Information

JB Pritzker, Governor

Michele L Pankow, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
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Ready Illinois
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Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	1020670
Status:	Active
Facility Name:	Road Ranger #263
Address:	3041 N. Illinois Rt. 71 Ottawa, IL 61350
County:	LaSalle
Property Parcel:	15-33-109-000
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	AA00756
Green Tag Issue Date:	5/23/2025
Green Tag Expiration Date:	12/31/2027

Owner Details

Owner Name:	Road Ranger, LLC
Owner Address:	1501 Woodfield Rd., Suite 300 S Schaumburg, IL 60173
Owner Status:	Current Owner
Purchase Date:	8/1/2011
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	10/1/2026

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	5/23/2025	12/31/2027

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0033990	Road Ranger, LLC	Current Owner	8/1/2011
U0032185	JMP Ottawa Petroleum, Inc.	Former Owner	7/8/2004
U0007721	J & L Oil Co., Inc.	Former Owner	1/1/1977

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
09-0016	2/24/2009	Removal Log	00138-2009REM
11-1039	9/28/2011	Removal Log	00841-2011REM
98-3098	12/16/1998	Removal Log	1407-96

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
98-2920	Eligible	1/26/1999	3/8/1999	$10,000
09-0016	Eligible	6/11/2009	6/17/2009	$10,000
19982920	Eligible	10/30/2018	11/1/2018	$10,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	2/24/2009
OSFM First Notify Date:	4/28/1986		Abandoned Material:
Current Age:	43		Abandoned Date:
Install Date:	1/1/1966		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1966

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:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	2/24/2009
OSFM First Notify Date:	4/28/1986		Abandoned Material:
Current Age:	43		Abandoned Date:
Install Date:	1/1/1966		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1966

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:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	2/24/2009
OSFM First Notify Date:	4/28/1986		Abandoned Material:
Current Age:	43		Abandoned Date:
Install Date:	1/1/1966		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1966

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:	8000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	2/24/2009
OSFM First Notify Date:	4/28/1986		Abandoned Material:
Current Age:	32		Abandoned Date:
Install Date:	1/1/1977		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1977

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:	8000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	2/24/2009
OSFM First Notify Date:	4/28/1986		Abandoned Material:
Current Age:	32		Abandoned Date:
Install Date:	1/1/1977		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1977

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:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	2/24/2009
OSFM First Notify Date:	4/28/1986		Abandoned Material:
Current Age:	32		Abandoned Date:
Install Date:	1/1/1977		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1977

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:	1000		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	12/16/1998
OSFM First Notify Date:	2/17/1999		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	12/1/1973		Fee Due:
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:	14000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/28/2011
OSFM First Notify Date:	4/28/2009		Abandoned Material:
Current Age:	2		Abandoned Date:
Install Date:	3/11/2009		Red Tag Issue Date:
Last Used Date:	8/15/2011		Fee Due:	$0.00
Product Date:	4/8/2009

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	Mechanical Pressurized Line Leak Detection	6/3/2010	6/3/2011
Leak Detect - Piping	Sump Sensor
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors
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	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	Sensor Functional	Pass	6/3/2010
Leak Detect - Piping	Sump Sensor	Sensor Functional	Pass	6/3/2010

Tank Number 9

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/28/2011
OSFM First Notify Date:	4/28/2009		Abandoned Material:
Current Age:	2		Abandoned Date:
Install Date:	3/11/2009		Red Tag Issue Date:
Last Used Date:	8/15/2011		Fee Due:	$0.00
Product Date:	4/8/2009

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	Mechanical Pressurized Line Leak Detection	6/3/2010	6/3/2011
Leak Detect - Piping	Sump Sensor
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors
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	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	Sensor Functional	Pass	6/3/2010
Leak Detect - Piping	Sump Sensor	Sensor Functional	Pass	6/3/2010

Tank Number 10

Capacity:	20000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/28/2011
OSFM First Notify Date:	4/28/2009		Abandoned Material:
Current Age:	2		Abandoned Date:
Install Date:	3/11/2009		Red Tag Issue Date:
Last Used Date:	8/15/2011		Fee Due:	$0.00
Product Date:	4/8/2009

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	Mechanical Pressurized Line Leak Detection	6/3/2010	6/3/2011
Leak Detect - Piping	Sump Sensor
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors
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	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	Sensor Functional	Pass	6/3/2010
Leak Detect - Piping	Sump Sensor	Sensor Functional	Pass	6/3/2010

Tank Number 11

Capacity:	14000		Petroleum Use:	None
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	1/6/2012		Abandoned Material:
Current Age:	13		Abandoned Date:
Install Date:	10/25/2011		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	10/25/2011

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	Mechanical Pressurized Line Leak Detection	2/6/2025	2/6/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	2/6/2025	2/6/2026
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	2/6/2025	2/6/2026
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Alarm	9/19/2024	9/19/2027
Overfill Prev Device	Overfill Drop Tube Valve	11/21/2024	11/21/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	9/19/2024	9/19/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	2/6/2025	2/6/2026
Spill Contain Device	Single Wall Spill Bucket	9/19/2024	9/19/2027
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test (Piping)	Pass	2/6/2025

Tank Number 12

Capacity:	6000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	1/6/2012		Abandoned Material:
Current Age:	13		Abandoned Date:
Install Date:	10/25/2011		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	10/25/2011

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	Mechanical Pressurized Line Leak Detection	2/6/2025	2/6/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	2/6/2025	2/6/2026
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	2/6/2025	2/6/2026
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Alarm	9/19/2024	9/19/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	9/19/2024	9/19/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	2/6/2025	2/6/2026
Spill Contain Device	Single Wall Spill Bucket	9/19/2024	9/19/2027
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test (Piping)	Pass	2/6/2025

Tank Number 13

Capacity:	20000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	1/6/2012		Abandoned Material:
Current Age:	13		Abandoned Date:
Install Date:	10/25/2011		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	10/25/2011

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	Mechanical Pressurized Line Leak Detection	5/22/2025	5/22/2026
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	3/6/2025	3/6/2026
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Alarm	9/19/2024	9/19/2027
Overfill Prev Device	Overfill Drop Tube Valve	11/21/2024	11/21/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	9/19/2024	9/19/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	2/6/2025	2/6/2026
Piping	Single Wall Transition Sump	9/19/2024	9/19/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	2/6/2025	2/6/2026
Spill Contain Device	Single Wall Spill Bucket	9/19/2024	9/19/2027
Spill Contain Device	Single Wall Spill Bucket Remote Fill	9/19/2024	9/19/2027
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test (Piping)	Pass	1/22/2023
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test (Piping)	Pass	2/6/2025
Tank	Fiberglass Double Wall Containment Solutions	Precision Test (Tank)	Pass	2/6/2025

Tank Number 14

Capacity:	20000		Petroleum Use:	None
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	1/6/2012		Abandoned Material:
Current Age:	13		Abandoned Date:
Install Date:	10/25/2011		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	10/25/2011

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	Mechanical Pressurized Line Leak Detection	5/22/2025	5/22/2026
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	2/6/2025	2/6/2026
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Alarm	9/19/2024	9/19/2027
Overfill Prev Device	Overfill Drop Tube Valve	11/21/2024	11/21/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	9/19/2024	9/19/2027
Leak Detect - Piping	Non-Discriminating Sump Sensor with positive shutdown	12/11/2020	12/11/2021
Leak Detect - Piping	Sump Sensor with positive shutdown	2/6/2025	2/6/2026
Piping	Single Wall Transition Sump	9/19/2024	9/19/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	2/6/2025	2/6/2026
Spill Contain Device	Single Wall Spill Bucket Remote Fill	9/19/2024	9/19/2027
Spill Contain Device	Single Wall Spill Bucket	9/19/2024	9/19/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test (Piping)	Pass	1/22/2023
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test (Piping)	Pass	2/12/2024
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	2/6/2025

Tank Number 15

Capacity:	8000		Petroleum Use:
Product:	Diesel Exhaust Fluid (Non-Regulated)		CERCLA Substance:
Status:	Unknown		CAS Code:
Regulated Status:	Non-Regulated		Removed Date:
OSFM First Notify Date:			Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:
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 16

Capacity:	20000		Petroleum Use:
Product:	B-99		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	1/6/2012		Abandoned Material:
Current Age:	13		Abandoned Date:
Install Date:	10/25/2011		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	10/25/2011

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	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	2/6/2025	2/6/2026
Overfill Prev Device	Overfill Alarm	9/19/2024	9/19/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	9/19/2024	9/19/2027
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	9/19/2024	9/19/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test (Piping)	Pass	1/21/2020
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	2/6/2025

Tank Number 17

Capacity:	20000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	1/6/2012		Abandoned Material:
Current Age:	13		Abandoned Date:
Install Date:	10/25/2011		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	10/25/2011

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	Mechanical Pressurized Line Leak Detection	2/6/2025	2/6/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	2/6/2025	2/6/2026
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	2/6/2025	2/6/2026
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Alarm	9/19/2024	9/19/2027
Overfill Prev Device	Overfill Drop Tube Valve	11/21/2024	11/21/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	9/19/2024	9/19/2027
Leak Detect - Piping	Non-Discriminating Sump Sensor with positive shutdown	12/11/2020	12/11/2021
Leak Detect - Piping	Sump Sensor with positive shutdown	2/6/2025	2/6/2026
Spill Contain Device	Single Wall Spill Bucket	9/19/2024	9/19/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test (Piping)	Pass	2/6/2025

Tank Number 18

Capacity:	6000		Petroleum Use:
Product:	E85		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	1/6/2012		Abandoned Material:
Current Age:	13		Abandoned Date:
Install Date:	10/25/2011		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	10/25/2011

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	Mechanical Pressurized Line Leak Detection	2/6/2025	2/6/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	2/6/2025	2/6/2026
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	2/6/2025	2/6/2026
Overfill Prev Device	Ball Float Vent Valve OPW 53VML	9/19/2024	9/19/2027
Overfill Prev Device	Overfill Alarm	9/19/2024	9/19/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	9/19/2024	9/19/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	2/6/2025	2/6/2026
Spill Contain Device	Single Wall Spill Bucket	9/19/2024	9/19/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test (Piping)	Pass	2/6/2025

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	9/19/2024	9/19/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	2/6/2025	2/6/2026

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	9/19/2024	9/19/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	2/6/2025	2/6/2026

Name\ID 17

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	9/19/2024	9/19/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/24/2025	4/24/2026

Name\ID 17 SAT

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	9/19/2024	9/19/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	2/6/2025	2/6/2026

Name\ID 18

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	9/19/2024	9/19/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	2/6/2025	2/6/2026

Name\ID 19

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	6/3/2025	6/3/2028
Leak Detect - Piping	Sump Sensor	2/6/2025	2/6/2026

Name\ID 20

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	9/19/2024	9/19/2027
Leak Detect - Piping	Sump Sensor	2/6/2025	2/6/2026

Name\ID 21

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	9/19/2024	9/19/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	2/6/2025	2/6/2026

Name\ID 22

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	9/19/2024	9/19/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	2/6/2025	2/6/2026

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	9/19/2024	9/19/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	2/6/2025	2/6/2026

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	9/19/2024	9/19/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	2/6/2025	2/6/2026

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	9/19/2024	9/19/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	2/6/2025	2/6/2026

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	9/19/2024	9/19/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	2/6/2025	2/6/2026

MFD Motorfuel Dispensing Forms

No Forms Found