Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 1047605
Status: Active
Facility Name: Kwik Star 1276
Address: 16040 Oakfield Parkway South Beloit, IL 61080
County: Winnebago
Property Parcel: 0403401003
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Y002877
Green Tag Issue Date: 1/11/2024
Green Tag Expiration Date: 12/31/2025

Owner Details

Owner Name: Kwik Trip, Inc.
Owner Address: P.O. Box 2107 La Crosse, WI 54602
Owner Status: Current Owner
Purchase Date:
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 11/25/2025

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 1/2/2024 12/31/2025

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0040042 Kwik Trip, Inc. Current Owner

Permits (Unexpired)

Click for permit history

No Active Permits Found

Notice of Violatlions (Current)

NOV Number: E0020251691 (Pending)    Issue Date: 7/7/2025    Expiration Date: 9/5/2025    View NOV Form

Tanks Violations
4 Tank interstitial sensors in alarm or failed test, must repair or replace. - Interstitial sensor(s) failed annual testing. Repair/replace as necessary to provide passing test results.

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: 12/20/2023 Abandoned Material:
Current Age: 2 Abandoned Date:
Install Date: 7/6/2023 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 11/11/2024 11/11/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 11/11/2024 11/11/2025
Overfill Prev Device Overfill Alarm 12/6/2023 12/6/2026
Overfill Prev Device Overfill Drop Tube Valve 12/6/2023 12/6/2026
Piping Flexible Double Wall A.P.T. Poly Tech N/A N/A
Piping Single Wall STP/Tanktop Sump 8/15/2023 8/15/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025
Spill Contain Device Double Wall Spill Bucket 12/6/2023 12/6/2026
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall A.P.T. Poly Tech Precision Test (Piping) Pass 12/6/2023
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 12/6/2023



Tank Number 2

Capacity: 20000 Petroleum Use:
Product: E15 CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 12/20/2023 Abandoned Material:
Current Age: 2 Abandoned Date:
Install Date: 7/6/2023 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 11/11/2024 11/11/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 11/11/2024 11/11/2025
Overfill Prev Device Overfill Alarm 12/6/2023 12/6/2026
Overfill Prev Device Overfill Drop Tube Valve 12/6/2023 12/6/2026
Piping Flexible Double Wall A.P.T. Poly Tech N/A N/A
Piping Single Wall STP/Tanktop Sump 8/15/2023 8/15/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025
Spill Contain Device Double Wall Spill Bucket 12/6/2023 12/6/2026
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall A.P.T. Poly Tech Precision Test (Piping) Pass 12/6/2023
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 12/6/2023



Tank Number 3

Capacity: 12000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 12/20/2023 Abandoned Material:
Current Age: 2 Abandoned Date:
Install Date: 7/6/2023 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 11/11/2024 11/11/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 11/11/2024 11/11/2025
Overfill Prev Device Overfill Alarm 12/6/2023 12/6/2026
Overfill Prev Device Overfill Drop Tube Valve 12/6/2023 12/6/2026
Piping Flexible Double Wall A.P.T. Poly Tech N/A N/A
Piping Single Wall STP/Tanktop Sump 8/15/2023 8/15/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025
Spill Contain Device Double Wall Spill Bucket 12/6/2023 12/6/2026
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall A.P.T. Poly Tech Precision Test (Piping) Pass 12/6/2023
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 12/6/2023



Tank Number 4

Capacity: 12000 Petroleum Use: None
Product: Low Sulfur Diesel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 12/20/2023 Abandoned Material:
Current Age: 2 Abandoned Date:
Install Date: 7/6/2023 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 11/11/2024 11/11/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 12/6/2023 11/11/2024
Overfill Prev Device Overfill Alarm 12/6/2023 12/6/2026
Overfill Prev Device Overfill Drop Tube Valve 12/6/2023 12/6/2026
Piping Flexible Double Wall A.P.T. Poly Tech N/A N/A
Piping Single Wall STP/Tanktop Sump 8/15/2023 8/15/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025
Spill Contain Device Double Wall Spill Bucket 12/6/2023 12/6/2026
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall A.P.T. Poly Tech Precision Test (Piping) Pass 12/6/2023
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 12/6/2023



Tank Number 5

Capacity: 30000 Petroleum Use: None
Product: Low Sulfur Diesel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 12/20/2023 Abandoned Material:
Current Age: 2 Abandoned Date:
Install Date: 7/21/2023 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 11/11/2024 11/11/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 11/11/2024 11/11/2025
Overfill Prev Device Overfill Alarm 12/6/2023 12/6/2026
Overfill Prev Device Overfill Drop Tube Valve 12/6/2023 12/6/2026
Piping Flexible Double Wall A.P.T. Poly Tech P150SC N/A N/A
Piping Flexible Double Wall Franklin Fueling Systems UPP N/A N/A
Piping Flexible Double Wall A.P.T. Poly Tech P200SC N/A N/A
Piping Single Wall STP/Tanktop Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025
Spill Contain Device Double Wall Spill Bucket 12/6/2023 12/6/2026
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall A.P.T. Poly Tech Precision Test (Piping) Pass 12/6/2023
Piping Flexible Double Wall Franklin Fueling Systems UPP Precision Test (Piping) Pass 12/6/2023
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 12/6/2023



Tank Number 6

Capacity: 30000 Petroleum Use: None
Product: Low Sulfur Diesel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 12/20/2023 Abandoned Material:
Current Age: 2 Abandoned Date:
Install Date: 7/21/2023 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 11/11/2024 11/11/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 11/11/2024 11/11/2025
Overfill Prev Device Overfill Alarm 12/6/2023 12/6/2026
Overfill Prev Device Overfill Drop Tube Valve 12/6/2023 12/6/2026
Piping Flexible Double Wall Franklin Fueling Systems UPP N/A N/A
Piping Flexible Double Wall A.P.T. Poly Tech P150SC N/A N/A
Piping Flexible Double Wall A.P.T. Poly Tech P200SC N/A N/A
Piping Single Wall STP/Tanktop Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025
Spill Contain Device Double Wall Spill Bucket 12/6/2023 12/6/2026
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall A.P.T. Poly Tech Precision Test (Piping) Pass 12/6/2023
Piping Flexible Double Wall Franklin Fueling Systems UPP Precision Test (Piping) Pass 12/6/2023
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 12/6/2023



Tank Number 7

Capacity: 30000 Petroleum Use: None
Product: Low Sulfur Diesel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 12/20/2023 Abandoned Material:
Current Age: 2 Abandoned Date:
Install Date: 7/21/2023 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 11/11/2024 11/11/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 11/11/2024 11/11/2025
Overfill Prev Device Overfill Alarm 12/6/2023 12/6/2026
Overfill Prev Device Overfill Drop Tube Valve 12/6/2023 12/6/2026
Piping Flexible Double Wall A.P.T. Poly Tech P150SC N/A N/A
Piping Flexible Double Wall A.P.T. Poly Tech P200SC N/A N/A
Piping Flexible Double Wall Franklin Fueling Systems UPP N/A N/A
Piping Single Wall STP/Tanktop Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025
Spill Contain Device Double Wall Spill Bucket 12/6/2023 12/6/2026
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall A.P.T. Poly Tech Precision Test (Piping) Pass 12/6/2023
Piping Flexible Double Wall Franklin Fueling Systems UPP Precision Test (Piping) Pass 12/6/2023
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 12/6/2023



Tank Number 8

Capacity: 30000 Petroleum Use: None
Product: Low Sulfur Diesel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 12/20/2023 Abandoned Material:
Current Age: 2 Abandoned Date:
Install Date: 7/21/2023 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 11/11/2024 11/11/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 11/11/2024 11/11/2025
Overfill Prev Device Overfill Alarm 12/6/2023 12/6/2026
Overfill Prev Device Overfill Drop Tube Valve 12/6/2023 12/6/2026
Piping Flexible Double Wall Franklin Fueling Systems UPP N/A N/A
Piping Flexible Double Wall A.P.T. Poly Tech P200SC N/A N/A
Piping Flexible Double Wall A.P.T. Poly Tech P150SC N/A N/A
Piping Single Wall STP/Tanktop Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025
Spill Contain Device Double Wall Spill Bucket 12/6/2023 12/6/2026
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall A.P.T. Poly Tech Precision Test (Piping) Pass 12/6/2023
Piping Flexible Double Wall Franklin Fueling Systems UPP Precision Test (Piping) Pass 12/6/2023
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 12/6/2023

Dispenser Information



Name\ID 1/2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/15/2023 8/15/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID 11/12

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/15/2023 8/15/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID 13/14

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/15/2023 8/15/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID 15/16

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/15/2023 8/15/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID 17/18

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/15/2023 8/15/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID 19/20

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/15/2023 8/15/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/15/2023 8/15/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/15/2023 8/15/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/15/2023 8/15/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID 9/10

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 8/15/2023 8/15/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID DSL 1

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID DSL 1 Sat

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID DSL 10

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID DSL 10 Sat

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID DSL 2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID DSL 3

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID DSL 3 Sat

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID DSL 4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID DSL 4 Sat

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID DSL 5

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID DSL 5 Sat

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID DSL 6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID DSL 6 Sat

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID DSL 7

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID DSL 7 Sat

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID DSL 8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID DSL 8 Sat

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID DSL 9

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID DSL 9 Sat

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025



Name\ID DSL2 Sat

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 9/12/2023 9/12/2026
Leak Detect - Piping Sump Sensor with positive shutdown 11/11/2024 11/11/2025

MFD Motorfuel Dispensing Forms

Facility Number Name City Received Date Letter
1047605 Kwik Star 1276 South Beloit 12/14/2023 Letter Form