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:	3006053
Status:	Active
Facility Name:	Mac's #1212
Address:	1827 18th Avenue East Moline, IL 62144
County:	Rock Island
Property Parcel:	09-30-320-010
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y001389
Green Tag Issue Date:	11/3/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Mac's Convenience Stores, LLC
Owner Address:	1100 Situs Court, Suite 100 Raleigh, NC 27606
Owner Status:	Current Owner
Purchase Date:	8/19/2003
Type of Financial Responsibility:	Guarantee
Financial Responsibility Reporting Due Date:	10/24/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	5/19/2025	12/31/2027

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0030949	Mac's Convenience Stores, LLC	Current Owner	8/19/2003
U0029789	Clark Retail Enterprises, Inc.	Former Owner	3/7/2001
U0015986	Wareco Service, Inc.	Former Owner	3/7/2001

Permits (Unexpired)

Click for permit history

Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
00559-2025CAT	Cathodic Protection	Approved / Issued	5/8/2025	5/8/2025	11/10/2025	Documents
00235-2025ABN	Abandon in Place	Approved / Issued	2/26/2025	2/27/2025	8/27/2025	Documents

Notice of Violations (Current)

No Notice of Violations Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
2025-0180	3/25/2025	Abandonment Log	00235-2025ABN
932665	7/6/1994	Removal Log	1144-94

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
93-2665	Eligible	11/13/1998	1/5/1999	$15,000
93-2665	Eligible	6/19/2012	8/9/2012	$15,000
20220162	Eligible	8/15/2022	8/17/2022	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/6/1994
OSFM First Notify Date:	12/10/1985		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	1/1/1973		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/6/1994
OSFM First Notify Date:	12/10/1985		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	1/1/1973		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/6/1994
OSFM First Notify Date:	12/10/1985		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	1/1/1973		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	1000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/6/1994
OSFM First Notify Date:	12/10/1985		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	1/1/1973		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	2000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/6/1994
OSFM First Notify Date:	12/10/1985		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	1/1/1973		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 6

Capacity:	10000		Petroleum Use:
Product:	Ethylene Glycol		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/6/1994
OSFM First Notify Date:	6/13/1994		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 7

Capacity:	275		Petroleum Use:
Product:	Used Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/6/1994
OSFM First Notify Date:	6/13/1994		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 8

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/20/1998		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	9/23/1994		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	Sacrificial Anode Flex Connector
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	11/25/2024	11/25/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	11/25/2024	11/25/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	11/25/2024	11/25/2025
Overfill Prev Device	Overfill Drop Tube Valve	1/29/2024	1/29/2027
Piping	Polyethylene Chase	N/A	N/A
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	12/12/2023	12/12/2026
Tank	Fiberglass Double Wall Owens Corning	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Environ Geo Flex	Precision Test (Piping)	Pass	12/29/2021
Piping	Flexible Double Wall OPW Flexworks	Precision Test (Piping)	Pass	11/25/2024

Tank Number 9

Capacity:	10000		Petroleum Use:	None
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/20/1998		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	9/23/1994		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	Sacrificial Anode Flex Connector
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	11/25/2024	11/25/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	11/25/2024	11/25/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	11/25/2024	11/25/2025
Overfill Prev Device	Overfill Drop Tube Valve	12/12/2023	12/12/2026
Piping	Polyethylene Chase	N/A	N/A
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	12/12/2023	12/12/2026
Tank	Fiberglass Double Wall Owens Corning	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall OPW Flexworks	Precision Test (Piping)	Pass	11/25/2024

Tank Number 10

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/20/1998		Abandoned Material:
Current Age:	0		Abandoned Date:
Install Date:	9/23/2024		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	Sacrificial Anode Flex Connector
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	11/25/2024	11/25/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	11/25/2024	11/25/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	11/25/2024	11/25/2025
Overfill Prev Device	Overfill Drop Tube Valve	1/29/2024	1/29/2027
Piping	Polyethylene Chase	N/A	N/A
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	12/12/2023	12/12/2026
Tank	Fiberglass Double Wall Owens Corning	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Environ Geo Flex	Precision Test (Piping)	Pass	12/29/2021
Piping	Flexible Double Wall OPW Flexworks	Precision Test (Piping)	Pass	11/25/2024
Tank	Fiberglass Double Wall Owens Corning	Precision Test (Tank)	Pass	4/26/2019

Tank Number 11

Capacity:	8000		Petroleum Use:	None
Product:	Diesel Fuel		CERCLA Substance:
Status:	Abandoned in place		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/20/1998		Abandoned Material:	Inert material mixed with portland cement
Current Age:	30		Abandoned Date:	3/25/2025
Install Date:	9/23/1994		Red Tag Issue Date:
Last Used Date:	11/19/2019		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	1/5/2022	1/5/2025
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	12/12/2023	12/12/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	12/12/2023	12/12/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	12/12/2023	12/12/2024
Overfill Prev Device	Overfill Drop Tube Valve	1/14/2021	1/14/2024
Piping	Flexible Double Wall Environ Geo Flex	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	1/14/2021	1/14/2024
Tank	Fiberglass Double Wall Owens Corning	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Environ Geo Flex	Precision Test (Piping)	Pass	1/14/2021

Dispenser Information

Name\ID 1/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	2/25/2025	2/25/2028
Leak Detect - Piping	Sump Sensor with positive shutdown	11/25/2024	11/25/2025

Name\ID 14/16

Status:	Removed

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 2/5

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	2/25/2025	2/25/2028
Leak Detect - Piping	Sump Sensor with positive shutdown	11/25/2024	11/25/2025

Name\ID 3/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 7/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 8/11

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 9/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found