Information
JB Pritzker, Governor

Michele L Pankow, State Fire Marshal

Division of Petroleum & Chemical Safety
State of Illinois
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Ready Illinois
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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: BB01304
Green Tag Issue Date: 3/4/2026
Green Tag Expire Date: 12/31/2028
MFD Type: Self Service; Unattended 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: 9/27/2022
Type of Financial Responsibility: Self-Insurance
Financial Responsibility Reporting Due Date: 1/29/2027

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

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: 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: 8 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 5/5/2026 5/5/2027
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 5/5/2026 5/5/2027
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 5/5/2026 5/5/2027
Overfill Prev Device Overfill Drop Tube Valve 5/13/2025 5/13/2028
Piping Flexible Double Wall OPW Flexworks N/A N/A
Piping Single Wall STP/Tanktop Sump 5/13/2025 5/13/2028
Leak Detect - Piping Sump Sensor with positive shutdown 5/5/2026 5/5/2027
Spill Contain Device Single Wall Spill Bucket 5/13/2025 5/13/2028
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 (Piping) Pass 6/29/2022
Tank Fiberglass Double Wall Containment Solutions Precision Test (Tank) Pass 6/29/2022



Tank Number 2

Capacity: 8000 Petroleum Use: Dispensing
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: 8 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 5/5/2026 5/5/2027
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 5/5/2026 5/5/2027
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 5/5/2026 5/5/2027
Overfill Prev Device Overfill Drop Tube Valve 5/13/2025 5/13/2028
Piping Flexible Double Wall OPW Flexworks N/A N/A
Piping Single Wall STP/Tanktop Sump 5/13/2025 5/13/2028
Leak Detect - Piping Sump Sensor with positive shutdown 5/5/2026 5/5/2027
Spill Contain Device Single Wall Spill Bucket 5/13/2025 5/13/2028
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 (Piping) 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: 8 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 5/13/2025 5/13/2028
Leak Detect - Piping Sump Sensor with positive shutdown 5/5/2026 5/5/2027



Name\ID diesel 2/3

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 5/13/2025 5/13/2028
Leak Detect - Piping Sump Sensor with positive shutdown 5/5/2026 5/5/2027



Name\ID diesel satellite

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 5/13/2025 5/13/2028
Leak Detect - Piping Sump Sensor with positive shutdown 5/5/2026 5/5/2027



Name\ID off road diesel 4/5

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 5/13/2025 5/13/2028
Leak Detect - Piping Sump Sensor with positive shutdown 5/5/2026 5/5/2027

MFD Motorfuel Dispensing Forms

No Forms Found

Office of the Illinois State Fire Marshal
1035 Stevenson Dr. Springfield, IL 62704 | (217) 785-0969 | Contact Us