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:	3041637
Status:	Active
Facility Name:	Hy-Vee Gas
Address:	4218 Avenue of the Cities Moline, IL 61265
County:	Rock Island
Property Parcel:	17-03-400-038
Facility Type:	Attended Self-Service/Unattended Self-Service
Owner Type:	Private
Green Tag Decal:	AA01374
Green Tag Issue Date:	11/12/2025
Green Tag Expiration Date:	12/31/2027

Owner Details

Owner Name:	Hy-Vee, Inc.
Owner Address:	5820 Westown Parkway West Des Moines, IA 50266
Owner Status:	Current Owner
Purchase Date:	1/8/2004
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	9/29/2026

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	11/12/2025	12/31/2027
Unattended Self Service	11/12/2025	12/31/2027

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0030721	Hy-Vee, Inc.	Current Owner	1/8/2004

Permits (Unexpired)

Click for permit history

Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
01469-2025UPG	Upgrade	Approved / Issued	11/3/2025	11/3/2025	5/5/2026	Documents

Notice of Violatlions (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 - Non Ethanol		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	3/24/2004		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	1/8/2004		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/8/2004

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	4/25/2025	4/25/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	4/25/2025	4/25/2026
Overfill Prev Device	Overfill Drop Tube Valve	11/7/2025	11/7/2028
Piping	Flexible Double Wall A.P.T. Poly Tech	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/7/2024	5/7/2027
Leak Detect - Piping	Sump Sensor	4/25/2025	4/25/2026
Spill Contain Device	Double Wall Spill Bucket	11/7/2025	11/7/2028
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

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:	3/24/2004		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	1/8/2004		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/8/2004

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	4/25/2025	4/25/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	4/25/2025	4/25/2026
Overfill Prev Device	Overfill Drop Tube Valve	5/7/2024	5/7/2027
Piping	Flexible Double Wall A.P.T. Poly Tech	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/7/2024	5/7/2027
Leak Detect - Piping	Sump Sensor	4/25/2025	4/25/2026
Spill Contain Device	Single Wall Spill Bucket	5/7/2024	5/7/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	14000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	3/24/2004		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	1/8/2004		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/8/2004

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	4/25/2025	4/25/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	4/25/2025	4/25/2026
Overfill Prev Device	Overfill Drop Tube Valve	11/7/2025	11/7/2028
Piping	Flexible Double Wall A.P.T. Poly Tech	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/7/2024	5/7/2027
Leak Detect - Piping	Sump Sensor	4/25/2025	4/25/2026
Spill Contain Device	Double Wall Spill Bucket	11/7/2025	11/7/2028
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	6000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	3/24/2004		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	1/8/2004		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/8/2004

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	4/25/2025	4/25/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	4/25/2025	4/25/2026
Overfill Prev Device	Overfill Drop Tube Valve	11/7/2025	11/7/2028
Piping	Flexible Double Wall A.P.T. Poly Tech	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/7/2024	5/7/2027
Leak Detect - Piping	Sump Sensor	4/25/2025	4/25/2026
Spill Contain Device	Double Wall Spill Bucket	11/7/2025	11/7/2028
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

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 Required	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 Required	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 Required	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 Required	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 Required	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found