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:	1027942
Status:	Active
Facility Name:	Fas Mart #5142
Address:	4106 Harrison Ave. Rockford, IL 61108
County:	Winnebago
Property Parcel:	12-32-378-024
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z000859
Green Tag Issue Date:	4/1/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	GPM Midwest, LLC
Owner Address:	8565 Magellan Pkwy, Ste. 400 Richmond, VA 23227
Owner Status:	Current Owner
Purchase Date:	3/19/2015
Type of Financial Responsibility:	Surety Bond
Financial Responsibility Reporting Due Date:	4/24/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	4/1/2024	12/31/2026

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0037728	GPM Midwest, LLC	Current Owner	3/19/2015
U0012841	Ranger Enterprises, Inc.	Former Owner	4/28/2004
U0031087	Conoco Phillips	Former Owner	1/1/2003
U0026004	Phillips 66 Petroleum Co	Former Owner	8/14/1990
U0017794	Phillips Petro Co Mktg Env	Former Owner	12/31/1967
U0033990	Road Ranger, LLC	Former Owner
U0011862	Phillips Petroleum Co	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

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
95-0980	Eligible	1/22/1996	3/18/1996	$10,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/23/1988		Abandoned Material:
Current Age:	36		Abandoned Date:
Install Date:	6/18/1988		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	Sacrificial Anode Flex Connector	12/6/2022	12/6/2025
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	12/19/2024	12/19/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	12/19/2024	12/19/2025
Overfill Prev Device	Ball Float Vent Valve	12/21/2021	12/21/2024
Piping	Fiberglass Single Wall Piping	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	12/19/2024	12/19/2027
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Single Wall Piping	Precision Test (Piping)	Pass	12/19/2024

Tank Number 2

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/23/1988		Abandoned Material:
Current Age:	36		Abandoned Date:
Install Date:	6/18/1988		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	Sacrificial Anode Flex Connector	12/6/2022	12/6/2025
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	12/19/2024	12/19/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	12/19/2024	12/19/2025
Overfill Prev Device	Ball Float Vent Valve	12/21/2021	12/21/2024
Piping	Fiberglass Single Wall Piping	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	12/19/2024	12/19/2027
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Single Wall Piping	Precision Test (Piping)	Pass	12/19/2024
Tank	Fiberglass Single Wall	Precision Test (Tank)	Pass	7/29/2024

Tank Number 3

Capacity:	4000		Petroleum Use:
Product:	Gasoline - Non Ethanol		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/23/1988		Abandoned Material:
Current Age:	36		Abandoned Date:
Install Date:	6/18/1988		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	Sacrificial Anode Flex Connector	12/6/2022	12/6/2025
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	12/19/2024	12/19/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	12/19/2024	12/19/2025
Overfill Prev Device	Ball Float Vent Valve	12/21/2021	12/21/2024
Piping	Fiberglass Single Wall Piping	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	12/19/2024	12/19/2027
Tank	Fiberglass Single Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Single Wall Piping	Precision Test (Piping)	Pass	12/19/2024

Tank Number 4

Capacity:	10000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/23/1988		Abandoned Material:
Current Age:	36		Abandoned Date:
Install Date:	6/18/1988		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	Sacrificial Anode Flex Connector	12/6/2022	12/6/2025
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	12/19/2024	12/19/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	12/19/2024	12/19/2025
Overfill Prev Device	Ball Float Vent Valve	12/21/2021	12/21/2024
Piping	Fiberglass Single Wall Piping	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	12/19/2024	12/19/2027
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Single Wall Piping	Precision Test (Piping)	Pass	12/19/2024

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found