Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 3017560
Status: Active
Facility Name: Casey's General Store #2380
Address: 103 6th Ave. East.
Andalusia, IL 61232
County: Rock Island
Property Parcel: 15-27-152-001
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Z003477
Green Tag Issue Date: 1/2/2024
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 1/2/2024 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
U0012113 3092 Parkwild Dr Former Owner 11/1/1979

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number Inspection Date Inspection Type Permit Number
17-0980 10/26/2017 Removal Log 01297-2017REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number Status OSFM Received Date OSFM Response Date Deductible Letter
20170980 Eligible 1/25/2018 1/29/2018 $5,000 Letter
20170980 Eligible 4/5/2021 4/7/2021 $5,000 Letter
Pay Tank Fees Online

Tank Information



Tank Number 1

Capacity: 10000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 10/26/2017
OSFM First Notify Date: 4/2/1986 Abandoned Material:
Current Age: 37 Abandoned Date:
Install Date: 11/1/1979 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 Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Lining Materials Internal 7/28/2015 7/28/2020
Leak Detect - Piping European with No Test Req Suction N/A N/A
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device Overfill Drop Tube Valve
Piping Fiberglass Single Wall Piping Ameron N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank Steel Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 2

Capacity: 6000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 10/26/2017
OSFM First Notify Date: 4/2/1986 Abandoned Material:
Current Age: 37 Abandoned Date:
Install Date: 11/1/1979 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 Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Tank Lining Materials Internal 7/28/2015 7/28/2020
Leak Detect - Piping European with No Test Req Suction N/A N/A
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device Overfill Drop Tube Valve
Piping Fiberglass Single Wall Piping Ameron N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank Steel Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 3

Capacity: 22000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 3/6/2018 Abandoned Material:
Current Age: 6 Abandoned Date:
Install Date: 11/29/2017 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 2/14/2018

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 2/20/2024 2/20/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 2/20/2024 2/20/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 2/20/2024 2/20/2025
Overfill Prev Device Overfill Drop Tube Valve 2/20/2024 2/20/2027
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Flex Connector Steel N/A N/A
Piping Single Wall STP/Tanktop Sump 2/20/2024 2/20/2027
Leak Detect - Piping Sump Sensor with positive shutdown 2/20/2024 2/20/2025
Spill Contain Device Single Wall Spill Bucket 2/20/2024 2/20/2027
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 4

Capacity: 14000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 3/6/2018 Abandoned Material:
Current Age: 6 Abandoned Date:
Install Date: 11/29/2017 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 2/14/2018

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 2/20/2024 2/20/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 2/20/2024 2/20/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 2/20/2024 2/20/2025
Overfill Prev Device Overfill Drop Tube Valve 2/20/2024 2/20/2027
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Flex Connector Steel N/A N/A
Piping Single Wall STP/Tanktop Sump 2/20/2024 2/20/2027
Leak Detect - Piping Sump Sensor with positive shutdown 2/20/2024 2/20/2025
Spill Contain Device Single Wall Spill Bucket 2/20/2024 2/20/2027
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 5

Capacity: 8000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 3/6/2018 Abandoned Material:
Current Age: 6 Abandoned Date:
Install Date: 11/29/2017 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 2/14/2018

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 2/20/2024 2/20/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 2/20/2024 2/20/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 2/20/2024 2/20/2025
Overfill Prev Device Overfill Drop Tube Valve 2/20/2024 2/20/2027
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Flex Connector Steel N/A N/A
Piping Single Wall STP/Tanktop Sump 2/20/2024 2/20/2027
Leak Detect - Piping Sump Sensor with positive shutdown 2/20/2024 2/20/2025
Spill Contain Device Single Wall Spill Bucket 2/20/2024 2/20/2027
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 6

Capacity: 8000 Petroleum Use:
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 3/6/2018 Abandoned Material:
Current Age: 6 Abandoned Date:
Install Date: 11/29/2017 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 2/14/2018

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 2/20/2024 2/20/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 2/20/2024 2/20/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 2/20/2024 2/20/2025
Overfill Prev Device Overfill Drop Tube Valve 2/20/2024 2/20/2027
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Flex Connector Steel N/A N/A
Piping Single Wall STP/Tanktop Sump 2/20/2024 2/20/2027
Leak Detect - Piping Sump Sensor with positive shutdown 2/20/2024 2/20/2025
Spill Contain Device Single Wall Spill Bucket 2/20/2024 2/20/2027
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 7

Capacity: 8000 Petroleum Use:
Product: E85 CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 3/6/2018 Abandoned Material:
Current Age: 6 Abandoned Date:
Install Date: 11/29/2017 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 2/14/2018

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 2/20/2024 2/20/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 2/20/2024 2/20/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 2/20/2024 2/20/2025
Overfill Prev Device Overfill Drop Tube Valve 2/20/2024 2/20/2027
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Flex Connector Steel N/A N/A
Piping Single Wall STP/Tanktop Sump 2/20/2024 2/20/2027
Leak Detect - Piping Sump Sensor with positive shutdown 2/20/2024 2/20/2025
Spill Contain Device Single Wall Spill Bucket 2/20/2024 2/20/2027
Tank Fiberglass Double Wall XERXES 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 2/20/2024 2/20/2027
Leak Detect - Piping Sump Sensor with positive shutdown 2/20/2024 2/20/2025



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 2/20/2024 2/20/2027
Leak Detect - Piping Sump Sensor with positive shutdown 2/20/2024 2/20/2025



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 2/20/2024 2/20/2027
Leak Detect - Piping Sump Sensor with positive shutdown 2/20/2024 2/20/2025



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 2/20/2024 2/20/2027
Leak Detect - Piping Sump Sensor with positive shutdown 2/20/2024 2/20/2025

MFD Motorfuel Dispensing Forms

Facility Number Name City Received Date Letter
3017560 Casey's General Store #2380 Andalusia 11/16/2017 Letter Form