Information
JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety
State of Illinois
Employment Opportunities
Ready Illinois
Find us on Facebook

Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 1041282
Status: Active
Facility Name: Casey's #3927
Address: 6874 Weaver Road
Rockford, IL 61107
County: Winnebago
Property Parcel: 12-03-427-007
Facility Type: Attended Self-Service/Unattended Self-Service
Owner Type: Private
Green Tag Decal: X003022
Green Tag Issue Date: 3/30/2022
Green Tag Expiration Date: 12/31/2024

Owner Details

Owner Name: Casey's Retail Company
Owner Address: 3305 SE Delaware Ave.
P.O. Box 3004
Ankeny, IA 50021
Owner Status: Current Owner
Purchase Date: 12/11/2020
Type of Financial Responsibility: Self-Insurance
Financial Responsibility Reporting Due Date: 10/27/2024

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 3/30/2022 12/31/2024
Unattended Self Service 2/14/2018 12/31/2020

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0002560 Casey's Retail Company Current Owner 12/11/2020
U0037404 Rockford RE, LLC Former Owner 8/21/2013
U0013752 Vista Marketing Group Former Owner 11/14/2002

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

No Deficiencies 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: 15000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 6/12/2003 Abandoned Material:
Current Age: 21 Abandoned Date:
Install Date: 11/14/2002 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 5/30/2003

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 Electronic Pressurized Line Leak Detection 10/23/2023 10/23/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 10/23/2023 10/23/2024
Overfill Prev Device Ball Only Removed Ball Float Vent Valve N/A N/A
Overfill Prev Device Overfill Alarm 10/23/2023 10/23/2026
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX N/A N/A
Piping Single Wall STP/Tanktop Sump 10/23/2023 10/23/2026
Leak Detect - Piping Sump Sensor with positive shutdown 10/23/2023 10/23/2024
Spill Contain Device Single Wall Spill Bucket 10/23/2023 10/23/2026
Tank Fiberglass Single 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 Pass 11/13/2020
Tank Fiberglass Single Wall XERXES Precision Test (Tank) Pass 11/13/2020



Tank Number 2

Capacity: 6000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 6/12/2003 Abandoned Material:
Current Age: 21 Abandoned Date:
Install Date: 11/14/2002 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 5/30/2003

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 Electronic Pressurized Line Leak Detection 10/23/2023 10/23/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 10/23/2023 10/23/2024
Overfill Prev Device Overfill Alarm 10/23/2023 10/23/2026
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX N/A N/A
Piping Single Wall STP/Tanktop Sump 10/23/2023 10/23/2026
Leak Detect - Piping Sump Sensor with positive shutdown 10/23/2023 10/23/2024
Spill Contain Device Single Wall Spill Bucket 10/23/2023 10/23/2026
Tank Fiberglass Single Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Tank Fiberglass Single Wall XERXES Precision Test (Tank) Pass 11/13/2020



Tank Number 3

Capacity: 9000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 9/19/2008 Abandoned Material:
Current Age: 16 Abandoned Date:
Install Date: 5/28/2008 Red Tag Issue Date:
Last Used Date: Fee Due:
Product Date: 5/28/2008

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 Electronic Pressurized Line Leak Detection 10/23/2023 10/23/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 10/23/2023 10/23/2024
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 10/23/2023 10/23/2024
Overfill Prev Device Overfill Alarm 10/23/2023 10/23/2026
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX N/A N/A
Piping Single Wall STP/Tanktop Sump 10/23/2023 10/23/2026
Leak Detect - Piping Sump Sensor with positive shutdown 10/23/2023 10/23/2024
Spill Contain Device Single Wall Spill Bucket 10/23/2023 10/23/2026
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 Pass 11/13/2020
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 11/13/2020



Tank Number 4

Capacity: 6000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 9/19/2008 Abandoned Material:
Current Age: 16 Abandoned Date:
Install Date: 5/28/2008 Red Tag Issue Date:
Last Used Date: Fee Due:
Product Date: 5/28/2008

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 Electronic Pressurized Line Leak Detection 10/23/2023 10/23/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 10/23/2023 10/23/2024
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 10/23/2023 10/23/2024
Overfill Prev Device Overfill Alarm 10/23/2023 10/23/2026
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX N/A N/A
Piping Single Wall STP/Tanktop Sump 10/23/2023 10/23/2026
Leak Detect - Piping Sump Sensor with positive shutdown 10/23/2023 10/23/2024
Spill Contain Device Single Wall Spill Bucket 10/23/2023 10/23/2026
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 Pass 11/13/2020
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 11/13/2020

Dispenser Information



Name\ID 1/2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 10/23/2023 10/23/2026
Leak Detect - Piping Sump Sensor with positive shutdown 10/23/2023 10/23/2024



Name\ID 11/12

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 10/23/2023 10/23/2026
Leak Detect - Piping Sump Sensor with positive shutdown 10/23/2023 10/23/2024



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 10/23/2023 10/23/2026
Leak Detect - Piping Sump Sensor with positive shutdown 10/23/2023 10/23/2024



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 10/23/2023 10/23/2026
Leak Detect - Piping Sump Sensor with positive shutdown 10/23/2023 10/23/2024



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 10/23/2023 10/23/2026
Leak Detect - Piping Sump Sensor with positive shutdown 10/23/2023 10/23/2024



Name\ID 9/10

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 10/23/2023 10/23/2026
Leak Detect - Piping Sump Sensor with positive shutdown 10/23/2023 10/23/2024

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