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:	6036304
Status:	Closed
Facility Name:	Shop N Save (Belleville #17720
Address:	4201 North Belt West Belleville, IL 62221
County:	St. Clair
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	S002895
Green Tag Issue Date:	10/17/2017
Green Tag Expiration Date:	12/31/2019

Owner Details

Owner Name:	Super Valu
Owner Address:	11840 Valley View Road Eden Prairie, MN 631225534
Owner Status:	Current Owner
Purchase Date:	6/1/1992
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	7/8/2020

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	7/20/2017	12/31/2019

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0035178	Super Valu	Current Owner	6/1/1992
U0026482	Nexus Fuels	Former 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		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/10/2019
OSFM First Notify Date:	7/16/2009		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	10/19/2018		Fee Due:	$0.00
Product Date:	6/16/2009

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	3/12/2018	3/12/2019
Leak Detect - Piping	Sump Sensor	3/12/2018	3/12/2019
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	3/12/2018	3/12/2019
Overfill Prev Device	Ball Float Vent Valve OPW 53VML
Overfill Prev Device	Overfill Alarm
Piping	Flexible Double Wall	N/A	N/A
Piping	Flexible Double Wall A.P.T. Poly Tech P200SC	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Double Wall XERXES	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/10/2019
OSFM First Notify Date:	7/16/2009		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	10/19/2018		Fee Due:	$0.00
Product Date:	6/16/2009

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	3/12/2018	3/12/2019
Leak Detect - Piping	Sump Sensor	3/12/2018	3/12/2019
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	3/12/2018	3/12/2019
Overfill Prev Device	Ball Float Vent Valve OPW 53VML
Overfill Prev Device	Overfill Alarm
Piping	Flexible Double Wall	N/A	N/A
Piping	Flexible Double Wall A.P.T. Poly Tech P200SC	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Double Wall XERXES	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/10/2019
OSFM First Notify Date:	7/16/2009		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	10/19/2018		Fee Due:	$0.00
Product Date:	6/16/2009

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	3/12/2018	3/12/2019
Leak Detect - Piping	Sump Sensor	3/12/2018	3/12/2019
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	3/12/2018	3/12/2019
Overfill Prev Device	Ball Float Vent Valve OPW 53VML
Overfill Prev Device	Overfill Alarm
Piping	Flexible Double Wall	N/A	N/A
Piping	Flexible Double Wall A.P.T. Poly Tech P200SC	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Double Wall XERXES	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	12000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/10/2019
OSFM First Notify Date:	7/16/2009		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	10/19/2018		Fee Due:	$0.00
Product Date:	6/16/2009

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	3/12/2018	3/12/2019
Leak Detect - Piping	Sump Sensor	3/12/2018	3/12/2019
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	3/12/2018	3/12/2019
Overfill Prev Device	Ball Float Vent Valve OPW 53VML
Overfill Prev Device	Overfill Alarm
Piping	Flexible Double Wall	N/A	N/A
Piping	Flexible Double Wall A.P.T. Poly Tech P200SC	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Double Wall XERXES	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found