Information

JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
Employment Opportunities
Ready Illinois
Find us on Facebook

Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	2019445
Status:	Active
Facility Name:	Edward Hines Jr. Hospital
Address:	5th & Roosevelt Road, Building 218 Hines, IL 60140
County:	Cook
Property Parcel:
Facility Type:	Federal (Non-Military)
Owner Type:	Federal
Green Tag Decal:	Z003550
Green Tag Issue Date:	1/6/2025
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Dept of Veteran Affairs Edward Hines Jr. Hospital
Owner Address:	5th & Roosevelt Road, Bldg 218 P.O. Box 5000-138S Hines, IL 60140
Owner Status:	Current Owner
Purchase Date:	1/1/1984
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	3/29/2026

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Fleet	10/22/2024	12/31/2026

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0015555	Dept of Veteran Affairs Edward Hines Jr. Hospital	Current Owner	1/1/1984

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

IEMA Number	Inspection Date	Inspection Type	Permit Number
19-1277	12/17/2019	Removal Log	02117-2019REM
19-1277	12/11/2019	Removal Log	02117-2019REM
19-1277	12/10/2019	Removal Log	02117-2019REM
19-1277	2/10/2020	Removal Log	02117-2019REM
2019-1277	1/31/2020	Removal Log	02117-2019REM
92-2875	10/13/1992	Removal Log
99-0875	4/9/1999	Removal Log	00949-1999REM

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	34200		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	2/10/2020
OSFM First Notify Date:	4/9/1986		Abandoned Material:
Current Age:	47		Abandoned Date:
Install Date:	4/9/1972		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	Chase Secondary Containment Farm Pump	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	1/14/2015	1/14/2020
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	2/14/2019	2/14/2020
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	30000		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	12/17/2019
OSFM First Notify Date:	4/9/1986		Abandoned Material:
Current Age:	47		Abandoned Date:
Install Date:	4/9/1972		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	Chase Secondary Containment Farm Pump	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	1/15/2015	1/15/2020
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	2/14/2019	2/14/2020
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	25000		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	12/17/2019
OSFM First Notify Date:	4/9/1986		Abandoned Material:	Inert material mixed with portland cement
Current Age:	32		Abandoned Date:	2/14/2017
Install Date:			Red Tag Issue Date:
Last Used Date:	11/5/2014		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	2/28/2011	2/28/2014
Corrosion Prot - Tank	Lining Materials Internal	5/1/2009	5/1/2014
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	30000		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	1/31/2020
OSFM First Notify Date:	4/9/1986		Abandoned Material:
Current Age:	47		Abandoned Date:
Install Date:	4/9/1972		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	Chase Secondary Containment Farm Pump	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	1/20/2015	1/20/2020
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	2/14/2019	2/14/2020
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	30000		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	12/11/2019
OSFM First Notify Date:	4/9/1986		Abandoned Material:
Current Age:	47		Abandoned Date:
Install Date:	4/9/1972		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	Chase Secondary Containment Farm Pump	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	1/20/2015	1/20/2020
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	2/14/2019	2/14/2020
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 6

Capacity:	25000		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	12/10/2019
OSFM First Notify Date:	4/9/1986		Abandoned Material:
Current Age:	47		Abandoned Date:
Install Date:	4/9/1972		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	Chase Secondary Containment Farm Pump	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	1/21/2015	1/21/2020
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	2/14/2019	2/14/2020
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 7

Capacity:	7500		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	2/10/2020
OSFM First Notify Date:	4/9/1986		Abandoned Material:
Current Age:	47		Abandoned Date:
Install Date:	4/9/1972		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	Flexible 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	Automatic Tank Gauging Veeder Root TLS 350	2/14/2019	2/14/2020
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flexible Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	4/4/2019	4/4/2022
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 8

Capacity:	3000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/13/1992
OSFM First Notify Date:	4/9/1996		Abandoned Material:
Current Age:	47		Abandoned Date:
Install Date:	1/1/1945		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 9

Capacity:	1000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/13/1992
OSFM First Notify Date:	4/9/1986		Abandoned Material:
Current Age:	53		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 10

Capacity:	550		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/11/2008
OSFM First Notify Date:	4/9/1986		Abandoned Material:
Current Age:	15		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
Corrosion Prot - Piping	Flexible 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 - Piping	Sump Sensor
Leak Detect - Tank	Automatic Tank Gauging Red Jacket Pro Plus
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flexible Double Wall	N/A	N/A
Spill Contain Device	Manhole Field Constructed
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 11

Capacity:	300		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/9/1999
OSFM First Notify Date:	4/9/1986		Abandoned Material:
Current Age:	42		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/12/1999		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 12

Capacity:	4000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/26/2022
OSFM First Notify Date:	4/9/1986		Abandoned Material:
Current Age:	37		Abandoned Date:
Install Date:	4/9/1985		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	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root Pro Max	8/9/2021	8/9/2022
Overfill Prev Device	Overfill Alarm	7/31/2020	7/31/2023
Overfill Prev Device	Overfill Drop Tube Valve	7/31/2020	7/31/2023
Piping	Fiberglass Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 13

Capacity:	1000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/13/1992
OSFM First Notify Date:	4/9/1986		Abandoned Material:
Current Age:	13		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 14

Capacity:	4000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	4/9/1986		Abandoned Material:
Current Age:	40		Abandoned Date:
Install Date:	4/9/1985		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	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root Pro Max	6/21/2024	6/21/2025
Overfill Prev Device	Overfill Drop Tube Valve	5/24/2023	5/24/2026
Piping	Flexible Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	5/24/2023	5/24/2026
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 15

Capacity:	1000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	4/9/1986		Abandoned Material:
Current Age:	40		Abandoned Date:
Install Date:	4/9/1985		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	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root Pro Max	6/21/2024	6/21/2025
Overfill Prev Device	Overfill Alarm	5/24/2023	5/24/2026
Overfill Prev Device	Overfill Drop Tube Valve	5/25/2023	5/25/2026
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	5/24/2023	5/24/2026
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	American with Sensors/No Test Suction	Functional	Pass	8/9/2021
Piping	Fiberglass Single Wall Piping	Precision Test (Piping)	Pass	5/24/2023

Tank Number 16

Capacity:	1000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	4/9/1986		Abandoned Material:
Current Age:	40		Abandoned Date:
Install Date:	4/9/1985		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	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	6/21/2024	6/21/2025
Overfill Prev Device	Overfill Alarm	5/24/2023	5/24/2026
Overfill Prev Device	Overfill Drop Tube Valve	5/24/2023	5/24/2026
Piping	Flexible Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	5/24/2023	5/24/2026
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 17

Capacity:	1000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	4/9/1986		Abandoned Material:
Current Age:	40		Abandoned Date:
Install Date:	4/9/1985		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	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	6/21/2024	6/21/2025
Overfill Prev Device	Overfill Alarm	5/24/2023	5/24/2026
Overfill Prev Device	Overfill Drop Tube Valve	5/24/2023	5/24/2026
Piping	Flexible Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	5/24/2023	5/24/2026
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 18

Capacity:	3000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/3/1997		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	1/1/1995		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1995

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	6/21/2024	6/21/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300c	6/21/2024	6/21/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	6/21/2024	6/21/2025
Overfill Prev Device	Overfill Alarm	5/24/2023	5/24/2026
Overfill Prev Device	Overfill Drop Tube Valve	5/24/2023	5/24/2026
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/24/2023	5/24/2026
Leak Detect - Piping	Non-Discriminating Sump Sensor	5/24/2023	5/24/2024
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	5/25/2023	5/25/2026
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test (Piping)	Pass	8/9/2021

Tank Number 19

Capacity:	1000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/3/1997		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	1/1/1995		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1995

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	6/21/2024	6/21/2025
Leak Detect - Tank	Automatic Tank Gauging Red Jacket Pro Max	6/21/2024	6/21/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	6/21/2024	6/21/2025
Overfill Prev Device	Overfill Alarm	5/25/2023	5/25/2026
Overfill Prev Device	Overfill Drop Tube Valve	5/25/2023	5/25/2026
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/24/2023	5/24/2026
Leak Detect - Piping	Sump Sensor	6/21/2024	6/21/2025
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	5/24/2023	5/24/2026
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test (Piping)	Pass	5/25/2023

Tank Number 20

Capacity:	6000		Petroleum Use:	None
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/6/2022
OSFM First Notify Date:	11/18/2000		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	3/22/2000		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/15/2000

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	Automatic Tank Gauging Veeder Root TLS 350	8/9/2021	8/9/2022
Overfill Prev Device	Overfill Alarm	5/12/2020	5/12/2023
Overfill Prev Device	Overfill Drop Tube Valve	5/12/2020	5/12/2023
Piping	Fiberglass Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	5/12/2020	5/12/2023
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 21

Capacity:	1000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/11/2008
OSFM First Notify Date:	12/6/2002		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:	1/1/1986		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1986

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	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Red Jacket Pro Max
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Secondary Containment	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 22

Capacity:	1000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/6/2002		Abandoned Material:
Current Age:	39		Abandoned Date:
Install Date:	1/1/1986		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1986

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	Automatic Tank Gauging Veeder Root Pro Max	6/21/2024	6/21/2025
Overfill Prev Device	Overfill Alarm	5/24/2023	5/24/2026
Overfill Prev Device	Overfill Drop Tube Valve	5/24/2023	5/24/2026
Piping	Flexible Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	5/24/2023	5/24/2026
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 23

Capacity:	1000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	9/19/2006		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	12/1/1994		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	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root Pro Max	6/21/2024	6/21/2025
Overfill Prev Device	Overfill Drop Tube Valve	5/24/2023	5/24/2026
Piping	Fiberglass Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	5/24/2023	5/24/2026
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 24

Capacity:	1500		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	5/4/2009		Abandoned Material:
Current Age:	16		Abandoned Date:
Install Date:	4/28/2009		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	4/28/2009

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	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300c	6/21/2024	6/21/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	6/21/2024	6/21/2025
Overfill Prev Device	Overfill Alarm	5/24/2023	5/24/2026
Overfill Prev Device	Overfill Drop Tube Valve	5/24/2023	5/24/2026
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/24/2023	5/24/2026
Leak Detect - Piping	Non-Discriminating Sump Sensor	5/24/2023	5/24/2024
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	5/24/2023	5/24/2026
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 25

Capacity:	3000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/24/2009		Abandoned Material:
Current Age:	16		Abandoned Date:
Install Date:	9/11/2008		Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:	9/11/2008

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	Automatic Tank Gauging Veeder Root Pro Max	6/21/2024	6/21/2025
Overfill Prev Device	Overfill Alarm	11/3/2023	11/3/2026
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/24/2023	5/24/2026
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	5/24/2023	5/24/2026
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	6/17/2009
Leak Detect - Piping	Non-Discriminating Sump Sensor	Sensor Functional	Pass	6/17/2009

Tank Number 26

Capacity:	40000		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	2/20/2019		Abandoned Material:
Current Age:	6		Abandoned Date:
Install Date:	3/1/2018		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/1/2018

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	American with Sensors/No Test Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus	6/21/2024	6/21/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	6/21/2024	6/21/2025
Overfill Prev Device	Overfill Alarm	5/24/2023	5/24/2026
Overfill Prev Device	Overfill Drop Tube Valve	5/24/2023	5/24/2026
Piping	Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/24/2023	5/24/2026
Leak Detect - Piping	Non-Discriminating Sump Sensor with positive shutdown	5/24/2023	5/24/2024
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	11/3/2023	11/3/2026
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	American with Sensors/No Test Suction	Functional	Pass	6/21/2024
Piping	Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping	Precision Test (Piping)	Pass	4/2/2021

Tank Number 27

Capacity:	40000		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	2/20/2019		Abandoned Material:
Current Age:	6		Abandoned Date:
Install Date:	3/9/2018		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/1/2018

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	American with Sensors/No Test Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus	6/21/2024	6/21/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	6/21/2024	6/21/2025
Overfill Prev Device	Overfill Alarm	5/24/2023	5/24/2026
Overfill Prev Device	Overfill Drop Tube Valve	11/3/2023	11/3/2026
Piping	Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/24/2023	5/24/2026
Leak Detect - Piping	Non-Discriminating Sump Sensor with positive shutdown	5/24/2023	5/24/2024
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	5/24/2023	5/24/2026
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	American with Sensors/No Test Suction	Functional	Pass	6/21/2024
Piping	Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping	Precision Test (Piping)	Pass	4/2/2021

Tank Number 28

Capacity:	40000		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	2/20/2019		Abandoned Material:
Current Age:	6		Abandoned Date:
Install Date:	3/19/2019		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/1/2018

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	American with Sensors/No Test Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus	6/21/2024	6/21/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	6/21/2024	6/21/2025
Overfill Prev Device	Overfill Alarm	5/24/2023	5/24/2026
Overfill Prev Device	Overfill Drop Tube Valve	5/24/2023	5/24/2026
Piping	Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/24/2023	5/24/2026
Leak Detect - Piping	Non-Discriminating Sump Sensor with positive shutdown	5/24/2023	5/24/2024
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	5/24/2023	5/24/2026
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	American with Sensors/No Test Suction	Functional	Pass	6/21/2024
Piping	Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping	Precision Test (Piping)	Pass	4/2/2021

Tank Number 29

Capacity:	40000		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	2/20/2019		Abandoned Material:
Current Age:	6		Abandoned Date:
Install Date:	3/27/2018		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/1/2018

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	American with Sensors/No Test Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus	6/21/2024	6/21/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	6/21/2024	6/21/2025
Overfill Prev Device	Overfill Alarm	5/24/2023	5/24/2026
Overfill Prev Device	Overfill Drop Tube Valve	5/24/2023	5/24/2026
Piping	Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/24/2023	5/24/2026
Leak Detect - Piping	Non-Discriminating Sump Sensor with positive shutdown	5/24/2023	5/24/2024
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	5/24/2023	5/24/2026
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	American with Sensors/No Test Suction	Functional	Pass	6/21/2024
Piping	Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping	Precision Test (Piping)	Pass	4/2/2021

Tank Number 30

Capacity:	40000		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	2/20/2019		Abandoned Material:
Current Age:	6		Abandoned Date:
Install Date:	3/1/2018		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/1/2018

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	American with Sensors/No Test Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus	6/21/2024	6/21/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	8/26/2024	8/26/2025
Overfill Prev Device	Overfill Alarm	5/24/2023	5/24/2026
Overfill Prev Device	Overfill Drop Tube Valve	5/24/2023	5/24/2026
Piping	Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/24/2023	5/24/2026
Leak Detect - Piping	Non-Discriminating Sump Sensor with positive shutdown	5/24/2023	5/24/2024
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	5/24/2023	5/24/2026
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	American with Sensors/No Test Suction	Functional	Pass	8/9/2021
Piping	Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping	Precision Test (Piping)	Pass	4/2/2021

Dispenser Information

Name\ID Gas/Diesel

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	5/24/2023	5/24/2026
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found