Information
JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety
State of Illinois
Employment Opportunities
Ready Illinois
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Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 1046718
Status: Active
Facility Name: Caseys General Store #3760
Address: 4001 Interstate Blvd
Loves Park, IL 61111
County: Winnebago
Property Parcel: 12-01-153-013
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: X001373
Green Tag Issue Date: 9/28/2022
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:
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 9/28/2022 12/31/2024

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0002560 Casey's Retail Company Current Owner

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: 20000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 1/16/2019 Abandoned Material:
Current Age: 5 Abandoned Date:
Install Date: 10/18/2018 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 1/3/2019

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 1/10/2024 1/10/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 1/10/2024 1/10/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 1/10/2024 1/10/2025
Manway At Grade Accessible Manway Accessible at Grade N/A N/A
Overfill Prev Device Overfill Drop Tube Valve 1/10/2024 1/10/2027
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 1/10/2024 1/10/2027
Leak Detect - Piping Sump Sensor with positive shutdown 1/10/2024 1/10/2025
Spill Contain Device Single Wall Spill Bucket 1/10/2024 1/10/2027
Tank Fiberglass Double Wall XERXES N/A N/A
Vent, Riser, Fill Piping Steel risers N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 2

Capacity: 14000 Petroleum Use: None
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 1/16/2019 Abandoned Material:
Current Age: 5 Abandoned Date:
Install Date: 10/18/2018 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 1/3/2019

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 1/10/2024 1/10/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 1/10/2024 1/10/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 1/10/2024 1/10/2025
Manway At Grade Accessible Manway Accessible at Grade N/A N/A
Overfill Prev Device Overfill Drop Tube Valve 1/10/2024 1/10/2027
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 1/10/2024 1/10/2027
Leak Detect - Piping Sump Sensor with positive shutdown 1/10/2024 1/10/2025
Spill Contain Device Single Wall Spill Bucket 1/10/2024 1/10/2027
Tank Fiberglass Double Wall XERXES N/A N/A
Vent, Riser, Fill Piping Steel risers N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 3

Capacity: 8000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 1/16/2019 Abandoned Material:
Current Age: 5 Abandoned Date:
Install Date: 10/18/2018 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 1/3/2019

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 1/10/2024 1/10/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 1/10/2024 1/10/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 1/10/2024 1/10/2025
Manway At Grade Accessible Manway Accessible at Grade N/A N/A
Overfill Prev Device Overfill Drop Tube Valve 1/10/2024 1/10/2027
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 1/10/2024 1/10/2027
Leak Detect - Piping Sump Sensor with positive shutdown 1/10/2024 1/10/2025
Spill Contain Device Single Wall Spill Bucket 1/10/2024 1/10/2027
Tank Fiberglass Double Wall XERXES N/A N/A
Vent, Riser, Fill Piping Steel risers N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 4

Capacity: 8000 Petroleum Use:
Product: Gasoline - Non Ethanol CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 1/16/2019 Abandoned Material:
Current Age: 5 Abandoned Date:
Install Date: 10/18/2018 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 1/3/2019

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 1/10/2024 1/10/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 1/10/2024 1/10/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 1/10/2024 1/10/2025
Manway At Grade Accessible Manway Accessible at Grade N/A N/A
Overfill Prev Device Overfill Drop Tube Valve 1/10/2024 1/10/2027
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 1/10/2024 1/10/2027
Leak Detect - Piping Sump Sensor with positive shutdown 1/10/2024 1/10/2025
Spill Contain Device Single Wall Spill Bucket 1/10/2024 1/10/2027
Tank Fiberglass Double Wall XERXES N/A N/A
Vent, Riser, Fill Piping Steel risers N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 5

Capacity: 8000 Petroleum Use:
Product: E85 CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 1/16/2019 Abandoned Material:
Current Age: 5 Abandoned Date:
Install Date: 10/18/2018 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 1/3/2019

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 1/10/2024 1/10/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 1/10/2024 1/10/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 1/10/2024 1/10/2025
Manway At Grade Accessible Manway Accessible at Grade N/A N/A
Overfill Prev Device Overfill Drop Tube Valve 1/10/2024 1/10/2027
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 1/10/2024 1/10/2027
Leak Detect - Piping Sump Sensor with positive shutdown 1/10/2024 1/10/2025
Spill Contain Device Single Wall Spill Bucket 1/10/2024 1/10/2027
Tank Fiberglass Double Wall XERXES N/A N/A
Vent, Riser, Fill Piping Steel risers N/A N/A

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 Single Wall UDC Sump 1/10/2024 1/10/2027
Leak Detect - Piping Sump Sensor with positive shutdown 1/10/2024 1/10/2025



Name\ID 11/12

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 1/10/2024 1/10/2027
Leak Detect - Piping Sump Sensor with positive shutdown 1/10/2024 1/10/2025



Name\ID 13/14

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 1/10/2024 1/10/2027
Leak Detect - Piping Sump Sensor with positive shutdown 1/10/2024 1/10/2025



Name\ID 15/16

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 1/10/2024 1/10/2027
Leak Detect - Piping Sump Sensor with positive shutdown 1/10/2024 1/10/2025



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 1/10/2024 1/10/2027
Leak Detect - Piping Sump Sensor with positive shutdown 1/10/2024 1/10/2025



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 1/10/2024 1/10/2027
Leak Detect - Piping Sump Sensor with positive shutdown 1/10/2024 1/10/2025



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 1/10/2024 1/10/2027
Leak Detect - Piping Sump Sensor with positive shutdown 1/10/2024 1/10/2025



Name\ID 9/10

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 1/10/2024 1/10/2027
Leak Detect - Piping Sump Sensor with positive shutdown 1/10/2024 1/10/2025

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