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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:	5020600
Status:	Closed
Facility Name:	Casey's General Stores #2936
Address:	1312 S. Main St. Jacksonville, IL 62650
County:	Morgan
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	R002357
Green Tag Issue Date:	3/25/2016
Green Tag Expiration Date:	12/31/2018

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:	10/27/2018

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	3/25/2016	12/31/2018

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	1/1/1979

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
18-0290	3/27/2018	Removal Log	00016-2018REM
18-0290	3/28/2018	Removal Log	00016-2018REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
10-1250	Partial Eligible	2/28/2011	3/21/2011	$5,000
20180290	Eligible	5/8/2018	5/9/2018	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	10000	Gasoline	Removed	Federal		$0.00	03/28/2018 - REM
2	10000	Gasoline	Removed	Federal		$0.00	04/15/1988 - REM
3	10000	Gasoline	Removed	Federal		$0.00	03/28/2018 - REM
4	10000	Gasoline	Removed	Federal		$0.00	03/28/2018 - REM
5	10000	Gasoline	Removed	Federal		$0.00	03/27/2018 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found