Division of Petroleum & Chemical Safety

 
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Facility Details

Facility Number: 4020610
Status: Active
Facility Name: Casey's General Store #2941
Address: 1101 S. Banker
Effingham, IL 62401
County: Effingham
Property Parcel: 03-16-048-074
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: X002593
Green Tag Issue Date: 3/9/2022
Green Tag Expiration Date: 12/31/2024

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: 11/15/2010
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 3/9/2022 12/31/2024

Owner Summary

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Owner Number Owner Name Owner Status Purchase Date
U0002560 Casey's Retail Company Current Owner 11/15/2010
U0006490 Harper Oil Company Former Owner 1/1/1968

Permits (Unexpired)

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No Active Permits Found

Deficiencies (Current)

NOV Number: E0020240672 (Pending)    Issue Date: 3/7/2024    Expiration Date: 5/6/2024    View NOV Form

Tanks Deficiency
11 Containment support components are cracked, deteriorated or missing. The cover and supporting components that are defective shall be replaced with factory manufactured components. - Premium STP sump lid is missing gasket/seal, repair/replace.
12 Dispensers - the following hoses or breakaways are missing or actively leaking and require immediate replacement (bagged at inspection)
11 Line interstitial sensors have been raised and rendered inoperational. - Premium STP sump sensor raised.
10, 11, 12 Tank monitor does not appear to function properly and requires maintenance. - ATG failed annual certification, positive shutdown not verified.

IEMA Numbers Associated with the Facility

IEMA Number Inspection Date Inspection Type Permit Number
891175 8/23/1994 Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number Status OSFM Received Date OSFM Response Date Deductible Letter
89-1175 Eligible 11/2/1993 12/3/1993 $50,000
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Tank Information

Tank Number Capacity Product Status Regulated Status Red Tag Issued Fee Due Abandon/Removal Date
1 10000 Gasoline Removed Federal $0.00 08/24/1994 - REM
2 8000 Gasoline Removed Federal $0.00 08/23/1994 - REM
3 6000 Gasoline Removed Federal $0.00 08/23/1994 - REM
4 8000 Diesel Fuel Removed Federal $0.00 07/21/1994 - REM
5 6000 Kerosene Removed Federal $0.00 07/21/1994 - REM
6 12000 Gasoline Removed Federal $0.00 02/14/2012 - REM
7 12000 Gasoline Removed Federal $0.00 02/14/2012 - REM
8 10000 Gasoline Removed Federal $0.00 02/14/2012 - REM
9 10000 Diesel Fuel Removed Federal $0.00 02/14/2012 - REM
10 20000 Gasoline - Regular Currently in use Federal $0.00
11 12000 Gasoline - Premium Currently in use Federal $0.00
12 8000 B-11 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
11/12 Active

MFD Motorfuel Dispensing Forms

No Forms Found