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

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Facility Details

Facility Number:	4029316
Status:	Active
Facility Name:	Casey's General Stores #1628
Address:	383 Highway 121 West Bethany, IL 61914
County:	Moultrie
Property Parcel:	04-04-22-210-018
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	BB00924
Green Tag Issue Date:	3/26/2026
Green Tag Expire Date:	12/31/2028
MFD Type:	Self Service

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:	11/13/1991
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	1/29/2027

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0002560	Casey's Retail Company	Current Owner	11/13/1991

Permits (Unexpired)

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Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
00221-2026UPG	Upgrade	Cancelled by Contractor	2/25/2026	2/25/2026	8/25/2026	Documents

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	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	10000	Gasoline - Regular	Currently in use	Federal		$0.00
2	10000	Diesel Fuel	Currently in use	Federal		$0.00

Dispenser Information

Name\ID	Status
1/2	Active
3/4	Active

MFD Motorfuel Dispensing Forms

No Forms Found