Information
JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety
State of Illinois
Employment Opportunities
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Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 4045714
Status: Active
Facility Name: Hy-Vee Gas
Address: 1403 N Veteran's Pkwy
Bloomington, IL 61704
County: McLean
Property Parcel:
Facility Type: Attended Self-Service/Unattended Self-Service
Owner Type: Private
Green Tag Decal: Y000854
Green Tag Issue Date: 4/11/2023
Green Tag Expiration Date: 12/31/2025

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: 9/13/2025

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 4/11/2023 12/31/2025
Unattended Self Service 4/11/2023 12/31/2025

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

Notice of Violations (Current)

No Notice of Violations 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: 3/10/2015 Abandoned Material:
Current Age: 10 Abandoned Date:
Install Date: 11/6/2014 Red Tag Issue Date:
Last Used Date: Fee Due:
Product Date: 2/24/2015

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 1/16/2025 1/16/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 1/16/2025 1/16/2026
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 1/16/2025 1/16/2026
Overfill Prev Device Overfill Drop Tube Valve 1/16/2025 1/16/2028
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 3/27/2024 3/27/2027
Leak Detect - Piping Sump Sensor with positive shutdown 1/16/2025 1/16/2026
Spill Contain Device Single Wall Spill Bucket 3/27/2024 3/27/2027
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: 3/10/2015 Abandoned Material:
Current Age: 10 Abandoned Date:
Install Date: 11/6/2014 Red Tag Issue Date:
Last Used Date: Fee Due:
Product Date: 2/24/2015

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 1/16/2025 1/16/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 1/16/2025 1/16/2026
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 1/16/2025 1/16/2026
Overfill Prev Device Overfill Drop Tube Valve 1/16/2025 1/16/2028
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 3/27/2024 3/27/2027
Leak Detect - Piping Sump Sensor with positive shutdown 1/16/2025 1/16/2026
Spill Contain Device Double Wall Spill Bucket 3/27/2024 3/27/2027
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: 3/10/2015 Abandoned Material:
Current Age: 10 Abandoned Date:
Install Date: 11/6/2014 Red Tag Issue Date:
Last Used Date: Fee Due:
Product Date: 2/24/2015

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 1/16/2025 1/16/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 1/16/2025 1/16/2026
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 1/16/2025 1/16/2026
Overfill Prev Device Overfill Drop Tube Valve 1/16/2025 1/16/2028
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 3/27/2024 3/27/2027
Leak Detect - Piping Sump Sensor with positive shutdown 1/16/2025 1/16/2026
Spill Contain Device Single Wall Spill Bucket 3/27/2024 3/27/2027
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: 3/10/2015 Abandoned Material:
Current Age: 10 Abandoned Date:
Install Date: 11/6/2014 Red Tag Issue Date:
Last Used Date: Fee Due:
Product Date: 2/24/2015

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 1/16/2025 1/16/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 1/16/2025 1/16/2026
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 1/16/2025 1/16/2026
Overfill Prev Device Overfill Drop Tube Valve 1/16/2025 1/16/2028
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 3/27/2024 3/27/2027
Leak Detect - Piping Sump Sensor with positive shutdown 1/16/2025 1/16/2026
Spill Contain Device Single Wall Spill Bucket 3/27/2024 3/27/2027
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 3/27/2024 3/27/2027
Leak Detect - Piping Sump Sensor 1/16/2025 1/16/2026



Name\ID 11/12

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 3/27/2024 3/27/2027
Leak Detect - Piping Sump Sensor 1/16/2025 1/16/2026



Name\ID 13/14

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 3/27/2024 3/27/2027
Leak Detect - Piping Sump Sensor 1/16/2025 1/16/2026



Name\ID 15/16

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 3/27/2024 3/27/2027
Leak Detect - Piping Sump Sensor 1/16/2025 1/16/2026



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 3/27/2024 3/27/2027
Leak Detect - Piping Sump Sensor 1/16/2025 1/16/2026



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 3/27/2024 3/27/2027
Leak Detect - Piping Sump Sensor 1/16/2025 1/16/2026



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 3/27/2024 3/27/2027
Leak Detect - Piping Sump Sensor 1/16/2025 1/16/2026



Name\ID 9/10

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 3/27/2024 3/27/2027
Leak Detect - Piping Sump Sensor 1/16/2025 1/16/2026

MFD Motorfuel Dispensing Forms

No Forms Found

Office of the Illinois State Fire Marshal
1035 Stevenson Dr. Springfield, IL 62704 | (217) 785-0969 | Contact Us