Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 5020729
Status: Active
Facility Name: Thorntons #367
Address: 420 W. Dearborn Havana, IL 62644
County: Mason
Property Parcel: 09-01-308-007
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Z001034
Green Tag Issue Date: 6/10/2024
Green Tag Expiration Date: 12/31/2026

Owner Details

Owner Name: Thorntons, LLC
Owner Address: 2600 James Thornton Way Louisville, KY 40245
Owner Status: Current Owner
Purchase Date: 2/11/2019
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 2/18/2026

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 6/10/2024 12/31/2026

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0039521 Thorntons, LLC Current Owner 2/11/2019
U0039521 Thorntons, LLC Former Owner 2/11/2019
U0002187 Burwell Oil Service, Inc. Former Owner 8/30/1992
U0014995 Thornton's, Inc. - DO NOT USE THIS OWNER ID Former Owner

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

IEMA Number Inspection Date Inspection Type Permit Number
2025-0138 3/6/2025 Abandonment Log 00066-2025ABN
93-0955 4/21/1993 Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number Status OSFM Received Date OSFM Response Date Deductible Letter
20250138 Eligible 6/27/2025 7/9/2025 $5,000 Letter
Pay Tank Fees Online

Tank Information



Tank Number 1

Capacity: 6600 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 4/21/1993
OSFM First Notify Date: 5/6/1986 Abandoned Material:
Current Age: 24 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 2

Capacity: 6600 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 4/21/1993
OSFM First Notify Date: 5/6/1986 Abandoned Material:
Current Age: 24 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 3

Capacity: 8000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 9/16/1993
OSFM First Notify Date: 5/6/1986 Abandoned Material:
Current Age: 24 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 4

Capacity: 1000 Petroleum Use:
Product: Kerosene CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 4/21/1993
OSFM First Notify Date: 5/6/1986 Abandoned Material:
Current Age: 24 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 5

Capacity: 10000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Abandoned in place CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 10/9/1992 Abandoned Material: Inert material mixed with portland cement
Current Age: 32 Abandoned Date: 3/6/2025
Install Date: 9/1/1992 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 12/1/1992

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Isolation Boots Flex Connector N/A N/A
Corrosion Prot - Piping Sacrificial Anode Flex Connector 3/15/2023 3/15/2026
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 1/3/2025 1/3/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 1/3/2025 1/3/2026
Overfill Prev Device Ball Float Vent Valve EBW 308 3/12/2024 3/12/2027
Overfill Prev Device Overfill Drop Tube Valve 3/27/2024 3/27/2027
Piping Fiberglass Single Wall Piping Ameron N/A N/A
Spill Contain Device Double Wall Spill Bucket 3/28/2024 3/28/2027
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping Ameron Precision Test (Piping) Pass 1/3/2025
Tank Fiberglass Single Wall Precision Test (Tank) Pass 1/3/2025



Tank Number 6

Capacity: 10000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Abandoned in place CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 10/9/1992 Abandoned Material: Inert material mixed with portland cement
Current Age: 32 Abandoned Date: 3/6/2025
Install Date: 9/1/1992 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 12/1/1992

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Isolation Boots Flex Connector N/A N/A
Corrosion Prot - Piping Sacrificial Anode Flex Connector 3/15/2023 3/15/2026
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 1/3/2025 1/3/2026
Leak Detect - Piping Siphon Bar N/A N/A
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 1/3/2025 1/3/2026
Overfill Prev Device Ball Float Vent Valve EBW 308 3/12/2024 3/12/2027
Overfill Prev Device Overfill Drop Tube Valve 3/12/2024 3/12/2027
Piping Fiberglass Single Wall Piping Ameron N/A N/A
Piping Not Installed STP/Tanktop Sump N/A N/A
Spill Contain Device Single Wall Spill Bucket 3/12/2024 3/12/2027
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping Ameron Precision Test (Piping) Pass 1/3/2025
Tank Fiberglass Single Wall Precision Test (Tank) Pass 1/3/2025



Tank Number 7

Capacity: 10000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Abandoned in place CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 10/9/1992 Abandoned Material: Inert material mixed with portland cement
Current Age: 32 Abandoned Date: 3/6/2025
Install Date: 9/1/1992 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 12/1/1992

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Isolation Boots Flex Connector N/A N/A
Corrosion Prot - Piping Sacrificial Anode Flex Connector 3/15/2023 3/15/2026
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Mechanical Other Non-vented check valve N/A N/A
Leak Detect - Piping Siphon Bar N/A N/A
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 1/3/2025 1/3/2026
Overfill Prev Device Ball Float Vent Valve EBW 308 3/12/2024 3/12/2027
Overfill Prev Device Overfill Drop Tube Valve 3/12/2024 3/12/2027
Piping Fiberglass Single Wall Piping Ameron N/A N/A
Piping Not Installed STP/Tanktop Sump N/A N/A
Spill Contain Device Single Wall Spill Bucket 3/12/2024 3/12/2027
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping Ameron Precision Test (Piping) Pass 1/3/2025
Tank Fiberglass Single Wall Precision Test (Tank) Pass 1/3/2025



Tank Number 8

Capacity: 10000 Petroleum Use:
Product: Gasoline - Mid-grade CERCLA Substance:
Status: Abandoned in place CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 10/9/1992 Abandoned Material: Inert material mixed with portland cement
Current Age: 32 Abandoned Date: 3/6/2025
Install Date: 9/1/1992 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 12/1/1992

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Isolation Boots Flex Connector N/A N/A
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 1/3/2025 1/3/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 1/3/2025 1/3/2026
Overfill Prev Device Overfill Drop Tube Valve 3/27/2024 3/27/2027
Piping Fiberglass Single Wall Piping Ameron 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 Single Wall Spill Bucket 3/12/2024 3/12/2027
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping Ameron Precision Test (Piping) Pass 1/3/2025
Tank Fiberglass Single Wall Precision Test (Tank) Pass 1/3/2025



Tank Number 9

Capacity: 10000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Abandoned in place CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 10/9/1992 Abandoned Material: Inert material mixed with portland cement
Current Age: 32 Abandoned Date: 3/6/2025
Install Date: 9/1/1992 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 12/1/1992

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Isolation Boots Flex Connector N/A N/A
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 1/3/2025 1/3/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 1/3/2025 1/3/2026
Overfill Prev Device Overfill Drop Tube Valve 3/12/2024 3/12/2027
Piping Fiberglass Single Wall Piping Ameron 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 3/28/2024 3/28/2027
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping Ameron Precision Test (Piping) Pass 1/3/2025
Tank Fiberglass Single Wall Precision Test (Tank) Pass 1/3/2025



Tank Number 10

Capacity: 4000 Petroleum Use:
Product: Kerosene CERCLA Substance:
Status: Abandoned in place CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 10/9/1992 Abandoned Material: Inert material mixed with portland cement
Current Age: 32 Abandoned Date: 3/6/2025
Install Date: 9/1/1992 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 12/1/1992

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Isolation Boots Flex Connector N/A N/A
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 3/12/2024 3/12/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 1/3/2025 1/3/2026
Overfill Prev Device Ball Only Removed Ball Float Vent Valve N/A N/A
Overfill Prev Device Overfill Drop Tube Valve 3/12/2024 3/12/2027
Piping Fiberglass Single Wall Piping Ameron 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 Single Wall Spill Bucket 3/12/2024 3/12/2027
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping Ameron Precision Test (Piping) Pass 3/12/2024
Tank Fiberglass Single Wall Precision Test (Tank) Pass 1/3/2025



Tank Number 11

Capacity: 20000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 3/14/2025 Abandoned Material:
Current Age: 0 Abandoned Date:
Install Date: 3/13/2025 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 Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 4/17/2025 4/17/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 4/17/2025 4/17/2026
Leak Detect - Tank Hydrostatic Reservoir Interstitial Monitoring Sensors 4/17/2025 4/17/2026
Overfill Prev Device Overfill Alarm 4/17/2025 4/17/2028
Overfill Prev Device Overfill Drop Tube Valve 4/17/2025 4/17/2028
Piping Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping N/A N/A
Piping Single Wall STP/Tanktop Sump 4/1/2025 4/1/2028
Leak Detect - Piping Sump Sensor with positive shutdown 4/17/2025 4/17/2026
Spill Contain Device Double Wall Spill Bucket 4/17/2025 4/17/2028
Tank Fiberglass Brine Filled Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping Precision Test (Piping) Pass 4/17/2025
Tank Fiberglass Brine Filled Double Wall XERXES Precision Test (Tank) Pass 4/17/2025



Tank Number 12

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: 3/14/2025 Abandoned Material:
Current Age: 0 Abandoned Date:
Install Date: 3/13/2025 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 Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 4/17/2025 4/17/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 4/17/2025 4/17/2026
Leak Detect - Tank Hydrostatic Reservoir Interstitial Monitoring Sensors 4/17/2025 4/17/2026
Overfill Prev Device Overfill Alarm 4/17/2025 4/17/2028
Overfill Prev Device Overfill Drop Tube Valve 4/17/2025 4/17/2028
Piping Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping N/A N/A
Piping Single Wall STP/Tanktop Sump 4/1/2025 4/1/2028
Leak Detect - Piping Sump Sensor with positive shutdown 4/17/2025 4/17/2026
Spill Contain Device Double Wall Spill Bucket 4/17/2025 4/17/2028
Tank Fiberglass Brine Filled Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping Precision Test (Piping) Pass 4/17/2025
Tank Fiberglass Brine Filled Double Wall XERXES Precision Test (Tank) Pass 4/17/2025



Tank Number 13

Capacity: 6000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 3/14/2025 Abandoned Material:
Current Age: 0 Abandoned Date:
Install Date: 3/13/2025 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 Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 4/17/2025 4/17/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 4/17/2025 4/17/2026
Leak Detect - Tank Hydrostatic Reservoir Interstitial Monitoring Sensors 4/17/2025 4/17/2026
Overfill Prev Device Overfill Alarm 4/17/2025 4/17/2028
Overfill Prev Device Overfill Drop Tube Valve 4/17/2025 4/17/2028
Piping Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping N/A N/A
Piping Single Wall STP/Tanktop Sump 4/1/2025 4/1/2028
Leak Detect - Piping Sump Sensor with positive shutdown 4/17/2025 4/17/2026
Spill Contain Device Double Wall Spill Bucket 4/17/2025 4/17/2028
Tank Fiberglass Brine Filled Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping Precision Test (Piping) Pass 4/17/2025
Tank Fiberglass Brine Filled Double Wall XERXES Precision Test (Tank) Pass 4/17/2025



Tank Number 14

Capacity: 6000 Petroleum Use:
Product: E85 CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 3/14/2025 Abandoned Material:
Current Age: 0 Abandoned Date:
Install Date: 3/13/2025 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 Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 4/17/2025 4/17/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 4/17/2025 4/17/2026
Leak Detect - Tank Hydrostatic Reservoir Interstitial Monitoring Sensors 4/17/2025 4/17/2026
Overfill Prev Device Overfill Alarm 4/17/2025 4/17/2028
Overfill Prev Device Overfill Drop Tube Valve 4/17/2025 4/17/2028
Piping Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping N/A N/A
Piping Single Wall STP/Tanktop Sump 4/1/2025 4/1/2028
Leak Detect - Piping Sump Sensor with positive shutdown 4/17/2025 4/17/2026
Spill Contain Device Double Wall Spill Bucket 4/17/2025 4/17/2028
Tank Fiberglass Brine Filled Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping Precision Test (Piping) Pass 4/17/2025
Tank Fiberglass Brine Filled Double Wall XERXES Precision Test (Tank) Pass 4/17/2025

Dispenser Information



Name\ID 1/2

Status: InActive
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 1/2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/1/2025 4/1/2028
Leak Detect - Piping Sump Sensor with positive shutdown 4/17/2025 4/17/2026



Name\ID 10 master

Status: InActive
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 10 satellite

Status: InActive
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 11 master

Status: InActive
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 11 satellite

Status: InActive
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 11/12

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/1/2025 4/1/2028



Name\ID 13M

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/1/2025 4/1/2028
Leak Detect - Piping Sump Sensor with positive shutdown 4/17/2025 4/17/2026



Name\ID 13S/14M

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/1/2025 4/1/2028
Leak Detect - Piping Sump Sensor with positive shutdown 4/17/2025 4/17/2026



Name\ID 14S

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/1/2025 4/1/2028
Leak Detect - Piping Sump Sensor with positive shutdown 4/17/2025 4/17/2026



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/1/2025 4/1/2028
Leak Detect - Piping Sump Sensor with positive shutdown 4/17/2025 4/17/2026



Name\ID 3/4

Status: InActive
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 5/6

Status: InActive
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/1/2025 4/1/2028
Leak Detect - Piping Sump Sensor with positive shutdown 4/17/2025 4/17/2026



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/1/2025 4/1/2028
Leak Detect - Piping Sump Sensor with positive shutdown 4/17/2025 4/17/2026



Name\ID 7/8

Status: InActive
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 9

Status: InActive
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 9/10

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/1/2025 4/1/2028

MFD Motorfuel Dispensing Forms

Facility Number Name City Received Date Letter
5020729 Thorntons #367 Havana 01/28/2025 Letter Form