Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 1024403
Status: Active
Facility Name: 810 Bains Holding, Inc.
Address: 810 Blackhawk Boulevard South Beloit, IL 61080
County: Winnebago
Property Parcel: 04-06-477-009
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Z000826
Green Tag Issue Date: 1/4/2024
Green Tag Expiration Date: 12/31/2026

Owner Details

Owner Name: 810 Bains Holding, Inc.
Owner Address: 810 Blackhawk Blvd. South Beloit, IL 61080
Owner Status: Current Owner
Purchase Date: 5/3/2019
Type of Financial Responsibility: Designated Savings Account
Financial Responsibility Reporting Due Date: 8/4/2026

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 1/4/2024 12/31/2026

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0039753 810 Bains Holding, Inc. Current Owner 5/3/2019
U0037236 810 Blackhawk, Inc. Former Owner 1/18/2013
U0034482 JACCO Enterprises, Inc. Former Owner 9/24/2007
U0001624 Blackhawk Grocery Former Owner 9/20/1983

Permits (Unexpired)

Click for permit history

No Active Permits Found

Notice of Violatlions (Current)

No Notice of Violations Found

IEMA Numbers Associated with the Facility

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

IEMA Number Status OSFM Received Date OSFM Response Date Deductible Letter
93-1774 Eligible 2/15/1996 3/12/1996 $10,000
Pay Tank Fees Online

Tank Information



Tank Number 1

Capacity: 10000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 9/6/1988 Abandoned Material:
Current Age: 36 Abandoned Date:
Install Date: 10/19/1988 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 10/26/1988

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank STIP3 Cathodic Protection with Dielectric Coating 7/18/2023 7/18/2026
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 7/2/2024 7/2/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 7/2/2024 7/2/2025
Overfill Prev Device Overfill Alarm 6/29/2023 6/29/2026
Piping Flexible Double Wall N/A N/A
Piping Single Wall STP/Tanktop Sump 5/30/2022 5/30/2025
Leak Detect - Piping Sump Sensor 7/2/2024 7/2/2025
Spill Contain Device Single Wall Spill Bucket 5/30/2022 5/30/2025
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall Precision Test (Piping) Pass 7/2/2024



Tank Number 2

Capacity: 10000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 9/6/1988 Abandoned Material:
Current Age: 36 Abandoned Date:
Install Date: 10/19/1988 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 10/26/1988

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank STIP3 Cathodic Protection with Dielectric Coating 7/18/2023 7/18/2026
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 7/2/2024 7/2/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 7/2/2024 7/2/2025
Overfill Prev Device Overfill Alarm 6/29/2023 6/29/2026
Piping Flexible Double Wall N/A N/A
Piping Single Wall STP/Tanktop Sump 5/30/2022 5/30/2025
Leak Detect - Piping Sump Sensor 7/2/2024 7/2/2025
Spill Contain Device Single Wall Spill Bucket 5/30/2022 5/30/2025
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall Precision Test (Piping) Pass 7/2/2024



Tank Number 3

Capacity: 10000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 9/6/1988 Abandoned Material:
Current Age: 36 Abandoned Date:
Install Date: 10/19/1988 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 10/26/1988

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank STIP3 Cathodic Protection with Dielectric Coating 7/18/2023 7/18/2026
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 7/2/2024 7/2/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 7/2/2024 7/2/2025
Overfill Prev Device Overfill Alarm 6/29/2023 6/29/2026
Piping Flexible Double Wall N/A N/A
Piping Single Wall STP/Tanktop Sump 5/30/2022 5/30/2025
Leak Detect - Piping Sump Sensor 7/2/2024 7/2/2025
Spill Contain Device Single Wall Spill Bucket 5/30/2022 5/30/2025
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall Precision Test (Piping) Pass 7/2/2024



Tank Number 4

Capacity: 2500 Petroleum Use:
Product: Racing Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 9/6/1988 Abandoned Material:
Current Age: 36 Abandoned Date:
Install Date: 10/19/1988 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 10/26/1988

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank STIP3 Cathodic Protection with Dielectric Coating 7/18/2023 7/18/2026
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 7/2/2024 7/2/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 7/2/2024 7/2/2025
Overfill Prev Device Overfill Alarm 5/30/2022 5/30/2025
Piping Flexible Double Wall N/A N/A
Piping Single Wall STP/Tanktop Sump 5/30/2022 5/30/2025
Leak Detect - Piping Sump Sensor 7/2/2024 7/2/2025
Spill Contain Device Single Wall Spill Bucket 5/30/2022 5/30/2025
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall Precision Test (Piping) Pass 7/2/2024

Dispenser Information



Name\ID 1/2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 6/29/2023 6/29/2026
Leak Detect - Piping Sump Sensor 7/2/2024 7/2/2025



Name\ID 11/12

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 6/29/2023 6/29/2026
Leak Detect - Piping Sump Sensor 7/2/2024 7/2/2025



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 6/29/2023 6/29/2026
Leak Detect - Piping Sump Sensor 7/2/2024 7/2/2025



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 6/29/2023 6/29/2026
Leak Detect - Piping Sump Sensor 7/2/2024 7/2/2025



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 6/29/2023 6/29/2026
Leak Detect - Piping Sump Sensor 7/2/2024 7/2/2025



Name\ID 9/10

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 6/29/2023 6/29/2026
Leak Detect - Piping Sump Sensor 7/2/2024 7/2/2025

MFD Motorfuel Dispensing Forms

No Forms Found