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:	3041391
Status:	Active
Facility Name:	Jewel Express #3122
Address:	1902 First Street A Moline, IL 61265
County:	Rock Island
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z000389
Green Tag Issue Date:	5/20/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Jewel Food Stores, Inc.
Owner Address:	P.O. Box 20, Department 72405 A subsidiary of New Albertson's, Inc. Boise, ID 83726
Owner Status:	Current Owner
Purchase Date:	6/2/2006
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	2/25/2026

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	5/20/2024	12/31/2026

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0033589	Jewel Food Stores, Inc.	Current Owner	6/2/2006
U0028677	Albertson's, Inc.	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

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	15000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/24/2002		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:	11/6/2002		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/11/2002

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	1/2/2025	1/2/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R with CSLD	1/2/2025	1/2/2026
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	1/2/2025	1/2/2026
Overfill Prev Device	Overfill Alarm	1/23/2023	1/23/2026
Overfill Prev Device	Overfill Drop Tube Valve	1/23/2023	1/23/2026
Piping	Flexible Double Wall Environ Geo Flex	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	3/21/2024	3/21/2027
Leak Detect - Piping	Sump Sensor	1/2/2025	1/2/2026
Spill Contain Device	Double Wall Spill Bucket	1/23/2023	1/23/2026
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 Environ Geo Flex	Precision Test (Piping)	Pass	1/17/2020

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:	12/24/2002		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:	11/6/2002		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/11/2002

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	1/2/2025	1/2/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R with CSLD	1/2/2025	1/2/2026
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	1/2/2025	1/2/2026
Overfill Prev Device	Overfill Alarm	1/23/2023	1/23/2026
Overfill Prev Device	Overfill Drop Tube Valve	1/23/2023	1/23/2026
Piping	Flexible Double Wall Environ Geo Flex	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	3/21/2024	3/21/2027
Leak Detect - Piping	Sump Sensor	1/2/2025	1/2/2026
Spill Contain Device	Double Wall Spill Bucket	1/23/2023	1/23/2026
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 Environ Geo Flex	Precision Test (Piping)	Pass	1/17/2020

Tank Number 3

Capacity:	5000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/24/2002		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:	11/6/2002		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/11/2002

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	1/2/2025	1/2/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350R with CSLD	1/2/2025	1/2/2026
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	1/2/2025	1/2/2026
Overfill Prev Device	Overfill Alarm	1/23/2023	1/23/2026
Overfill Prev Device	Overfill Drop Tube Valve	1/23/2023	1/23/2026
Piping	Flexible Double Wall Environ Geo Flex	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	3/21/2024	3/21/2027
Leak Detect - Piping	Sump Sensor	1/2/2025	1/2/2026
Spill Contain Device	Double Wall Spill Bucket	1/23/2023	1/23/2026
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 Environ Geo Flex	Precision Test (Piping)	Pass	1/17/2020

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	3/21/2024	3/21/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	1/2/2025	1/2/2026

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	3/21/2024	3/21/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	1/2/2025	1/2/2026

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	3/21/2024	3/21/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	1/2/2025	1/2/2026

MFD Motorfuel Dispensing Forms

No Forms Found