Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	5046580
Status:	Active
Facility Name:	Casey's #4292
Address:	1202 Fifth Street Carrollton, IL 62016
County:	Greene
Property Parcel:	03-92-26-105-016
Facility Type:	Attended Self-Service/Unattended Self-Service
Owner Type:	Private
Green Tag Decal:	X000099
Green Tag Issue Date:	3/31/2022
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:	9/27/2022
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
Unattended Self Service	3/31/2022	12/31/2024
Self Service	7/29/2020	12/31/2022

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0002560	Casey's Retail Company	Current Owner	9/27/2022
U0039224	Bucks Landing, LLC	Former Owner	6/21/2018
U0036247	Bucks Crossing, Inc.	Former Owner

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

NOV Number: E0020241200 (Pending) Issue Date: 4/23/2024 Expiration Date: 6/22/2024 View NOV Form

Tanks	Deficiency
Facility	Annual Emergency Stop Inspection not completed or inspection report not available.
1, 2	Annual leak detection certification not completed (Required annually).
1, 2	Line interstitial sensor functional test not accomplished (Required annually).
Facility	Missing copies of Annual Walkthrough Inspection Report.
1, 2	Tank interstitial sensor functional test not accomplished (Required annually).

NOV Number: E0020241201 (Pending) Issue Date: 4/23/2024 Expiration Date: 6/22/2024 View NOV Form

Tanks	Deficiency
Facility	Annual Fire Detection Test has not been performed - Last alarm inspection was done in 2022.

IEMA Numbers Associated with the Facility

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	12000	Petroleum Use:
Product:	Diesel Fuel	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	7/11/2018	Abandoned Material:
Current Age:	6	Abandoned Date:
Install Date:	3/8/2018	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:

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	12/27/2022	12/27/2023
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	6/29/2022	12/27/2022
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	12/27/2022	12/27/2023
Overfill Prev Device	Overfill Drop Tube Valve	12/27/2022	12/27/2025
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	12/27/2022	12/27/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	12/27/2022	12/27/2023
Spill Contain Device	Single Wall Spill Bucket	12/27/2022	12/27/2025
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall OPW Flexworks	Precision Test	Pass	6/29/2022
Tank	Fiberglass Double Wall Containment Solutions	Precision Test (Tank)	Pass	6/29/2022

Tank Number 2

Capacity:	8000	Petroleum Use:
Product:	Dyed Diesel	CERCLA Substance:
Status:	Currently in use	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	7/11/2018	Abandoned Material:
Current Age:	6	Abandoned Date:
Install Date:	3/8/2018	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:

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	12/27/2022	12/27/2023
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	6/29/2022	12/27/2022
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	12/27/2022	12/27/2023
Overfill Prev Device	Overfill Drop Tube Valve	12/27/2022	12/27/2025
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	12/27/2022	12/27/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	12/27/2022	12/27/2023
Spill Contain Device	Single Wall Spill Bucket	12/27/2022	12/27/2025
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall OPW Flexworks	Precision Test	Pass	6/29/2022
Tank	Fiberglass Double Wall Containment Solutions	Precision Test (Tank)	Pass	6/29/2022

Tank Number 3

Capacity:	4000	Petroleum Use:
Product:	Diesel Exhaust Fluid (Non-Regulated)	CERCLA Substance:
Status:	Unknown	CAS Code:
Regulated Status:	Non-Regulated	Removed Date:
OSFM First Notify Date:	7/11/2018	Abandoned Material:
Current Age:	6	Abandoned Date:
Install Date:	3/8/2018	Red Tag Issue Date:
Last Used Date:		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

Dispenser Information

Name\ID diesel / satellite #1

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	12/27/2022	12/27/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	12/27/2022	12/27/2023

Name\ID diesel 2/3

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	12/27/2022	12/27/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	12/27/2022	12/27/2023

Name\ID diesel satellite

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	12/27/2022	12/27/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	12/27/2022	12/27/2023

Name\ID off road diesel 4/5

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	12/27/2022	12/27/2025
Leak Detect - Piping	Sump Sensor with positive shutdown	12/27/2022	12/27/2023

MFD Motorfuel Dispensing Forms

No Forms Found