Information

JB Pritzker, Governor

Michele L Pankow, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
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Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	1031726
Status:	Closed
Facility Name:	Casey's General Store #1699
Address:	417 West Market Street Shannon, IL 61078
County:	Carroll
Property Parcel:
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Q001114
Green Tag Issue Date:	1/20/2015
Green Tag Expiration Date:	12/31/2017

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:	5/26/1993
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	1/29/2018

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	1/20/2015	12/31/2017

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0002560	Casey's Retail Company	Current Owner	5/26/1993

Permits (Unexpired)

Click for permit history

No Active Permits Found

Notice of Violatlions (Current)

No Notice of Violations 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:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	2/7/2017
OSFM First Notify Date:	7/12/1993		Abandoned Material:
Current Age:	23		Abandoned Date:
Install Date:	5/26/1993		Red Tag Issue Date:
Last Used Date:	8/24/2016		Fee Due:	$0.00
Product Date:	5/26/1993

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	1/22/2014	1/22/2017
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	1/19/2016	1/19/2017
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD
Overfill Prev Device	Ball Float Vent Valve
Piping	Fiberglass Single Wall Piping	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

Tank Number 2

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	2/7/2017
OSFM First Notify Date:	7/12/1993		Abandoned Material:
Current Age:	23		Abandoned Date:
Install Date:	5/26/1993		Red Tag Issue Date:
Last Used Date:	8/24/2016		Fee Due:	$0.00
Product Date:	5/26/1993

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	1/22/2014	1/22/2017
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	1/19/2016	1/19/2017
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD
Overfill Prev Device	Ball Float Vent Valve
Piping	Fiberglass Single Wall Piping	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

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found