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:	6046596
Status:	Active
Facility Name:	Casey's General Store #3554
Address:	1930 US Rt 40 Mulberry Grove, IL 62262
County:	Bond
Property Parcel:	02-11-01-104-001
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	X002511
Green Tag Issue Date:	9/14/2022
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:
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	8/23/2022	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

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

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:	22000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	8/15/2018		Abandoned Material:
Current Age:	5		Abandoned Date:
Install Date:	4/11/2018		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/19/2018

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	7/17/2023	7/17/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	8/25/2023	8/25/2024
Overfill Prev Device	Overfill Drop Tube Valve	7/27/2021	7/27/2024
Piping	Flexible Double Wall A.P.T. Poly Tech S175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	7/9/2021	7/9/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/17/2023	7/17/2024
Spill Contain Device	Single Wall Spill Bucket	7/9/2021	7/9/2024
Tank	Fiberglass Double Wall XERXES	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:	14000		Petroleum Use:	None
Product:	B-11		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	8/15/2018		Abandoned Material:
Current Age:	5		Abandoned Date:
Install Date:	4/11/2018		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/19/2018

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	7/17/2023	7/17/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	7/17/2023	7/17/2024
Overfill Prev Device	Overfill Drop Tube Valve	7/27/2021	7/27/2024
Piping	Flexible Double Wall A.P.T. Poly Tech S175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	7/9/2021	7/9/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/17/2023	7/17/2024
Spill Contain Device	Single Wall Spill Bucket	7/9/2021	7/9/2024
Tank	Fiberglass Double Wall XERXES	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:	8000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	8/15/2018		Abandoned Material:
Current Age:	5		Abandoned Date:
Install Date:	4/11/2018		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/19/2018

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	7/17/2023	7/17/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	7/17/2023	7/17/2024
Overfill Prev Device	Overfill Drop Tube Valve	7/27/2021	7/27/2024
Piping	Flexible Double Wall A.P.T. Poly Tech S175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	7/9/2021	7/9/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/17/2023	7/17/2024
Spill Contain Device	Single Wall Spill Bucket	7/9/2021	7/9/2024
Tank	Fiberglass Double Wall XERXES	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:	8000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	8/15/2018		Abandoned Material:
Current Age:	5		Abandoned Date:
Install Date:	4/11/2018		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/19/2018

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	7/17/2023	7/17/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	7/17/2023	7/17/2024
Overfill Prev Device	Overfill Drop Tube Valve	7/27/2021	7/27/2024
Piping	Flexible Double Wall A.P.T. Poly Tech S175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	7/9/2021	7/9/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/17/2023	7/17/2024
Spill Contain Device	Single Wall Spill Bucket	7/9/2021	7/9/2024
Tank	Fiberglass Double Wall XERXES	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:	8000		Petroleum Use:
Product:	E85		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	8/15/2018		Abandoned Material:
Current Age:	5		Abandoned Date:
Install Date:	4/11/2018		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/19/2018

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	7/17/2023	7/17/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	8/25/2023	8/25/2024
Overfill Prev Device	Overfill Drop Tube Valve	7/27/2021	7/27/2024
Piping	Flexible Double Wall A.P.T. Poly Tech S175SC	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	7/9/2021	7/9/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/17/2023	7/17/2024
Spill Contain Device	Single Wall Spill Bucket	7/9/2021	7/9/2024
Tank	Fiberglass Double Wall XERXES	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

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	7/9/2021	7/9/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/17/2023	7/17/2024

Name\ID 11/12

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	7/9/2021	7/9/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/17/2023	7/17/2024

Name\ID 13/14

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	7/9/2021	7/9/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/17/2023	7/17/2024

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	7/9/2021	7/9/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/17/2023	7/17/2024

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	7/9/2021	7/9/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/17/2023	7/17/2024

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	7/9/2021	7/9/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/17/2023	7/17/2024

Name\ID 9/10

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	7/9/2021	7/9/2024
Leak Detect - Piping	Sump Sensor with positive shutdown	7/17/2023	7/17/2024

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
6046596	Casey's General Store #3554	Mulberry Grove	08/15/2018	Letter Form