Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	1043241
Status:	Active
Facility Name:	Casey's #3549
Address:	314 East Main Street Forreston, IL 61030
County:	Ogle
Property Parcel:	02-33-207-016
Facility Type:	Attended Self-Service/Unattended Self-Service
Owner Type:	Private
Green Tag Decal:	X001796
Green Tag Issue Date:	6/10/2022
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:	1/6/2021
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	3/29/2022	12/31/2024
Unattended Self Service	9/4/2018	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	1/6/2021
U0035212	A & B Marketing	Former Owner	5/24/2006
U0033382	A & B Marketing	Former Owner

Permits (Unexpired)

Click for permit history

Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
00217-2024CAT	Cathodic Protection	Approved / Issued	2/26/2024	2/26/2024	8/27/2024	Documents

Deficiencies (Current)

NOV Number: E0020241117 (Pending) Issue Date: 4/16/2024 Expiration Date: 6/15/2024 View NOV Form

Tanks	Deficiency
Facility	Due to outstanding Motor Fuel Dispensing violation(s) at this facility, after 60 days from the issuance date of this Notice of Violation, and in the absence of full compliance, all tanks shall be red tagged. - Annual fire detection system test shall be performed. Paperwork showing date of passing test shall be maintained on site with other annual testing documentation. Manager resports the inspcetion took place, but no report is available.

Tanks

Deficiency

Facility

Due to outstanding Motor Fuel Dispensing violation(s) at this facility, after 60 days from the issuance date of this Notice of Violation, and in the absence of full compliance, all tanks shall be red tagged. - Annual fire detection system test shall be performed. Paperwork showing date of passing test shall be maintained on site with other annual testing documentation. Manager resports the inspcetion took place, but no report is available.

IEMA Numbers Associated with the Facility

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
20160849	Eligible	7/8/2019	7/9/2019	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	6000	Petroleum Use:	None
Product:	Diesel Fuel	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	9/27/2006	Abandoned Material:
Current Age:	17	Abandoned Date:
Install Date:	5/24/2006	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	8/30/2006

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	10/23/2021	10/23/2024
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	2/28/2024	2/28/2027
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	2/28/2024	2/28/2027
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	2/28/2024	2/28/2027
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	10/11/2023	10/11/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	10/11/2023	10/11/2024
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Alarm	10/11/2023	10/11/2026
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	10/11/2023	10/11/2026
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	9/8/2020
Tank	Fiberglass Single Wall XERXES	Precision Test (Tank)	Pass	11/4/2020

Tank Number 2

Capacity:	12000	Petroleum Use:
Product:	Gasoline - Regular	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	9/27/2006	Abandoned Material:
Current Age:	17	Abandoned Date:
Install Date:	5/24/2006	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	8/30/2006

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	2/28/2024	2/28/2027
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	10/23/2021	10/23/2024
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	2/28/2024	2/28/2027
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	2/28/2024	2/28/2027
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	10/11/2023	10/11/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	10/11/2023	10/11/2024
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Alarm	10/11/2023	10/11/2026
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	10/11/2023	10/11/2026
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	9/8/2020
Tank	Fiberglass Single Wall XERXES	Precision Test (Tank)	Pass	11/4/2020

Tank Number 3

Capacity:	6000	Petroleum Use:
Product:	Gasoline - Premium	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	9/27/2006	Abandoned Material:
Current Age:	17	Abandoned Date:
Install Date:	5/24/2006	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	8/30/2006

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	2/28/2024	2/28/2027
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	10/23/2021	10/23/2024
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	2/28/2024	2/28/2027
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	2/28/2024	2/28/2027
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	10/11/2023	10/11/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	10/11/2023	10/11/2024
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Alarm	10/11/2023	10/11/2026
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	10/11/2023	10/11/2026
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	9/8/2020
Tank	Fiberglass Single Wall XERXES	Precision Test (Tank)	Pass	11/4/2020

Tank Number 4

Capacity:	12000	Petroleum Use:	None
Product:	Diesel Fuel	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	9/27/2006	Abandoned Material:
Current Age:	17	Abandoned Date:
Install Date:	6/6/2006	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	8/30/2006

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	10/23/2021	10/23/2024
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	10/11/2023	10/11/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	10/11/2023	10/11/2024
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Alarm	10/11/2023	10/11/2026
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	10/11/2023	10/11/2026
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	9/8/2020
Tank	Fiberglass Single Wall XERXES	Precision Test (Tank)	Pass	11/4/2020

Tank Number 5

Capacity:	4000	Petroleum Use:	None
Product:	Diesel Fuel	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	9/27/2006	Abandoned Material:
Current Age:	17	Abandoned Date:
Install Date:	6/6/2006	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	8/30/2006

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	10/23/2021	10/23/2024
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	10/11/2023	10/11/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	10/11/2023	10/11/2024
Overfill Prev Device	Ball Only Removed Ball Float Vent Valve	N/A	N/A
Overfill Prev Device	Overfill Alarm	10/11/2023	10/11/2026
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	10/11/2023	10/11/2026
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	9/8/2020
Tank	Fiberglass Single Wall XERXES	Precision Test (Tank)	Pass	11/4/2020

Dispenser Information

Name\ID #11 Master

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	2/22/2024	2/22/2027
Leak Detect - Piping	Sump Sensor	10/11/2023	10/11/2024

Name\ID #11/12 Satellite

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	2/22/2024	2/22/2027
Leak Detect - Piping	Sump Sensor	10/11/2023	10/11/2024

Name\ID #12 Master

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	2/22/2024	2/22/2027
Leak Detect - Piping	Sump Sensor	10/11/2023	10/11/2024

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found