4/25/2024	4/25/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	4/25/2024	4/25/2025
Overfill Prev Device	Overfill Drop Tube Valve	4/29/2021	4/29/2024
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/24/2024	4/24/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/25/2024	4/25/2025
Spill Contain Device	Single Wall Spill Bucket	4/25/2024	4/25/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	6000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/28/2014		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:	10/17/2013		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	4/22/2014

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	4/25/2024	4/25/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450	4/25/2024	4/25/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	4/25/2024	4/25/2025
Overfill Prev Device	Overfill Drop Tube Valve	5/4/2021	5/4/2024
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/24/2024	4/24/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/25/2024	4/25/2025
Spill Contain Device	Double Wall Spill Bucket	4/25/2024	4/25/2027
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:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/28/2014		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:	10/17/2013		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	4/22/2014

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	4/25/2024	4/25/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450	4/25/2024	4/25/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	4/25/2024	4/25/2025
Overfill Prev Device	Overfill Drop Tube Valve	4/29/2021	4/29/2024
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/24/2024	4/24/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/25/2024	4/25/2025
Spill Contain Device	Single Wall Spill Bucket	4/25/2024	4/25/2027
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	4/24/2024	4/24/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/25/2024	4/25/2025

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/24/2024	4/24/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/25/2024	4/25/2025

Name\ID 13/14

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/24/2024	4/24/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/25/2024	4/25/2025

Name\ID 15/16

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/24/2024	4/24/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/25/2024	4/25/2025

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/24/2024	4/24/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/25/2024	4/25/2025

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/24/2024	4/24/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/25/2024	4/25/2025

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/24/2024	4/24/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/25/2024	4/25/2025

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	4/24/2024	4/24/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/25/2024	4/25/2025

MFD Motorfuel Dispensing Forms

No Forms Found