Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 3012076
Status: Active
Facility Name: Gold Star FS Fuel 24
Address: 1601 1st Avenue
Silvis, IL 61282
County: Rock Island
Property Parcel:
Facility Type: Unattended Self-Service Station
Owner Type: Private
Green Tag Decal: Y003975
Green Tag Issue Date: 11/20/2023
Green Tag Expiration Date: 12/31/2025

Owner Details

Owner Name: Gold Star FS, Inc.
Owner Address: 13125 IL Hwy 81
Cambridge, IL 61238
Owner Status: Current Owner
Purchase Date: 5/1/2019
Type of Financial Responsibility: Self-Insurance
Financial Responsibility Reporting Due Date: 2/27/2025

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Unattended Self Service 11/20/2023 12/31/2023
Self Service 5/29/2014 12/31/2016

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0029315 Gold Star FS, Inc. Current Owner 5/1/2019
U0016350 Whiteside Fs Inc Former Owner 1/1/1985

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number Inspection Date Inspection Type Permit Number
19-0533 6/18/2019 Removal Log 01034-2019REM
19-0533 6/19/2019 Removal Log 01034-2019REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number Status OSFM Received Date OSFM Response Date Deductible Letter
20190533 Eligible 7/16/2019 7/16/2019 $5,000 Letter
Pay Tank Fees Online

Tank Information



Tank Number 1

Capacity: 10000 Petroleum Use: None
Product: Diesel Fuel CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 6/18/2019
OSFM First Notify Date: 5/5/1986 Abandoned Material:
Current Age: 33 Abandoned Date:
Install Date: 8/1/1985 Red Tag Issue Date:
Last Used Date: 6/12/2019 Fee Due: $0.00
Product Date: 8/1/1985

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank Impressed Current Cathodic Protection 12/4/2017 12/4/2018
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 11/17/2017 11/17/2018
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD
Overfill Prev Device Overfill Drop Tube Valve
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 2

Capacity: 10000 Petroleum Use:
Product: E85 CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 6/18/2019
OSFM First Notify Date: 5/5/1986 Abandoned Material:
Current Age: 33 Abandoned Date:
Install Date: 8/1/1985 Red Tag Issue Date:
Last Used Date: 6/12/2019 Fee Due: $0.00
Product Date: 8/1/1985

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank Impressed Current Cathodic Protection 12/4/2017 12/4/2018
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 11/17/2017 11/17/2018
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD
Overfill Prev Device Overfill Drop Tube Valve
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 3

Capacity: 10000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 6/19/2019
OSFM First Notify Date: 5/5/1986 Abandoned Material:
Current Age: 33 Abandoned Date:
Install Date: 8/1/1985 Red Tag Issue Date:
Last Used Date: 6/12/2019 Fee Due: $0.00
Product Date: 8/1/1985

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank Impressed Current Cathodic Protection 12/4/2017 12/4/2018
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 11/17/2017 11/17/2018
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD
Overfill Prev Device Overfill Drop Tube Valve
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 4

Capacity: 15000 Petroleum Use: None
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 8/29/2019 Abandoned Material:
Current Age: 5 Abandoned Date:
Install Date: 6/27/2019 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 6/27/2019

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 3/25/2024 3/25/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 3/25/2024 3/25/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 3/25/2024 3/25/2025
Overfill Prev Device Overfill Alarm 3/25/2022 3/25/2025
Overfill Prev Device Overfill Drop Tube Valve 3/25/2022 3/25/2025
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 3/25/2022 3/25/2025
Leak Detect - Piping Sump Sensor with positive shutdown 3/25/2024 3/25/2025
Spill Contain Device Double Wall Spill Bucket 3/25/2022 3/25/2025
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 5

Capacity: 7000 Petroleum Use:
Product: Diesel Exhaust Fluid (Non-Regulated) CERCLA Substance:
Status: Unknown CAS Code:
Regulated Status: Non-Regulated Removed Date:
OSFM First Notify Date: 8/29/2019 Abandoned Material:
Current Age: 5 Abandoned Date:
Install Date: 6/27/2019 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 6/27/2019

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 8/28/2019 8/28/2020
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 8/28/2019 8/28/2020
Overfill Prev Device Overfill Alarm 9/4/2019 9/4/2022
Piping Single Wall STP/Tanktop Sump 7/19/2019 7/19/2022
Spill Contain Device Single Wall Spill Bucket 9/4/2019 9/4/2022
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 6

Capacity: 12000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 8/29/2019 Abandoned Material:
Current Age: 5 Abandoned Date:
Install Date: 6/27/2019 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 6/27/2019

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 3/25/2024 3/25/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 3/25/2024 3/25/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 3/25/2024 3/25/2025
Overfill Prev Device Overfill Alarm 3/25/2022 3/25/2025
Overfill Prev Device Overfill Drop Tube Valve 3/25/2022 3/25/2025
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 3/25/2022 3/25/2025
Leak Detect - Piping Sump Sensor with positive shutdown 3/25/2024 3/25/2025
Spill Contain Device Double Wall Spill Bucket 3/25/2022 3/25/2025
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 7

Capacity: 12000 Petroleum Use:
Product: E85 CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 8/29/2019 Abandoned Material:
Current Age: 5 Abandoned Date:
Install Date: 6/27/2019 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 6/27/2019

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 3/25/2024 3/25/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 3/25/2024 3/25/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 3/25/2024 3/25/2025
Overfill Prev Device Overfill Alarm 3/25/2022 3/25/2025
Overfill Prev Device Overfill Drop Tube Valve 3/25/2022 3/25/2025
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 3/25/2022 3/25/2025
Leak Detect - Piping Sump Sensor with positive shutdown 3/25/2024 3/25/2025
Spill Contain Device Double Wall Spill Bucket 3/25/2022 3/25/2025
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 3/25/2022 3/25/2025
Leak Detect - Piping Sump Sensor with positive shutdown 3/25/2024 3/25/2025



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 3/25/2022 3/25/2025
Leak Detect - Piping Sump Sensor with positive shutdown 3/25/2024 3/25/2025



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 3/25/2022 3/25/2025
Leak Detect - Piping Sump Sensor with positive shutdown 3/25/2024 3/25/2025



Name\ID Satelite #1

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 3/25/2022 3/25/2025
Leak Detect - Piping Sump Sensor with positive shutdown 3/25/2024 3/25/2025



Name\ID Satelite #2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 3/25/2022 3/25/2025
Leak Detect - Piping Sump Sensor with positive shutdown 3/25/2024 3/25/2025

MFD Motorfuel Dispensing Forms

Facility Number Name City Received Date Letter
3012076 Gold Star FS Fuel 24 Silvis 08/29/2019 Letter Form