Information

JB Pritzker, Governor

Michele L Pankow, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
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Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	2023831
Status:	Active
Facility Name:	Oasis Lily Lake, Inc.
Address:	44W322 Highway 64 Lily Lake, IL 60151
County:	Kane
Property Parcel:	08-18-476-008
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z001393
Green Tag Issue Date:	2/29/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	LB Five, LLC Series E
Owner Address:	2401 W. US Highway 20 Suite 105 Pingree Grove, IL 60140
Owner Status:	Current Owner
Purchase Date:	7/22/2021
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	7/2/2026

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	2/29/2024	12/31/2026

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0040277	LB Five, LLC Series E	Current Owner	7/22/2021
U0038717	Lake Group Properties, LLC	Former Owner	3/15/2017
U0037988	Bell Fuels	Former Owner	9/15/2015
U0031568	Burch Oil, L.L.C.	Former Owner	8/18/2003
U0001338	Bell Fuels Inc	Former Owner	5/1/1992
U0012162	Pride Petroleum Co Inc	Former Owner	12/31/1967
U0001342	Bell Fuels, Inc.	Former Owner
U0031486	The Premcor Refining Group, Inc..	Former Owner
U0029789	Clark Retail Enterprises, Inc.	Former Owner
U0028787	Clark Retail Enterprises, Inc.,	Former Owner

Permits (Unexpired)

Click for permit history

Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
00654-2025UPG	Upgrade	Approved / Issued	5/28/2025	5/28/2025	11/30/2025	Documents

Notice of Violatlions (Current)

NOV Number: E0020252087 (Pending) Issue Date: 8/14/2025 Expiration Date: 10/13/2025 View NOV Form

Tanks	Violations
12, 13, 14, 15, 16	Triennial spill prevention equipment testing not completed. - Triennial inspection/testing of spill bucket(s) has not been completed. Testing shall be completed with passing results uploaded to OSFM.
12, 13, 14, 15, 16	Triennial testing for qualifying piping containment sump not completed (Required every 3 years). - Triennial testing for qualifying STP/dispenser piping containment sumps not completed. Testing shall be completed and submitted to OSFM.

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
2022-0287	4/6/2022	Emergency Response
2022-0290	4/13/2022	Removal Log	00364-2022REM
2022-0290	4/14/2022	Removal Log	00364-2022REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
06-1436	Eligible	5/3/2007	5/15/2007	$10,000
92-2874	Eligible	7/28/2011	8/11/2011	$10,000
96-0377	Eligible	8/18/2011	10/13/2011	$10,000
20061436	Ineligible	9/30/2019	9/30/2019	$No Deductible	Letter
20061436	Eligible	10/1/2019	10/1/2019	$10,000	Letter
19960377	Ineligible	9/9/2021	9/9/2021	$No Deductible	Letter
20061436	Eligible	9/15/2021	9/16/2021	$10,000	Letter
19922874	Eligible	9/24/2021	9/24/2021	$10,000	Letter
19960377	Eligible	9/24/2021	9/24/2021	$10,000	Letter
20220290	Eligible	5/16/2022	5/17/2022	$5,000	Letter
20220198	Eligible	6/24/2022	6/30/2022	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	6000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/14/2022
OSFM First Notify Date:	8/3/1987		Abandoned Material:
Current Age:	34		Abandoned Date:
Install Date:	8/3/1987		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/3/1987

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	3/25/2021	3/25/2024
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	11/25/2020	11/25/2021
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	11/25/2020	11/25/2021
Overfill Prev Device	Overfill Drop Tube Valve	12/18/2018	12/18/2021
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	12/18/2018	12/18/2021
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	11/25/2020

Tank Number 2

Capacity:	6000		Petroleum Use:
Product:	Kerosene		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/14/2022
OSFM First Notify Date:	8/3/1987		Abandoned Material:
Current Age:	34		Abandoned Date:
Install Date:	8/3/1987		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/3/1987

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	3/25/2021	3/25/2024
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	11/25/2020	11/25/2021
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	11/25/2020	11/25/2021
Overfill Prev Device	Overfill Drop Tube Valve	12/18/2018	12/18/2021
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	12/18/2018	12/18/2021
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	11/25/2020

Tank Number 3

Capacity:	10000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/14/2022
OSFM First Notify Date:	8/3/1987		Abandoned Material:
Current Age:	34		Abandoned Date:
Install Date:	8/3/1987		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/3/1987

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	3/25/2021	3/25/2024
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	11/25/2020	11/25/2021
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	11/25/2020	11/25/2021
Overfill Prev Device	Overfill Drop Tube Valve	12/18/2018	12/18/2021
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	12/18/2018	12/18/2021
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	11/25/2020

Tank Number 4

Capacity:	10000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/13/2022
OSFM First Notify Date:	8/3/1987		Abandoned Material:
Current Age:	34		Abandoned Date:
Install Date:	8/3/1987		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/3/1987

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	3/25/2021	3/25/2024
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	11/25/2020	11/25/2021
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	11/25/2020	11/25/2021
Overfill Prev Device	Overfill Drop Tube Valve	3/5/2019	3/5/2022
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	12/18/2018	12/18/2021
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	11/25/2020

Tank Number 5

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/13/2022
OSFM First Notify Date:	8/3/1987		Abandoned Material:
Current Age:	34		Abandoned Date:
Install Date:	8/3/1987		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/3/1987

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	3/25/2021	3/25/2024
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	11/25/2020	11/25/2021
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	11/25/2020	11/25/2021
Overfill Prev Device	Overfill Drop Tube Valve	12/18/2018	12/18/2021
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	12/18/2018	12/18/2021
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	11/25/2020

Tank Number 6

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/13/2022
OSFM First Notify Date:	8/3/1987		Abandoned Material:
Current Age:	34		Abandoned Date:
Install Date:	8/3/1987		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/3/1987

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	3/25/2021	3/25/2024
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	11/25/2020	11/25/2021
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	11/25/2020	11/25/2021
Overfill Prev Device	Overfill Drop Tube Valve	3/22/2019	3/22/2022
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	3/5/2019	3/5/2022
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	11/25/2020

Tank Number 7

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/13/2022
OSFM First Notify Date:	8/3/1987		Abandoned Material:
Current Age:	34		Abandoned Date:
Install Date:	8/3/1987		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/3/1987

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	3/25/2021	3/25/2024
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	11/25/2020	11/25/2021
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	11/25/2020	11/25/2021
Overfill Prev Device	Overfill Drop Tube Valve	12/18/2018	12/18/2021
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	12/18/2018	12/18/2021
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	11/25/2020

Tank Number 8

Capacity:	3000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	5/10/1987
OSFM First Notify Date:	3/24/1986		Abandoned Material:
Current Age:	8		Abandoned Date:
Install Date:	4/1/1979		Red Tag Issue Date:
Last Used Date:	5/8/1987		Fee Due:
Product Date:	4/1/1979

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:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	5/10/1987
OSFM First Notify Date:	3/24/1986		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	4/1/1978		Red Tag Issue Date:
Last Used Date:	5/8/1987		Fee Due:
Product Date:	4/1/1978

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:	4000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	5/10/1987
OSFM First Notify Date:	3/24/1986		Abandoned Material:
Current Age:	27		Abandoned Date:
Install Date:	4/1/1960		Red Tag Issue Date:
Last Used Date:	5/8/1987		Fee Due:
Product Date:	4/1/1960

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 11

Capacity:	500		Petroleum Use:
Product:	Used Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	5/10/1987
OSFM First Notify Date:	3/24/1986		Abandoned Material:
Current Age:	27		Abandoned Date:
Install Date:	4/1/1960		Red Tag Issue Date:
Last Used Date:	5/8/1987		Fee Due:
Product Date:	4/1/1960

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:	20000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	8/31/2022		Abandoned Material:
Current Age:	3		Abandoned Date:
Install Date:	7/1/2022		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/23/2022

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	9/24/2024	9/24/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus	9/24/2024	9/24/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	9/24/2024	9/24/2025
Overfill Prev Device	Overfill Drop Tube Valve	9/5/2022	9/5/2025
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/4/2022	8/4/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	9/24/2024	9/24/2025
Spill Contain Device	Single Wall Spill Bucket	8/4/2022	8/4/2025
Tank	Composite Double Wall Lannon	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	9/2/2022
Tank	Composite Double Wall Lannon	Precision Test (Tank)	Pass	8/30/2022

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:	8/31/2022		Abandoned Material:
Current Age:	3		Abandoned Date:
Install Date:	7/1/2022		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/23/2022

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	11/11/2024	11/11/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus	9/24/2024	9/24/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	9/24/2024	9/24/2025
Overfill Prev Device	Overfill Drop Tube Valve	9/5/2022	9/5/2025
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/4/2022	8/4/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	9/24/2024	9/24/2025
Spill Contain Device	Single Wall Spill Bucket	8/4/2022	8/4/2025
Tank	Composite Double Wall Lannon	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	9/2/2022
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test (Piping)	Pass	11/11/2024
Tank	Composite Double Wall Lannon	Precision Test (Tank)	Pass	8/30/2022

Tank Number 14

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	8/31/2022		Abandoned Material:
Current Age:	3		Abandoned Date:
Install Date:	7/1/2022		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/23/2022

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	9/24/2024	9/24/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus	9/24/2024	9/24/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	9/24/2024	9/24/2025
Overfill Prev Device	Overfill Drop Tube Valve	9/5/2022	9/5/2025
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/4/2022	8/4/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	9/24/2024	9/24/2025
Spill Contain Device	Single Wall Spill Bucket	8/4/2022	8/4/2025
Tank	Composite Double Wall Lannon	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	9/2/2022
Tank	Composite Double Wall Lannon	Precision Test (Tank)	Pass	8/30/2022

Tank Number 15

Capacity:	5000		Petroleum Use:	None
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	8/31/2022		Abandoned Material:
Current Age:	1		Abandoned Date:
Install Date:	7/1/2022		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/20/2023

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	9/24/2024	9/24/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus	9/24/2024	9/24/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	9/24/2024	9/24/2025
Overfill Prev Device	Overfill Drop Tube Valve	9/5/2022	9/5/2025
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Fiberglass Single Wall Piping Ameron 4000 L single wall vent	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/4/2022	8/4/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	9/24/2024	9/24/2025
Spill Contain Device	Single Wall Spill Bucket	8/4/2022	8/4/2025
Tank	Composite Double Wall Lannon	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	2/21/2024
Piping	Fiberglass Single Wall Piping Ameron 4000 L single wall vent	Precision Test (Piping)	Pass	8/19/2022
Tank	Composite Double Wall Lannon	Precision Test (Tank)	Pass	8/30/2022

Tank Number 16

Capacity:	5000		Petroleum Use:
Product:	E85		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	8/31/2022		Abandoned Material:
Current Age:	3		Abandoned Date:
Install Date:	7/1/2022		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/23/2022

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	9/24/2024	9/24/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus	9/24/2024	9/24/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	9/24/2024	9/24/2025
Overfill Prev Device	Overfill Drop Tube Valve	9/5/2022	9/5/2025
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Fiberglass Single Wall Piping Ameron Dualoy 3000/L	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/4/2022	8/4/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	9/24/2024	9/24/2025
Spill Contain Device	Single Wall Spill Bucket	8/4/2022	8/4/2025
Tank	Composite Double Wall Lannon	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	5/3/2023
Piping	Fiberglass Single Wall Piping Ameron Dualoy 3000/L	Precision Test (Piping)	Pass	5/3/2023
Tank	Composite Double Wall Lannon	Precision Test (Tank)	Pass	8/30/2022

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump Bravo B-8000 Series	8/4/2022	8/4/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	9/24/2024	9/24/2025

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump Bravo B-8000 Series	8/4/2022	8/4/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	9/24/2024	9/24/2025

Name\ID 13/14

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump Bravo B-8000 Series	8/4/2022	8/4/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	9/24/2024	9/24/2025

Name\ID 14S

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump Bravo B-8000 Series	8/4/2022	8/4/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	9/24/2024	9/24/2025

Name\ID 15/16

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump Bravo B-8000 Series	8/4/2022	8/4/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	9/24/2024	9/24/2025

Name\ID 17/18

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump Bravo B-8000 Series	8/4/2022	8/4/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	9/24/2024	9/24/2025

Name\ID 19

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump Bravo B-8000 Series	8/4/2022	8/4/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	9/24/2024	9/24/2025

Name\ID 20M

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/18/2024	11/18/2027

Name\ID 20S/21M

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/18/2024	11/18/2027

Name\ID 21S/22M

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/18/2024	11/18/2027

Name\ID 22S/23M

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/18/2024	11/18/2027

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump Bravo B-8000 Series	8/4/2022	8/4/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	9/24/2024	9/24/2025

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump Bravo B-8000 Series	8/4/2022	8/4/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	9/24/2024	9/24/2025

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump Bravo B-8000 Series	8/4/2022	8/4/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	9/24/2024	9/24/2025

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump Bravo B-8000 Series	8/4/2022	8/4/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	9/24/2024	9/24/2025

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
2023831	Oasis Lily Lake, Inc.	Lily Lake	05/28/2025	Letter Form
2023831	Oasis Lily Lake, Inc.	Lily Lake	08/12/2022	Letter Form