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:	6028248
Status:	Active
Facility Name:	4-0-11 Quick Shop
Address:	810 South Morrison Collinsville, IL 62234
County:	Madison
Property Parcel:	13-1-21-34-17-301-004.001
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z001945
Green Tag Issue Date:	3/14/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Jiya Corporation
Owner Address:	810 S. Morrison Ave. Collinsville, IL 62234
Owner Status:	Current Owner
Purchase Date:	7/31/2020
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	7/16/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	3/14/2024	12/31/2026

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0039926	Jiya Corporation	Current Owner	7/31/2020
U0035019	Diagonal Enterprises, Inc.	Former Owner	11/1/2006
U0027817	Prash Corporation	Former Owner	9/7/1989
U0001718	Bob Harrison 4 O Quick Shop	Former Owner	12/31/1967

Permits (Unexpired)

Click for permit history

Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
01587-2024UPG	Upgrade	Approved / Issued	12/9/2024	12/9/2024	6/10/2025	Documents

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:	12000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/23/1991		Abandoned Material:
Current Age:	35		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/1/1989

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	10/2/2023	10/2/2026
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	10/2/2023	10/2/2026
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	11/2/2024	11/2/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	11/2/2024	11/2/2025
Overfill Prev Device	Overfill Drop Tube Valve	12/27/2024	12/27/2027
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Not Installed STP/Tanktop Sump	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	12/27/2024	12/27/2027
Tank	STIP3 Single Wall	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	Fiberglass Single Wall Piping	Precision Test (Piping)	Pass	11/2/2024

Tank Number 2

Capacity:	12000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/23/1991		Abandoned Material:
Current Age:	35		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/1/1989

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	10/2/2023	10/2/2026
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	10/2/2023	10/2/2026
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	11/2/2024	11/2/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	11/2/2024	11/2/2025
Overfill Prev Device	Overfill Drop Tube Valve	12/27/2024	12/27/2027
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Not Installed STP/Tanktop Sump	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	12/27/2024	12/27/2027
Tank	STIP3 Single Wall	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	Fiberglass Single Wall Piping	Precision Test (Piping)	Pass	11/2/2024

Tank Number 3

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/23/1991		Abandoned Material:
Current Age:	35		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/1/1989

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	10/2/2023	10/2/2026
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	10/2/2023	10/2/2026
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	11/2/2024	11/2/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	11/2/2024	11/2/2025
Overfill Prev Device	Overfill Drop Tube Valve	12/27/2024	12/27/2027
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Not Installed STP/Tanktop Sump	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	12/27/2024	12/27/2027
Tank	STIP3 Single Wall	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	Fiberglass Single Wall Piping	Precision Test (Piping)	Pass	11/2/2024

Dispenser Information

Name\ID 1/2

Status:	Active

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

Name\ID 3/4

Status:	Active

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	Not Installed UDC Sump	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found