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

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Facility Details

Facility Number:	1046835
Status:	Active
Facility Name:	Casey's General Store
Address:	5965 Columbia Parkway Rockford, IL 61109
County:	Winnebago
Property Parcel:	12-33-477-004
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y001129
Green Tag Issue Date:	6/12/2023
Green Tag Expiration Date:	12/31/2025

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	6/12/2023	12/31/2025

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0002560	Casey's Retail Company	Current Owner

Permits (Unexpired)

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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	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	22000	Gasoline - Regular	Currently in use	Federal		$0.00
2	14000	Diesel Fuel	Currently in use	Federal		$0.00
3	8000	Gasoline - Premium	Currently in use	Federal		$0.00
4	8000	Gasoline - Non Ethanol	Currently in use	Federal		$0.00
5	8000	E85	Currently in use	Federal		$0.00

Dispenser Information

Name\ID	Status
5/6	Active
1/2	Active
3/4	Active
7/8	Active
9/10	Active
11/12	Active

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
1046835	Casey's General Store	Rockford	07/25/2019	Letter Form