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:
Facility Type:	Attended Self-Service/Unattended Self-Service
Owner Type:	Private
Green Tag Decal:	Y001620
Green Tag Issue Date:	12/27/2023
Green Tag Expiration Date:	12/31/2025

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:	Letter of Credit
Financial Responsibility Reporting Due Date:	9/13/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	12/27/2023	12/31/2025
Unattended Self Service	4/29/2021	12/31/2023

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

No Active Permits Found

Notice of Violatlions (Current)

NOV Number: E0020251889 (Pending) Issue Date: 7/25/2025 Expiration Date: 9/23/2025 View NOV Form

Tanks	Violations
1, 2, 3	Containment support components are cracked, deteriorated or missing. The cover and supporting components that are defective shall be replaced with factory manufactured components. - STP's supports
1, 3, 4	Spill prevention equipment device is in disrepair and requires replacement. - #4 ground cover damaged - repair or replace. #1 & # 3 in disrepair requires replacement.

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	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 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	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 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	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

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 Installed	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 Installed	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 Installed	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 Installed	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 Installed	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found