Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	2047518
Status:	Active
Facility Name:	QuikTrip #7195
Address:	415 N Swift Road Addison, IL 60101
County:	Du Page
Property Parcel:	02-24-400-041
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y002434
Green Tag Issue Date:	11/9/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	QuikTrip Corporation
Owner Address:	4705 South 129th East Ave. Tulsa, OK 74134
Owner Status:	Current Owner
Purchase Date:	5/14/2021
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	4/29/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	11/9/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0034559	QuikTrip Corporation	Current Owner	5/14/2021

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 - Regular	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	2/6/2023	Abandoned Material:
Current Age:	2	Abandoned Date:
Install Date:	12/7/2022	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	Electronic Pressurized Line Leak Detection	10/27/2024	10/27/2025
Leak Detect - Piping	Siphon Bar	N/A	N/A
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors with monitor	10/27/2024	10/27/2025
Overfill Prev Device	Overfill Alarm	11/6/2023	11/6/2026
Overfill Prev Device	Overfill Drop Tube Valve	11/6/2023	11/6/2026
Piping	Flexible Double Wall Franklin Fueling Systems UPP	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Piping	Single Wall Transition Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Piping	Single Wall Transition Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Spill Contain Device	Double Wall Spill Bucket	11/6/2023	11/6/2026
Tank	Fiberglass Brine Filled Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	Siphon Bar	Functional	Pass	10/27/2024
Piping	Flexible Double Wall Franklin Fueling Systems UPP	Precision Test (Piping)	Pass	11/6/2023
Tank	Fiberglass Brine Filled Double Wall XERXES	Precision Test (Tank)	Pass	11/6/2023

Tank Number 2

Capacity:	20000	Petroleum Use:
Product:	Gasoline - Regular	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	2/6/2023	Abandoned Material:
Current Age:	2	Abandoned Date:
Install Date:	12/7/2022	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	Electronic Pressurized Line Leak Detection	10/27/2024	10/27/2025
Leak Detect - Piping	Siphon Bar	N/A	N/A
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors with monitor	10/27/2024	10/27/2025
Overfill Prev Device	Overfill Alarm	11/6/2023	11/6/2026
Overfill Prev Device	Overfill Drop Tube Valve	11/6/2023	11/6/2026
Piping	Flexible Double Wall Franklin Fueling Systems UPP	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Piping	Single Wall Transition Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Piping	Single Wall Transition Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Spill Contain Device	Double Wall Spill Bucket	11/6/2023	11/6/2026
Tank	Fiberglass Brine Filled Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	Siphon Bar	Functional	Pass	10/27/2024
Piping	Flexible Double Wall Franklin Fueling Systems UPP	Precision Test (Piping)	Pass	11/6/2023
Tank	Fiberglass Brine Filled Double Wall XERXES	Precision Test (Tank)	Pass	11/6/2023

Tank Number 3

Capacity:	20000	Petroleum Use:
Product:	E15	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	2/6/2023	Abandoned Material:
Current Age:	2	Abandoned Date:
Install Date:	12/7/2022	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	Electronic Pressurized Line Leak Detection	10/27/2024	10/27/2025
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors with monitor	10/27/2024	10/27/2025
Overfill Prev Device	Overfill Alarm	11/6/2023	11/6/2026
Overfill Prev Device	Overfill Drop Tube Valve	11/6/2023	11/6/2026
Piping	Flexible Double Wall Franklin Fueling Systems UPP	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Piping	Single Wall Transition Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Piping	Single Wall Transition Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Spill Contain Device	Double Wall Spill Bucket	11/6/2023	11/6/2026
Tank	Fiberglass Brine Filled Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Franklin Fueling Systems UPP	Precision Test (Piping)	Pass	11/6/2023
Tank	Fiberglass Brine Filled Double Wall XERXES	Precision Test (Tank)	Pass	11/6/2023

Tank Number 4

Capacity:	20000	Petroleum Use:
Product:	Gasoline - Premium	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	2/6/2023	Abandoned Material:
Current Age:	2	Abandoned Date:
Install Date:	12/7/2022	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	Electronic Pressurized Line Leak Detection	10/27/2024	10/27/2025
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors with monitor	10/27/2024	10/27/2025
Overfill Prev Device	Overfill Alarm	11/6/2023	11/6/2026
Overfill Prev Device	Overfill Drop Tube Valve	11/6/2023	11/6/2026
Piping	Flexible Double Wall Franklin Fueling Systems UPP	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Piping	Single Wall Transition Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Piping	Single Wall Transition Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Spill Contain Device	Double Wall Spill Bucket	11/6/2023	11/6/2026
Tank	Fiberglass Brine Filled Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Franklin Fueling Systems UPP	Precision Test (Piping)	Pass	11/6/2023
Tank	Fiberglass Brine Filled Double Wall XERXES	Precision Test (Tank)	Pass	11/6/2023

Tank Number 5

Capacity:	18000	Petroleum Use:	None
Product:	B-99	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	2/6/2023	Abandoned Material:
Current Age:	2	Abandoned Date:
Install Date:	12/21/2022	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	Electronic Pressurized Line Leak Detection	10/27/2024	10/27/2025
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors with monitor	10/27/2024	10/27/2025
Overfill Prev Device	Overfill Alarm	11/6/2023	11/6/2026
Overfill Prev Device	Overfill Drop Tube Valve	11/6/2023	11/6/2026
Piping	Blending Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Piping	Blending Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Piping	Blending Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Piping	Blending Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Piping	Flexible Double Wall Franklin Fueling Systems UPP	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Spill Contain Device	Double Wall Spill Bucket	11/6/2023	11/6/2026
Tank	Fiberglass Brine Filled Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall Franklin Fueling Systems UPP	Precision Test (Piping)	Pass	11/6/2023
Tank	Fiberglass Brine Filled Double Wall XERXES	Precision Test (Tank)	Pass	11/6/2023

Tank Number 6

Capacity:	30000	Petroleum Use:	None
Product:	Diesel Fuel	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	2/6/2023	Abandoned Material:
Current Age:	2	Abandoned Date:
Install Date:	12/21/2022	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	Electronic Pressurized Line Leak Detection	10/27/2024	10/27/2025
Leak Detect - Piping	Siphon Bar	N/A	N/A
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors with monitor	10/27/2024	10/27/2025
Overfill Prev Device	Overfill Alarm	11/6/2023	11/6/2026
Overfill Prev Device	Overfill Drop Tube Valve	11/6/2023	11/6/2026
Piping	Blending Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Piping	Blending Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Piping	Flexible Double Wall Franklin Fueling Systems UPP	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Piping	Single Wall Transition Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Piping	Single Wall Transition Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Piping	Single Wall Transition Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Spill Contain Device	Double Wall Spill Bucket	11/6/2023	11/6/2026
Tank	Fiberglass Brine Filled Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	Siphon Bar	Functional	Pass	10/27/2024
Piping	Flexible Double Wall Franklin Fueling Systems UPP	Precision Test (Piping)	Pass	11/6/2023
Tank	Fiberglass Brine Filled Double Wall XERXES	Precision Test (Tank)	Pass	11/6/2023

Tank Number 7

Capacity:	30000	Petroleum Use:	None
Product:	Diesel Fuel	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	2/6/2023	Abandoned Material:
Current Age:	2	Abandoned Date:
Install Date:	12/21/2022	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	Electronic Pressurized Line Leak Detection	10/27/2024	10/27/2025
Leak Detect - Piping	Siphon Bar	N/A	N/A
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors with monitor	10/27/2024	10/27/2025
Overfill Prev Device	Overfill Alarm	11/6/2023	11/6/2026
Overfill Prev Device	Overfill Drop Tube Valve	11/6/2023	11/6/2026
Piping	Blending Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Piping	Flexible Double Wall Franklin Fueling Systems UPP	N/A	N/A
Piping	Single Wall Transition Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Spill Contain Device	Double Wall Spill Bucket	11/6/2023	11/6/2026
Tank	Fiberglass Brine Filled Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	Siphon Bar	Functional	Pass	10/27/2024
Piping	Flexible Double Wall Franklin Fueling Systems UPP	Precision Test (Piping)	Pass	11/6/2023
Tank	Fiberglass Brine Filled Double Wall XERXES	Precision Test (Tank)	Pass	11/6/2023

Tank Number 8

Capacity:	30000	Petroleum Use:	None
Product:	Diesel Fuel	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	2/6/2023	Abandoned Material:
Current Age:	2	Abandoned Date:
Install Date:	12/29/2022	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	Electronic Pressurized Line Leak Detection	10/27/2024	10/27/2025
Leak Detect - Piping	Siphon Bar	N/A	N/A
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors with monitor	10/27/2024	10/27/2025
Overfill Prev Device	Overfill Alarm	11/6/2023	11/6/2026
Overfill Prev Device	Overfill Drop Tube Valve	11/6/2023	11/6/2026
Piping	Blending Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Piping	Flexible Double Wall Franklin Fueling Systems UPP	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025
Spill Contain Device	Double Wall Spill Bucket	11/6/2023	11/6/2026
Tank	Fiberglass Brine Filled Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	Siphon Bar	Functional	Pass	10/27/2024
Piping	Flexible Double Wall Franklin Fueling Systems UPP	Precision Test (Piping)	Pass	11/6/2023
Tank	Fiberglass Brine Filled Double Wall XERXES	Precision Test (Tank)	Pass	11/6/2023

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025

Name\ID 13/14

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025

Name\ID 15/16

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025

Name\ID 17/18

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025

Name\ID 19/20

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025

Name\ID 1D/2D

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025

Name\ID 2D/3D

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025

Name\ID 3D/4D

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025

Name\ID 4D/5D

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025

Name\ID 5D/6D

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025

Name\ID 6D/7D

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	11/6/2023	11/6/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/27/2024	10/27/2025

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
2047518	QuikTrip #7195	Addison	09/27/2023	Letter Form