Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 5020729
Status: Active
Facility Name: Thorntons #367
Address: 420 W. Dearborn
Havana, IL 62644
County: Mason
Property Parcel: 09-01-308-007
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Z001034
Green Tag Issue Date: 6/10/2024
Green Tag Expiration Date: 12/31/2026

Owner Details

Owner Name: Thorntons, LLC
Owner Address: 2600 James Thornton Way
Louisville, KY 40245
Owner Status: Current Owner
Purchase Date: 2/11/2019
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 2/18/2026

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 6/10/2024 12/31/2026

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0039521 Thorntons, LLC Current Owner 2/11/2019
U0039521 Thorntons, LLC Former Owner 2/11/2019
U0002187 Burwell Oil Service, Inc. Former Owner 8/30/1992
U0014995 Thornton's, Inc. - DO NOT USE THIS OWNER ID Former Owner

Permits (Unexpired)

Click for permit history
Permit Number Type Status OSFM Receive Date Issue Date Expiration Date Documents
00083-2025INS Install Approved / Issued 1/28/2025 1/28/2025 7/29/2025 Documents
00067-2025REM Removal Approved / Issued 1/24/2025 1/24/2025 7/24/2025 Documents
00066-2025ABN Abandon in Place Approved / Issued 1/24/2025 1/24/2025 7/24/2025 Documents

Notice of Violations (Current)

No Notice of Violations Found

IEMA Numbers Associated with the Facility

IEMA Number Inspection Date Inspection Type Permit Number
2025-0138 3/6/2025 Abandonment Log 00066-2025ABN
93-0955 4/21/1993 Removal Log

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information



Tank Number 1

Capacity: 6600 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 4/21/1993
OSFM First Notify Date: 5/6/1986 Abandoned Material:
Current Age: 24 Abandoned Date:
Install Date: Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 2

Capacity: 6600 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 4/21/1993
OSFM First Notify Date: 5/6/1986 Abandoned Material:
Current Age: 24 Abandoned Date:
Install Date: Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 3

Capacity: 8000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 9/16/1993
OSFM First Notify Date: 5/6/1986 Abandoned Material:
Current Age: 24 Abandoned Date:
Install Date: Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 4

Capacity: 1000 Petroleum Use:
Product: Kerosene CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 4/21/1993
OSFM First Notify Date: 5/6/1986 Abandoned Material:
Current Age: 24 Abandoned Date:
Install Date: Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 5

Capacity: 10000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Abandoned in place CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 10/9/1992 Abandoned Material: Inert material mixed with portland cement
Current Age: 32 Abandoned Date: 3/6/2025
Install Date: 9/1/1992 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 12/1/1992

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Isolation Boots Flex Connector N/A N/A
Corrosion Prot - Piping Sacrificial Anode Flex Connector 3/15/2023 3/15/2026
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 1/3/2025 1/3/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 1/3/2025 1/3/2026
Overfill Prev Device Ball Float Vent Valve EBW 308 3/12/2024 3/12/2027
Overfill Prev Device Overfill Drop Tube Valve 3/27/2024 3/27/2027
Piping Fiberglass Single Wall Piping Ameron N/A N/A
Spill Contain Device Double Wall Spill Bucket 3/28/2024 3/28/2027
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping Ameron Precision Test (Piping) Pass 1/3/2025
Tank Fiberglass Single Wall Precision Test (Tank) Pass 1/3/2025



Tank Number 6

Capacity: 10000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Abandoned in place CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 10/9/1992 Abandoned Material: Inert material mixed with portland cement
Current Age: 32 Abandoned Date: 3/6/2025
Install Date: 9/1/1992 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 12/1/1992

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Isolation Boots Flex Connector N/A N/A
Corrosion Prot - Piping Sacrificial Anode Flex Connector 3/15/2023 3/15/2026
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 1/3/2025 1/3/2026
Leak Detect - Piping Siphon Bar N/A N/A
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 1/3/2025 1/3/2026
Overfill Prev Device Ball Float Vent Valve EBW 308 3/12/2024 3/12/2027
Overfill Prev Device Overfill Drop Tube Valve 3/12/2024 3/12/2027
Piping Fiberglass Single Wall Piping Ameron N/A N/A
Piping Not Installed STP/Tanktop Sump N/A N/A
Spill Contain Device Single Wall Spill Bucket 3/12/2024 3/12/2027
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping Ameron Precision Test (Piping) Pass 1/3/2025
Tank Fiberglass Single Wall Precision Test (Tank) Pass 1/3/2025



Tank Number 7

Capacity: 10000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Abandoned in place CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 10/9/1992 Abandoned Material: Inert material mixed with portland cement
Current Age: 32 Abandoned Date: 3/6/2025
Install Date: 9/1/1992 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 12/1/1992

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Isolation Boots Flex Connector N/A N/A
Corrosion Prot - Piping Sacrificial Anode Flex Connector 3/15/2023 3/15/2026
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Mechanical Other Non-vented check valve N/A N/A
Leak Detect - Piping Siphon Bar N/A N/A
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 1/3/2025 1/3/2026
Overfill Prev Device Ball Float Vent Valve EBW 308 3/12/2024 3/12/2027
Overfill Prev Device Overfill Drop Tube Valve 3/12/2024 3/12/2027
Piping Fiberglass Single Wall Piping Ameron N/A N/A
Piping Not Installed STP/Tanktop Sump N/A N/A
Spill Contain Device Single Wall Spill Bucket 3/12/2024 3/12/2027
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping Ameron Precision Test (Piping) Pass 1/3/2025
Tank Fiberglass Single Wall Precision Test (Tank) Pass 1/3/2025



Tank Number 8

Capacity: 10000 Petroleum Use:
Product: Gasoline - Mid-grade CERCLA Substance:
Status: Abandoned in place CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 10/9/1992 Abandoned Material: Inert material mixed with portland cement
Current Age: 32 Abandoned Date: 3/6/2025
Install Date: 9/1/1992 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 12/1/1992

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Isolation Boots Flex Connector N/A N/A
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 1/3/2025 1/3/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 1/3/2025 1/3/2026
Overfill Prev Device Overfill Drop Tube Valve 3/27/2024 3/27/2027
Piping Fiberglass Single Wall Piping Ameron 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 3/12/2024 3/12/2027
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping Ameron Precision Test (Piping) Pass 1/3/2025
Tank Fiberglass Single Wall Precision Test (Tank) Pass 1/3/2025



Tank Number 9

Capacity: 10000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Abandoned in place CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 10/9/1992 Abandoned Material: Inert material mixed with portland cement
Current Age: 32 Abandoned Date: 3/6/2025
Install Date: 9/1/1992 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 12/1/1992

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Isolation Boots Flex Connector N/A N/A
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 1/3/2025 1/3/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 1/3/2025 1/3/2026
Overfill Prev Device Overfill Drop Tube Valve 3/12/2024 3/12/2027
Piping Fiberglass Single Wall Piping Ameron 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 Double Wall Spill Bucket 3/28/2024 3/28/2027
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping Ameron Precision Test (Piping) Pass 1/3/2025
Tank Fiberglass Single Wall Precision Test (Tank) Pass 1/3/2025



Tank Number 10

Capacity: 4000 Petroleum Use:
Product: Kerosene CERCLA Substance:
Status: Abandoned in place CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 10/9/1992 Abandoned Material: Inert material mixed with portland cement
Current Age: 32 Abandoned Date: 3/6/2025
Install Date: 9/1/1992 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 12/1/1992

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Isolation Boots Flex Connector N/A N/A
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 3/12/2024 3/12/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 1/3/2025 1/3/2026
Overfill Prev Device Ball Only Removed Ball Float Vent Valve N/A N/A
Overfill Prev Device Overfill Drop Tube Valve 3/12/2024 3/12/2027
Piping Fiberglass Single Wall Piping Ameron 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 3/12/2024 3/12/2027
Tank Fiberglass Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Single Wall Piping Ameron Precision Test (Piping) Pass 3/12/2024
Tank Fiberglass Single Wall Precision Test (Tank) Pass 1/3/2025



Tank Number 11

Capacity: 20000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 3/14/2025 Abandoned Material:
Current Age: 0 Abandoned Date:
Install Date: 3/13/2025 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 Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 4/17/2025 4/17/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 4/17/2025 4/17/2026
Leak Detect - Tank Hydrostatic Reservoir Interstitial Monitoring Sensors 4/17/2025 4/17/2026
Overfill Prev Device Overfill Alarm 4/17/2025 4/17/2028
Overfill Prev Device Overfill Drop Tube Valve 4/17/2025 4/17/2028
Piping Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping N/A N/A
Piping Single Wall STP/Tanktop Sump 4/1/2025 4/1/2028
Leak Detect - Piping Sump Sensor with positive shutdown 4/17/2025 4/17/2026
Spill Contain Device Double Wall Spill Bucket 4/17/2025 4/17/2028
Tank Fiberglass Brine Filled Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping Precision Test (Piping) Pass 4/17/2025
Tank Fiberglass Brine Filled Double Wall XERXES Precision Test (Tank) Pass 4/17/2025



Tank Number 12

Capacity: 10000 Petroleum Use: None
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 3/14/2025 Abandoned Material:
Current Age: 0 Abandoned Date:
Install Date: 3/13/2025 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 Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 4/17/2025 4/17/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 4/17/2025 4/17/2026
Leak Detect - Tank Hydrostatic Reservoir Interstitial Monitoring Sensors 4/17/2025 4/17/2026
Overfill Prev Device Overfill Alarm 4/17/2025 4/17/2028
Overfill Prev Device Overfill Drop Tube Valve 4/17/2025 4/17/2028
Piping Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping N/A N/A
Piping Single Wall STP/Tanktop Sump 4/1/2025 4/1/2028
Leak Detect - Piping Sump Sensor with positive shutdown 4/17/2025 4/17/2026
Spill Contain Device Double Wall Spill Bucket 4/17/2025 4/17/2028
Tank Fiberglass Brine Filled Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping Precision Test (Piping) Pass 4/17/2025
Tank Fiberglass Brine Filled Double Wall XERXES Precision Test (Tank) Pass 4/17/2025



Tank Number 13

Capacity: 6000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 3/14/2025 Abandoned Material:
Current Age: 0 Abandoned Date:
Install Date: 3/13/2025 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 Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 4/17/2025 4/17/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 4/17/2025 4/17/2026
Leak Detect - Tank Hydrostatic Reservoir Interstitial Monitoring Sensors 4/17/2025 4/17/2026
Overfill Prev Device Overfill Alarm 4/17/2025 4/17/2028
Overfill Prev Device Overfill Drop Tube Valve 4/17/2025 4/17/2028
Piping Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping N/A N/A
Piping Single Wall STP/Tanktop Sump 4/1/2025 4/1/2028
Leak Detect - Piping Sump Sensor with positive shutdown 4/17/2025 4/17/2026
Spill Contain Device Double Wall Spill Bucket 4/17/2025 4/17/2028
Tank Fiberglass Brine Filled Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping Precision Test (Piping) Pass 4/17/2025
Tank Fiberglass Brine Filled Double Wall XERXES Precision Test (Tank) Pass 4/17/2025



Tank Number 14

Capacity: 6000 Petroleum Use:
Product: E85 CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 3/14/2025 Abandoned Material:
Current Age: 0 Abandoned Date:
Install Date: 3/13/2025 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 Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Fiberglass Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 4/17/2025 4/17/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 4/17/2025 4/17/2026
Leak Detect - Tank Hydrostatic Reservoir Interstitial Monitoring Sensors 4/17/2025 4/17/2026
Overfill Prev Device Overfill Alarm 4/17/2025 4/17/2028
Overfill Prev Device Overfill Drop Tube Valve 4/17/2025 4/17/2028
Piping Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping N/A N/A
Piping Single Wall STP/Tanktop Sump 4/1/2025 4/1/2028
Leak Detect - Piping Sump Sensor with positive shutdown 4/17/2025 4/17/2026
Spill Contain Device Double Wall Spill Bucket 4/17/2025 4/17/2028
Tank Fiberglass Brine Filled Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall NOV Fiberglass Systems Red Thread IIA fiberglass piping Precision Test (Piping) Pass 4/17/2025
Tank Fiberglass Brine Filled Double Wall XERXES Precision Test (Tank) Pass 4/17/2025

Dispenser Information



Name\ID 1/2

Status: InActive
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 1/2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/1/2025 4/1/2028
Leak Detect - Piping Sump Sensor with positive shutdown 4/17/2025 4/17/2026



Name\ID 10 master

Status: InActive
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 10 satellite

Status: InActive
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 11 master

Status: InActive
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 11 satellite

Status: InActive
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 11/12

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/1/2025 4/1/2028



Name\ID 13M

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/1/2025 4/1/2028
Leak Detect - Piping Sump Sensor with positive shutdown 4/17/2025 4/17/2026



Name\ID 13S/14M

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/1/2025 4/1/2028
Leak Detect - Piping Sump Sensor with positive shutdown 4/17/2025 4/17/2026



Name\ID 14S

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/1/2025 4/1/2028
Leak Detect - Piping Sump Sensor with positive shutdown 4/17/2025 4/17/2026



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/1/2025 4/1/2028
Leak Detect - Piping Sump Sensor with positive shutdown 4/17/2025 4/17/2026



Name\ID 3/4

Status: InActive
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 5/6

Status: InActive
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/1/2025 4/1/2028
Leak Detect - Piping Sump Sensor with positive shutdown 4/17/2025 4/17/2026



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/1/2025 4/1/2028
Leak Detect - Piping Sump Sensor with positive shutdown 4/17/2025 4/17/2026



Name\ID 7/8

Status: InActive
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 9

Status: InActive
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Not Installed UDC Sump N/A N/A



Name\ID 9/10

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 4/1/2025 4/1/2028

MFD Motorfuel Dispensing Forms

Facility Number Name City Received Date Letter
5020729 Thorntons #367 Havana 01/28/2025 Letter Form