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:	5020621
Status:	Active
Facility Name:	Casey's General Stores #2943
Address:	14475 State Rt. 4 Auburn, IL 62615
County:	Sangamon
Property Parcel:	34-09.0-200-013
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	X000125
Green Tag Issue Date:	2/10/2022
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	2/10/2022	12/31/2024

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	1/1/1976

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
10-1249	9/13/2011	Removal Log	00673-2011REM
10-1249	9/14/2011	Removal Log	00673-2011REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
10-1249	Eligible	2/28/2011	3/21/2011	$5,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	12000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/14/2011
OSFM First Notify Date:	5/6/1986		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	1/1/1981		Red Tag Issue Date:
Last Used Date:	9/7/2011		Fee Due:	$0.00
Product Date:	1/1/1981

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	6/20/2008	6/20/2011
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	6/12/2006	6/12/2011
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	8/25/2009	8/25/2010
Leak Detect - Tank	Automatic Tank Gauging OPW EECO 1000
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	6000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/13/2011
OSFM First Notify Date:	5/6/1986		Abandoned Material:
Current Age:	35		Abandoned Date:
Install Date:	1/1/1976		Red Tag Issue Date:
Last Used Date:	9/7/2011		Fee Due:	$0.00
Product Date:	1/1/1976

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	6/20/2008	6/20/2011
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	6/14/2006	6/14/2011
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	8/25/2009	8/25/2010
Leak Detect - Tank	Automatic Tank Gauging OPW EECO 1000
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	6000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/13/2011
OSFM First Notify Date:	5/6/1986		Abandoned Material:
Current Age:	35		Abandoned Date:
Install Date:	1/1/1976		Red Tag Issue Date:
Last Used Date:	9/7/2011		Fee Due:	$0.00
Product Date:	1/1/1976

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	6/20/2008	6/20/2011
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	6/14/2006	6/14/2011
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	8/25/2009	8/25/2010
Leak Detect - Tank	Automatic Tank Gauging OPW EECO 1000
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	6000		Petroleum Use:
Product:	Kerosene		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/13/2011
OSFM First Notify Date:	5/6/1986		Abandoned Material:
Current Age:	35		Abandoned Date:
Install Date:	1/1/1976		Red Tag Issue Date:
Last Used Date:	9/7/2011		Fee Due:	$0.00
Product Date:	1/1/1976

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	6/20/2008	6/20/2011
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	6/14/2006	6/14/2011
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	8/25/2009	8/25/2010
Leak Detect - Tank	Automatic Tank Gauging OPW EECO 1000
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/14/2011
OSFM First Notify Date:	8/17/1992		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:	12/17/1986		Red Tag Issue Date:
Last Used Date:	9/7/2011		Fee Due:	$0.00
Product Date:	12/17/1986

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	6/20/2008	6/20/2011
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	6/12/2006	6/12/2011
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	8/25/2009	8/25/2010
Leak Detect - Tank	Automatic Tank Gauging OPW EECO 1000
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flex Connector Steel	N/A	N/A
Piping	Fiberglass Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Steel Single Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 6

Capacity:	20000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	11/2/2011		Abandoned Material:
Current Age:	12		Abandoned Date:
Install Date:	9/21/2011		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/23/2011

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	6/8/2023	6/8/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	6/8/2023	6/8/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	6/8/2023	6/8/2024
Overfill Prev Device	Ball Float Vent Valve EBW 308	6/8/2023	6/8/2026
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	6/8/2023	6/8/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	6/8/2023	6/8/2024
Spill Contain Device	Single Wall Spill Bucket	6/8/2023	6/8/2026
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 7

Capacity:	12000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	11/2/2011		Abandoned Material:
Current Age:	12		Abandoned Date:
Install Date:	9/21/2011		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/23/2011

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	6/8/2023	6/8/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	6/8/2023	6/8/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	6/8/2023	6/8/2024
Overfill Prev Device	Ball Float Vent Valve EBW 308	6/8/2023	6/8/2026
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	6/8/2023	6/8/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	6/8/2023	6/8/2024
Spill Contain Device	Single Wall Spill Bucket	6/8/2023	6/8/2026
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 8

Capacity:	8000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	11/2/2011		Abandoned Material:
Current Age:	12		Abandoned Date:
Install Date:	9/21/2011		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/23/2011

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	6/8/2023	6/8/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	6/8/2023	6/8/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	6/8/2023	6/8/2024
Overfill Prev Device	Ball Float Vent Valve EBW 308	6/8/2023	6/8/2026
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	6/8/2023	6/8/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	6/8/2023	6/8/2024
Spill Contain Device	Single Wall Spill Bucket	6/8/2023	6/8/2026
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	6/8/2023	6/8/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	6/8/2023	6/8/2024

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	6/8/2023	6/8/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	6/8/2023	6/8/2024

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	6/8/2023	6/8/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	6/8/2023	6/8/2024

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	6/8/2023	6/8/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	6/8/2023	6/8/2024

MFD Motorfuel Dispensing Forms

No Forms Found