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:	6044099
Status:	Closed
Facility Name:	Shop N Save (Edwardsville #4514)
Address:	2122 Troy Road Edwardsville, IL 62025
County:	Madison
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	T002263
Green Tag Issue Date:	7/17/2018
Green Tag Expiration Date:	12/31/2020

Owner Details

Owner Name:	Supervalu
Owner Address:	11840 Valley View Rd. Eden Prairie, MN 55344
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	7/12/2019

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	7/17/2018	12/31/2020

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0034366	Supervalu	Current Owner

Permits (Unexpired)

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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		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	1/24/2019
OSFM First Notify Date:	10/21/2008		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:	8/21/2008		Red Tag Issue Date:
Last Used Date:	10/19/2018		Fee Due:	$0.00
Product Date:	8/22/2008

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	5/3/2018	5/3/2019
Leak Detect - Piping	Sump Sensor	5/3/2018	5/3/2019
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	5/8/2017	5/8/2018
Overfill Prev Device	Ball Float Vent Valve OPW 53VML
Piping	Flexible Double Wall A.P.T. Poly Tech P200SC	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Brine Filled Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	Sensor Functional	Pass	5/3/2018

Tank Number 2

Capacity:	8000		Petroleum Use:
Product:	E85		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	1/24/2019
OSFM First Notify Date:	10/21/2008		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:	8/21/2008		Red Tag Issue Date:
Last Used Date:	10/19/2018		Fee Due:	$0.00
Product Date:	8/22/2008

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	Sump Sensor	5/3/2018	5/3/2019
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	5/8/2017	5/8/2018
Overfill Prev Device	Ball Float Vent Valve OPW 53VML
Piping	Flexible Double Wall A.P.T. Poly Tech P200SC	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Brine Filled Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	Sensor Functional	Pass	5/3/2018

Tank Number 3

Capacity:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	1/24/2019
OSFM First Notify Date:	10/21/2008		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:	8/21/2008		Red Tag Issue Date:
Last Used Date:	10/19/2018		Fee Due:	$0.00
Product Date:	8/22/2008

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	5/3/2018	5/3/2019
Leak Detect - Piping	Sump Sensor	5/3/2018	5/3/2019
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	5/8/2017	5/8/2018
Overfill Prev Device	Ball Float Vent Valve OPW 53VML
Piping	Flexible Double Wall A.P.T. Poly Tech P200SC	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Brine Filled Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	Sensor Functional	Pass	5/3/2018

Tank Number 4

Capacity:	12000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	1/24/2019
OSFM First Notify Date:	10/21/2008		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:	8/21/2008		Red Tag Issue Date:
Last Used Date:	10/19/2018		Fee Due:
Product Date:	8/22/2008

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	5/3/2018	5/3/2019
Leak Detect - Piping	Sump Sensor	5/3/2018	5/3/2019
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	5/8/2017	5/8/2018
Overfill Prev Device	Ball Float Vent Valve OPW 53VML
Piping	Flexible Double Wall A.P.T. Poly Tech P200SC	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Brine Filled Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	Sensor Functional	Pass	5/3/2018

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found