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:	2047654
Status:	Active
Facility Name:	Casey's General Store #3916
Address:	302 S. Lake Street Grayslake, IL 60030
County:	Lake
Property Parcel:	0634210005
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Z000760
Green Tag Issue Date:	4/19/2024
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	4/19/2024	12/31/2026

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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Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
01113-2023INS	Install	Extension Granted	9/25/2023	9/27/2023	9/27/2024	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	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	E15	Currently in use	Federal		$0.00
4	8000	Gasoline - Premium	Currently in use	Federal		$0.00

Dispenser Information

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

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
2047654	Casey's General Store #3916	Grayslake	04/12/2024	Letter Form