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

Facility Details

Facility Number:	2047643
Status:	Active
Facility Name:	Casey's #3983
Address:	4220 Northwest Highway Crystal Lake, IL 60014
County:	McHenry
Property Parcel:	1910200041
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z001413
Green Tag Issue Date:	4/12/2024
Green Tag Expiration Date:	12/31/2026

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	4/12/2024	12/31/2026

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
01020-2023INS	Install	Approved / Revised	9/5/2023	9/11/2023	9/12/2024	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:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	2/20/2024		Abandoned Material:
Current Age:	0		Abandoned Date:
Install Date:	11/9/2023		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

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	4/2/2024	4/2/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	4/2/2024	4/2/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	4/2/2024	4/2/2025
Overfill Prev Device	Overfill Drop Tube Valve	4/2/2024	4/2/2027
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	1/4/2024	1/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/2/2024	4/2/2025
Spill Contain Device	Double Wall Spill Bucket	1/4/2024	1/4/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	Precision Test	Pass	4/2/2024
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	4/2/2024

Tank Number 2

Capacity:	8000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	2/20/2024		Abandoned Material:
Current Age:	0		Abandoned Date:
Install Date:	11/9/2023		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

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	4/2/2024	4/2/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	4/2/2024	4/2/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	4/2/2024	4/2/2025
Overfill Prev Device	Overfill Drop Tube Valve	4/2/2024	4/2/2027
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	1/4/2024	1/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/2/2024	4/2/2025
Spill Contain Device	Double Wall Spill Bucket	1/4/2024	1/4/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	Precision Test	Pass	4/2/2024
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	4/2/2024

Tank Number 3

Capacity:	14000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	2/20/2024		Abandoned Material:
Current Age:	0		Abandoned Date:
Install Date:	11/9/2023		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

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	4/2/2024	4/2/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	4/2/2024	4/2/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	4/2/2024	4/2/2025
Overfill Prev Device	Overfill Drop Tube Valve	4/2/2024	4/2/2027
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	1/4/2024	1/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/2/2024	4/2/2025
Spill Contain Device	Double Wall Spill Bucket	1/4/2024	1/4/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	Precision Test	Pass	4/2/2024
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	4/2/2024

Tank Number 4

Capacity:	8000		Petroleum Use:
Product:	E15		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	2/20/2024		Abandoned Material:
Current Age:	0		Abandoned Date:
Install Date:	11/9/2023		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

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	4/2/2024	4/2/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	4/2/2024	4/2/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	4/2/2024	4/2/2025
Overfill Prev Device	Overfill Drop Tube Valve	4/2/2024	4/2/2027
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	1/4/2024	1/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/2/2024	4/2/2025
Spill Contain Device	Double Wall Spill Bucket	1/4/2024	1/4/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	Precision Test	Pass	4/2/2024
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	4/2/2024

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	1/4/2024	1/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/2/2024	4/2/2025

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	1/4/2024	1/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/2/2024	4/2/2025

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	1/4/2024	1/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/2/2024	4/2/2025

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	1/4/2024	1/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/2/2024	4/2/2025

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	1/4/2024	1/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/2/2024	4/2/2025

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	1/4/2024	1/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/2/2024	4/2/2025

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
2047643	Casey's #3983	Crystal Lake	09/12/2023	Letter Form