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:	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:	Z001743
Green Tag Issue Date:	5/8/2024
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:	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	5/8/2024	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	11/15/2010
U0006490	Harper Oil Company	Former Owner	1/1/1968

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
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

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:	8/24/1994
OSFM First Notify Date:	5/6/1986		Abandoned Material:
Current Age:	23		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	8/23/1994		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	8000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/23/1994
OSFM First Notify Date:	5/6/1986		Abandoned Material:
Current Age:	23		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	8/22/1994		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/23/1994
OSFM First Notify Date:	5/6/1986		Abandoned Material:
Current Age:	23		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	9/30/1993		Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	8000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/21/1994
OSFM First Notify Date:	5/6/1986		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:	1/1/1984		Red Tag Issue Date:
Last Used Date:	7/20/1994		Fee Due:	$0.00
Product Date:	1/1/1984

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	6000		Petroleum Use:
Product:	Kerosene		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	7/21/1994
OSFM First Notify Date:	5/6/1986		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:	1/1/1984		Red Tag Issue Date:
Last Used Date:	7/20/1994		Fee Due:	$0.00
Product Date:	1/1/1984

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 6

Capacity:	12000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	2/14/2012
OSFM First Notify Date:	9/28/1994		Abandoned Material:
Current Age:	17		Abandoned Date:
Install Date:	7/28/1994		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/29/1994

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	6/15/2011	6/15/2014
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	10/15/2010	10/15/2011
Leak Detect - Piping	Sump Sensor
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	Sump Sensor	Sensor Functional	Pass	10/15/2010

Tank Number 7

Capacity:	12000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	2/14/2012
OSFM First Notify Date:	9/28/1994		Abandoned Material:
Current Age:	17		Abandoned Date:
Install Date:	7/28/1994		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/29/1994

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	6/15/2011	6/15/2014
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	10/15/2010	10/15/2011
Leak Detect - Piping	Sump Sensor
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	Sump Sensor	Sensor Functional	Pass	10/15/2010

Tank Number 8

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	2/14/2012
OSFM First Notify Date:	9/28/1994		Abandoned Material:
Current Age:	17		Abandoned Date:
Install Date:	7/28/1994		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/29/1994

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	6/15/2011	6/15/2014
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	10/15/2010	10/15/2011
Leak Detect - Piping	Sump Sensor
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	Sump Sensor	Sensor Functional	Pass	10/15/2010

Tank Number 9

Capacity:	10000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	2/14/2012
OSFM First Notify Date:	9/28/1994		Abandoned Material:
Current Age:	17		Abandoned Date:
Install Date:	7/28/1994		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/29/1994

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	6/15/2011	6/15/2014
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	10/15/2010	10/15/2011
Leak Detect - Piping	Sump Sensor
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	Sump Sensor	Sensor Functional	Pass	10/15/2010

Tank Number 10

Capacity:	20000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/4/2012		Abandoned Material:
Current Age:	12		Abandoned Date:
Install Date:	2/22/2012		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	2/23/2012

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	2/7/2024	2/7/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	4/23/2024	4/23/2025
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	2/7/2024	2/7/2025
Overfill Prev Device	Overfill Drop Tube Valve	2/16/2023	2/16/2026
Piping	Flexible Double Wall A.P.T. Poly Tech S175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	2/16/2023	2/16/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	2/15/2024	2/15/2025
Piping	Single Wall STP/Tanktop Sump	2/16/2023	2/16/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	2/15/2024	2/15/2025
Spill Contain Device	Single Wall Spill Bucket	2/16/2023	2/16/2026
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 11

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/4/2012		Abandoned Material:
Current Age:	12		Abandoned Date:
Install Date:	2/22/2012		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	2/23/2012

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	2/7/2024	2/7/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	4/23/2024	4/23/2025
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	2/7/2024	2/7/2025
Overfill Prev Device	Overfill Drop Tube Valve	2/16/2023	2/16/2026
Piping	Flexible Double Wall A.P.T. Poly Tech S175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	2/16/2023	2/16/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	2/15/2024	2/15/2025
Spill Contain Device	Single Wall Spill Bucket	2/16/2023	2/16/2026
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 12

Capacity:	8000		Petroleum Use:
Product:	B-11		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/4/2012		Abandoned Material:
Current Age:	12		Abandoned Date:
Install Date:	2/22/2012		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	2/23/2012

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	2/7/2024	2/7/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD	4/23/2024	4/23/2025
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	2/7/2024	2/7/2025
Overfill Prev Device	Overfill Drop Tube Valve	2/16/2023	2/16/2026
Piping	Flexible Double Wall A.P.T. Poly Tech S175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	2/16/2023	2/16/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	2/15/2024	2/15/2025
Spill Contain Device	Single Wall Spill Bucket	2/16/2023	2/16/2026
Tank	Fiberglass Double Wall Containment Solutions	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	2/16/2023	2/16/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	2/15/2024	2/15/2025

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	2/16/2023	2/16/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	2/15/2024	2/15/2025

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	2/16/2023	2/16/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	2/15/2024	2/15/2025

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	2/16/2023	2/16/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	2/15/2024	2/15/2025

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	2/16/2023	2/16/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	2/15/2024	2/15/2025

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	2/16/2023	2/16/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	2/15/2024	2/15/2025

MFD Motorfuel Dispensing Forms

No Forms Found