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:	3029305
Status:	Closed
Facility Name:	Casey's General Store #2549
Address:	810 University, Rt. 29 N. Henry, IL 61537
County:	Marshall
Property Parcel:	03-16-154-040
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	U002202
Green Tag Issue Date:	5/24/2019
Green Tag Expiration Date:	3/23/2021

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:	10/27/2021

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	5/24/2019	12/31/2021

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0002560	Casey's Retail Company	Current Owner
U0017353	Henry Beneke Inc	Former Owner

Permits (Unexpired)

Click for permit history

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

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
20210297	Eligible	7/30/2021	8/3/2021	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/23/2021
OSFM First Notify Date:	10/3/1991		Abandoned Material:
Current Age:	29		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/1/1991

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	3/12/2020	3/12/2023
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	3/12/2020	3/12/2023
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	8/5/2020	8/5/2023
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	1/6/2020	1/6/2021
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	1/6/2020	1/6/2021
Overfill Prev Device	Ball Float Vent Valve	2/28/2018	2/28/2021
Piping	Fiberglass Single Wall Piping Ameron	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	10/5/2020	10/5/2023
Tank	Fiberglass Single Wall Fluid Containment	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	10000		Petroleum Use:	None
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/23/2021
OSFM First Notify Date:	10/3/1991		Abandoned Material:
Current Age:	29		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/1/1991

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	3/12/2020	3/12/2023
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	3/12/2020	3/12/2023
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	8/5/2020	8/5/2023
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	1/6/2020	1/6/2021
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	1/6/2020	1/6/2021
Overfill Prev Device	Ball Float Vent Valve	2/28/2018	2/28/2021
Piping	Fiberglass Single Wall Piping Ameron	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	10/5/2020	10/5/2023
Tank	Fiberglass Single Wall Fluid Containment	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	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found