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:	6045941
Status:	Active
Facility Name:	Walmart Store #4695
Address:	6660 Godfrey Rd. Godfrey, IL 62035
County:	Madison
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y000121
Green Tag Issue Date:	3/14/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Walmart Stores, Inc.
Owner Address:	2101 SE Simple Savings Drive Bentonville, AR 727160745
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	4/29/2026

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	3/14/2023	12/31/2025

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0017352	Walmart Stores, Inc.	Current Owner
U0029553	Walmart Stores East, LP	Former Owner

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 - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	10/23/2015		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	7/23/2015		Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:	10/5/2015

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	Mechanical Pressurized Line Leak Detection	10/15/2024	10/15/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	8/7/2024	8/7/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	8/7/2024	8/7/2025
Overfill Prev Device	Overfill Drop Tube Valve	8/7/2024	8/7/2027
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	STP/Tanktop Sump containment FRP	8/15/2024	8/15/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/7/2024	8/7/2025
Spill Contain Device	Single Wall Spill Bucket	8/7/2024	8/7/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall OPW Flexworks	Precision Test (Piping)	Pass	8/7/2024
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	9/9/2020

Tank Number 2

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	10/23/2015		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	7/23/2015		Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:	10/5/2015

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	Mechanical Pressurized Line Leak Detection	8/7/2024	8/7/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	8/7/2024	8/7/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	8/7/2024	8/7/2025
Overfill Prev Device	Overfill Drop Tube Valve	8/7/2024	8/7/2027
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	STP/Tanktop Sump containment FRP	8/15/2024	8/15/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/7/2024	8/7/2025
Spill Contain Device	Single Wall Spill Bucket	8/7/2024	8/7/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall OPW Flexworks	Precision Test (Piping)	Pass	8/7/2024
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	9/9/2020

Tank Number 3

Capacity:	8000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	10/23/2015		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	7/23/2015		Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:	10/5/2015

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	Mechanical Pressurized Line Leak Detection	8/7/2024	8/7/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	8/7/2024	8/7/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	8/7/2024	8/7/2025
Overfill Prev Device	Overfill Drop Tube Valve	8/7/2024	8/7/2027
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	STP/Tanktop Sump containment FRP	8/15/2024	8/15/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/7/2024	8/7/2025
Spill Contain Device	Single Wall Spill Bucket	8/7/2024	8/7/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall OPW Flexworks	Precision Test (Piping)	Pass	8/7/2024
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	9/9/2020

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/15/2024	8/15/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/7/2024	8/7/2025

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/15/2024	8/15/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/7/2024	8/7/2025

Name\ID 13/14

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/15/2024	8/15/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/7/2024	8/7/2025

Name\ID 15/16

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/15/2024	8/15/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/7/2024	8/7/2025

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/15/2024	8/15/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/7/2024	8/7/2025

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/15/2024	8/15/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/7/2024	8/7/2025

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/15/2024	8/15/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/7/2024	8/7/2025

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	8/15/2024	8/15/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	8/7/2024	8/7/2025

MFD Motorfuel Dispensing Forms

No Forms Found