Information
JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety
State of Illinois
Employment Opportunities
Ready Illinois
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Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 5041700
Status: Active
Facility Name: Hy-Vee Gas
Address: 310 N. 36th Street
Quincy, IL 62301
County: Adams
Property Parcel:
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Z000744
Green Tag Issue Date: 1/4/2024
Green Tag Expiration Date: 12/31/2026

Owner Details

Owner Name: Hy-Vee, Inc.
Owner Address: 5820 Westown Parkway
West Des Moines, IA 50266
Owner Status: Current Owner
Purchase Date: 7/10/2003
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 1/4/2024 12/31/2026
Unattended Self Service 2/22/2022 12/31/2024

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0030721 Hy-Vee, Inc. Current Owner 7/10/2003

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 - Non Ethanol CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 10/7/2003 Abandoned Material:
Current Age: 21 Abandoned Date:
Install Date: 7/10/2003 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 7/11/2003

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
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 4/1/2025 4/1/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 4/1/2025 4/1/2026
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 4/1/2025 4/1/2026
Overfill Prev Device Overfill Drop Tube Valve 9/20/2023 9/20/2026
Piping Flexible Double Wall A.P.T. Poly Tech N/A N/A
Piping Single Wall STP/Tanktop Sump 9/20/2023 9/20/2026
Leak Detect - Piping Sump Sensor 4/1/2025 4/1/2026
Spill Contain Device Double Wall Spill Bucket 9/20/2023 9/20/2026
Tank Fiberglass Double Wall XERXES N/A N/A
Vent, Riser, Fill Piping Steel risers N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall A.P.T. Poly Tech Precision Test (Piping) Pass 11/2/2020



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: 10/7/2003 Abandoned Material:
Current Age: 21 Abandoned Date:
Install Date: 7/10/2003 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 7/11/2003

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
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 4/1/2025 4/1/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 4/1/2025 4/1/2026
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 4/1/2025 4/1/2026
Overfill Prev Device Overfill Drop Tube Valve 9/20/2023 9/20/2026
Piping Flexible Double Wall A.P.T. Poly Tech N/A N/A
Piping Single Wall STP/Tanktop Sump 9/20/2023 9/20/2026
Leak Detect - Piping Sump Sensor 4/1/2025 4/1/2026
Spill Contain Device Double Wall Spill Bucket 9/20/2023 9/20/2026
Tank Fiberglass Double Wall XERXES N/A N/A
Vent, Riser, Fill Piping Steel risers N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall A.P.T. Poly Tech Precision Test (Piping) Pass 11/2/2020



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: 10/7/2003 Abandoned Material:
Current Age: 21 Abandoned Date:
Install Date: 7/10/2003 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 7/11/2003

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
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 4/1/2025 4/1/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 4/1/2025 4/1/2026
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 4/1/2025 4/1/2026
Overfill Prev Device Overfill Drop Tube Valve 9/20/2023 9/20/2026
Piping Flexible Double Wall A.P.T. Poly Tech N/A N/A
Piping Single Wall STP/Tanktop Sump 9/20/2023 9/20/2026
Leak Detect - Piping Sump Sensor 4/1/2025 4/1/2026
Spill Contain Device Double Wall Spill Bucket 9/20/2023 9/20/2026
Tank Fiberglass Double Wall XERXES N/A N/A
Vent, Riser, Fill Piping Steel risers 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: 10/7/2003 Abandoned Material:
Current Age: 21 Abandoned Date:
Install Date: 7/10/2003 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 7/11/2003

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
Corrosion Prot - Piping Sacrificial Anode Flex Connector 4/1/2025 4/1/2028
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 4/1/2025 4/1/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 4/1/2025 4/1/2026
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 4/1/2025 4/1/2026
Overfill Prev Device Overfill Drop Tube Valve 9/20/2023 9/20/2026
Piping Flexible Double Wall A.P.T. Poly Tech N/A N/A
Piping Single Wall STP/Tanktop Sump 9/20/2023 9/20/2026
Leak Detect - Piping Sump Sensor 4/1/2025 4/1/2026
Spill Contain Device Double Wall Spill Bucket 9/20/2023 9/20/2026
Tank Fiberglass Double Wall XERXES N/A N/A
Vent, Riser, Fill Piping Steel risers N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall A.P.T. Poly Tech Precision Test (Piping) Pass 11/2/2020

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 11/12

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

Office of the Illinois State Fire Marshal
1035 Stevenson Dr. Springfield, IL 62704 | (217) 785-0969 | Contact Us