Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 7015146
Status: Active
Facility Name: Pilot Travel Center #595
Address: 2611 West DeYoung I-57 & IL Rt. 13, Exit 54 B Marion, IL 62959
County: Williamson
Property Parcel: 06-14-151-007
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Z001116
Green Tag Issue Date: 1/2/2025
Green Tag Expiration Date: 12/31/2026

Owner Details

Owner Name: Pilot Travel Centers, LLC
Owner Address: 5508 Lonas Rd. Knoxville, TN 37909
Owner Status: Current Owner
Purchase Date: 9/27/2011
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 8/18/2026

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 1/2/2025 12/31/2026

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0011913 Pilot Travel Centers, LLC Current Owner 9/27/2011
U0031179 Humrite Corporation Former Owner 12/20/2002
U0030816 Community National Bank Former Owner 5/15/2002
U0022089 Duke & Long Distributing Co., Inc. Former Owner 10/14/1991
U0012837 Rubens Marion Truck Plaza Inc Former Owner 12/31/1967

Permits (Unexpired)

Click for permit history
Permit Number Type Status OSFM Receive Date Issue Date Expiration Date Documents
00972-2025UPG Upgrade Approved / Issued 7/28/2025 7/29/2025 1/29/2026 Documents
01287-2025UPG Upgrade Approved / Issued 10/1/2025 10/1/2025 4/1/2026 Documents

Notice of Violatlions (Current)

No Notice of Violations Found

IEMA Numbers Associated with the Facility

IEMA Number Inspection Date Inspection Type Permit Number
11-1032 9/27/2011 Removal Log 00917-2011REM
11-1032 9/29/2011 Removal Log 00917-2011REM
11-1032 9/28/2011 Removal Log 00917-2011REM
91-0113 8/6/1992 Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number Status OSFM Received Date OSFM Response Date Deductible Letter
11-1032 Eligible 2/16/2012 4/9/2012 $5,000
Pay Tank Fees Online

Tank Information



Tank Number 7

Capacity: 10000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 9/29/2011
OSFM First Notify Date: 12/19/1991 Abandoned Material:
Current Age: 19 Abandoned Date:
Install Date: 10/14/1991 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 10/14/1991

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 STIP3 Cathodic Protection with Dielectric Coating 2/11/2009 2/11/2012
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 3/11/2010 3/11/2011
Leak Detect - Tank SIR and Prec Tightness Testing USTman Industries
Overfill Prev Device Ball Float Vent Valve OPW 53VM
Piping Fiberglass Single Wall Piping N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Leak Detect - Tank SIR and Prec Tightness Testing USTman Industries Precision Test (Tank) Pass 3/11/2010



Tank Number 8

Capacity: 10000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 9/29/2011
OSFM First Notify Date: 12/19/1991 Abandoned Material:
Current Age: 19 Abandoned Date:
Install Date: 10/14/1991 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 10/14/1991

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 STIP3 Cathodic Protection with Dielectric Coating 2/11/2009 2/11/2012
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 3/11/2010 3/11/2011
Leak Detect - Tank SIR and Prec Tightness Testing USTman Industries
Overfill Prev Device Ball Float Vent Valve OPW 53VM
Piping Fiberglass Single Wall Piping N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Leak Detect - Tank SIR and Prec Tightness Testing USTman Industries Precision Test (Tank) Pass 3/11/2010



Tank Number 9

Capacity: 10000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 9/28/2011
OSFM First Notify Date: 12/19/1991 Abandoned Material:
Current Age: 19 Abandoned Date:
Install Date: 10/14/1991 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 10/14/1991

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 STIP3 Cathodic Protection with Dielectric Coating 2/11/2009 2/11/2012
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 3/11/2010 3/11/2011
Leak Detect - Tank SIR and Prec Tightness Testing USTman Industries
Overfill Prev Device Ball Float Vent Valve OPW 53VM
Piping Fiberglass Single Wall Piping N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Leak Detect - Tank SIR and Prec Tightness Testing USTman Industries Precision Test (Tank) Pass 3/11/2010



Tank Number 10

Capacity: 12000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 9/27/2011
OSFM First Notify Date: 12/10/1992 Abandoned Material:
Current Age: 19 Abandoned Date:
Install Date: 10/14/1991 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 10/14/1991

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 STIP3 Cathodic Protection with Dielectric Coating 2/11/2009 2/11/2012
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 3/11/2010 3/11/2011
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device Ball Float Vent Valve OPW 53VM
Piping Fiberglass Single Wall Piping N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 11

Capacity: 12000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 9/27/2011
OSFM First Notify Date: 12/10/1992 Abandoned Material:
Current Age: 19 Abandoned Date:
Install Date: 10/14/1991 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 10/14/1991

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 STIP3 Cathodic Protection with Dielectric Coating 2/11/2009 2/11/2012
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 3/11/2010 3/11/2011
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device Ball Float Vent Valve OPW 53VM
Piping Fiberglass Single Wall Piping N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 12

Capacity: 12000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 9/27/2011
OSFM First Notify Date: 12/10/1992 Abandoned Material:
Current Age: 19 Abandoned Date:
Install Date: 10/14/1991 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 10/14/1991

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 STIP3 Cathodic Protection with Dielectric Coating 2/11/2009 2/11/2012
Leak Detect - Piping Mechanical Pressurized Line Leak Detection 3/11/2010 3/11/2011
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device Ball Float Vent Valve OPW 53VM
Piping Fiberglass Single Wall Piping N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 13

Capacity: 8000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 8/6/1992
OSFM First Notify Date: 4/11/1986 Abandoned Material:
Current Age: 27 Abandoned Date:
Install Date: Red Tag Issue Date:
Last Used Date: 10/1/1991 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 14

Capacity: 6000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 8/6/1992
OSFM First Notify Date: 4/11/1986 Abandoned Material:
Current Age: 27 Abandoned Date:
Install Date: Red Tag Issue Date:
Last Used Date: 10/1/1991 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 15

Capacity: 6000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 8/6/1992
OSFM First Notify Date: 4/11/1986 Abandoned Material:
Current Age: 27 Abandoned Date:
Install Date: Red Tag Issue Date:
Last Used Date: 10/1/1991 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 16

Capacity: 8000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 8/6/1992
OSFM First Notify Date: 4/11/1986 Abandoned Material:
Current Age: 27 Abandoned Date:
Install Date: Red Tag Issue Date:
Last Used Date: 10/1/1991 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 17

Capacity: 8000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 8/6/1992
OSFM First Notify Date: 4/11/1986 Abandoned Material:
Current Age: 27 Abandoned Date:
Install Date: Red Tag Issue Date:
Last Used Date: 10/1/1991 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 18

Capacity: 8000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 8/6/1992
OSFM First Notify Date: 4/11/1986 Abandoned Material:
Current Age: 27 Abandoned Date:
Install Date: Red Tag Issue Date:
Last Used Date: 10/1/1991 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 19

Capacity: 16000 Petroleum Use:
Product: E15 CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 1/2/2025 Abandoned Material:
Current Age: 14 Abandoned Date:
Install Date: 10/11/2011 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 11/21/2011

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 Mechanical Pressurized Line Leak Detection 10/7/2025 10/7/2026
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 10/7/2025 10/7/2026
Overfill Prev Device Overfill Drop Tube Valve 11/3/2023 11/3/2026
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX N/A N/A
Piping Single Wall STP/Tanktop Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026
Spill Contain Device Double Wall Spill Bucket 4/22/2025 4/22/2028
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX Precision Test (Piping) Pass 10/7/2025
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 10/8/2024



Tank Number 20

Capacity: 9000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 12/12/2011 Abandoned Material:
Current Age: 14 Abandoned Date:
Install Date: 10/11/2011 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 11/21/2011

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 Mechanical Pressurized Line Leak Detection 10/7/2025 10/7/2026
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 10/7/2025 10/7/2026
Overfill Prev Device Overfill Drop Tube Valve 10/13/2023 10/13/2026
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX N/A N/A
Piping Single Wall STP/Tanktop Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026
Spill Contain Device Double Wall Spill Bucket 4/22/2025 4/22/2028
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX Precision Test (Piping) Pass 10/7/2025



Tank Number 21

Capacity: 20000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 12/12/2011 Abandoned Material:
Current Age: 14 Abandoned Date:
Install Date: 10/11/2011 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 11/21/2011

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 Mechanical Pressurized Line Leak Detection 10/14/2025 10/14/2026
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 10/7/2025 10/7/2026
Overfill Prev Device Overfill Drop Tube Valve 10/13/2023 10/13/2026
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX N/A N/A
Piping Single Wall STP/Tanktop Sump 7/22/2025 7/22/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026
Piping Single Wall Transition Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026
Piping Single Wall Transition Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026
Spill Contain Device Double Wall Spill Bucket 9/24/2025 9/24/2028
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX Precision Test (Piping) Pass 10/8/2024
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX Precision Test (Piping) Pass 10/7/2025



Tank Number 22

Capacity: 20000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 12/12/2011 Abandoned Material:
Current Age: 14 Abandoned Date:
Install Date: 10/11/2011 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 11/21/2011

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 Siphon Bar N/A N/A
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 10/7/2025 10/7/2026
Overfill Prev Device Overfill Drop Tube Valve 10/13/2023 10/13/2026
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX N/A N/A
Piping Single Wall STP/Tanktop Sump 4/4/2025 4/4/2028
Leak Detect - Piping Piping Sump Sensors Not Regulated N/A N/A
Spill Contain Device Double Wall Spill Bucket 4/22/2025 4/22/2028
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Leak Detect - Piping Siphon Bar Functional Pass 10/7/2025
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX Precision Test (Piping) Pass 10/7/2025



Tank Number 23

Capacity: 20000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 12/12/2011 Abandoned Material:
Current Age: 14 Abandoned Date:
Install Date: 10/11/2011 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 11/21/2011

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 Mechanical Pressurized Line Leak Detection 10/14/2025 10/14/2026
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 10/7/2025 10/7/2026
Overfill Prev Device Overfill Drop Tube Valve 10/13/2023 10/13/2026
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX N/A N/A
Piping Single Wall STP/Tanktop Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026
Piping Single Wall Transition Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026
Piping Single Wall Transition Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026
Spill Contain Device Double Wall Spill Bucket 9/29/2025 9/29/2028
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX Precision Test (Piping) Pass 10/7/2025



Tank Number 24

Capacity: 15000 Petroleum Use:
Product: B-99 CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 12/12/2011 Abandoned Material:
Current Age: 14 Abandoned Date:
Install Date: 10/11/2011 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 11/21/2011

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 European with No Test Req Suction N/A N/A
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 10/7/2025 10/7/2026
Overfill Prev Device Overfill Drop Tube Valve 10/13/2023 10/13/2026
Piping Blending Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX N/A N/A
Piping Single Wall STP/Tanktop Sump 4/4/2025 4/4/2028
Leak Detect - Piping Piping Sump Sensors Not Regulated N/A N/A
Spill Contain Device Double Wall Spill Bucket 4/22/2025 4/22/2028
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX Precision Test (Piping) Pass 7/24/2025



Tank Number 25

Capacity: 8000 Petroleum Use:
Product: Diesel Exhaust Fluid (Non-Regulated) CERCLA Substance:
Status: Unknown CAS Code:
Regulated Status: Non-Regulated Removed Date:
OSFM First Notify Date: 12/12/2011 Abandoned Material:
Current Age: 14 Abandoned Date:
Install Date: 10/11/2011 Red Tag Issue Date:
Last Used Date: Fee Due:
Product Date: 11/21/2011

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date

Dispenser Information



Name\ID 1/2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Double Wall UDC Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026



Name\ID 11/12

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Double Wall UDC Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026



Name\ID 13/14

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Double Wall UDC Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026



Name\ID 15/16

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Double Wall UDC Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026



Name\ID 17

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Double Wall UDC Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026



Name\ID 18

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Double Wall UDC Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026



Name\ID 19

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Double Wall UDC Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026



Name\ID 20

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Double Wall UDC Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026



Name\ID 21

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Double Wall UDC Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026



Name\ID 22

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Double Wall UDC Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026



Name\ID 23

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Double Wall UDC Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Double Wall UDC Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Double Wall UDC Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Double Wall UDC Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026



Name\ID 9/10

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Double Wall UDC Sump 4/4/2025 4/4/2028
Leak Detect - Piping Sump Sensor with positive shutdown 10/7/2025 10/7/2026

MFD Motorfuel Dispensing Forms

No Forms Found