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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
Facility Details
Facility Number:
1047691
Status:
Installed/Not in Use
Facility Name:
Casey's #4384
Address:
1751 S. Galena Ave
Dixon, IL 61021
County:
Lee
Property Parcel:
Facility Type:
Commercial / Retail
Owner Type:
Private
Green Tag Decal:
Green Tag Issue Date:
Green Tag Expiration Date:
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
No MFD Permits Found
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
Permit Number
Type
Status
OSFM Receive Date
Issue Date
Expiration Date
Documents
01496-2023INS
Install
Approved / Issued
12/20/2023
12/26/2023
6/26/2024
Documents
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:
22000
Petroleum Use:
Product:
Gasoline - Regular
CERCLA Substance:
Status:
Installed/Not in Use
CAS Code:
Regulated Status:
Federal
Removed Date:
OSFM
First Notify Date:
3/14/2024
Abandoned Material:
Current Age:
0
Abandoned Date:
Install Date:
1/18/2024
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Tank
Fiberglass Double Wall Containment Solutions
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 2
Capacity:
30000
Petroleum Use:
Product:
Diesel Fuel
CERCLA Substance:
Status:
Installed/Not in Use
CAS Code:
Regulated Status:
Federal
Removed Date:
OSFM
First Notify Date:
3/14/2024
Abandoned Material:
Current Age:
0
Abandoned Date:
Install Date:
1/18/2024
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Tank
Fiberglass Double Wall Containment Solutions
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 3
Capacity:
14000
Petroleum Use:
Product:
E15
CERCLA Substance:
Status:
Installed/Not in Use
CAS Code:
Regulated Status:
Federal
Removed Date:
OSFM
First Notify Date:
3/14/2024
Abandoned Material:
Current Age:
0
Abandoned Date:
Install Date:
1/18/2024
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Tank
Fiberglass Double Wall Containment Solutions
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 4
Capacity:
8000
Petroleum Use:
Product:
Gasoline - Premium
CERCLA Substance:
Status:
Installed/Not in Use
CAS Code:
Regulated Status:
Federal
Removed Date:
OSFM
First Notify Date:
3/14/2024
Abandoned Material:
Current Age:
0
Abandoned Date:
Install Date:
1/18/2024
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Tank
Fiberglass Double Wall Containment Solutions
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
Leak Detect - Piping
Sump Sensor with positive shutdown
Name\ID 11M
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
Leak Detect - Piping
Sump Sensor with positive shutdown
Name\ID 11S/12M
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
Leak Detect - Piping
Sump Sensor with positive shutdown
Name\ID 12S/13M
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
Leak Detect - Piping
Sump Sensor with positive shutdown
Name\ID 13S
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
Leak Detect - Piping
Sump Sensor with positive shutdown
Name\ID 3/4
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
Leak Detect - Piping
Sump Sensor with positive shutdown
Name\ID 5/6
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
Leak Detect - Piping
Sump Sensor with positive shutdown
Name\ID 7/8
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
Leak Detect - Piping
Sump Sensor with positive shutdown
Name\ID 9/10
Status:
Active
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Dispenser
Single Wall UDC Sump
Leak Detect - Piping
Sump Sensor with positive shutdown
MFD
Motorfuel Dispensing Forms
Facility Number
Name
City
Received Date
Letter
1047691
Casey's #4384
Dixon
12/20/2023
Letter
Form