Information
JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety
State of Illinois
Employment Opportunities
Ready Illinois
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Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 1046835
Status: Active
Facility Name: Casey's General Store
Address: 5965 Columbia Parkway
Rockford, IL 61109
County: Winnebago
Property Parcel: 12-33-477-004
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: Y001129
Green Tag Issue Date: 6/12/2023
Green Tag Expiration Date: 12/31/2025

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: 10/27/2025

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 6/12/2023 12/31/2025

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

Notice of Violations (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: 22000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 7/24/2019 Abandoned Material:
Current Age: 5 Abandoned Date:
Install Date: 5/16/2019 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 7/16/2019

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 7/1/2024 7/1/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 7/1/2024 7/1/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 7/1/2024 7/1/2025
Overfill Prev Device Overfill Drop Tube Valve 7/1/2024 7/1/2027
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 6/23/2022 6/23/2025
Leak Detect - Piping Sump Sensor with positive shutdown 7/1/2024 7/1/2025
Piping Single Wall STP/Tanktop Sump 6/23/2022 6/23/2025
Leak Detect - Piping Sump Sensor with positive shutdown 7/1/2024 7/1/2025
Spill Contain Device Single Wall Spill Bucket 6/23/2022 6/23/2025
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall A.P.T. Poly Tech P175SC Precision Test (Piping) Pass 7/24/2019
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 7/24/2019



Tank Number 2

Capacity: 14000 Petroleum Use: None
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 7/24/2019 Abandoned Material:
Current Age: 5 Abandoned Date:
Install Date: 5/16/2019 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 7/16/2019

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 7/1/2024 7/1/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 7/1/2024 7/1/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 7/1/2024 7/1/2025
Overfill Prev Device Overfill Drop Tube Valve 7/1/2024 7/1/2027
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 6/27/2022 6/27/2025
Leak Detect - Piping Sump Sensor with positive shutdown 7/1/2024 7/1/2025
Spill Contain Device Single Wall Spill Bucket 6/23/2022 6/23/2025
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall A.P.T. Poly Tech P175SC Precision Test (Piping) Pass 7/24/2019
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 7/24/2019



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: 7/24/2019 Abandoned Material:
Current Age: 5 Abandoned Date:
Install Date: 5/16/2019 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 7/16/2019

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 7/1/2024 7/1/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 7/1/2024 7/1/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 7/1/2024 7/1/2025
Overfill Prev Device Overfill Drop Tube Valve 7/1/2024 7/1/2027
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 6/23/2022 6/23/2025
Leak Detect - Piping Sump Sensor with positive shutdown 7/1/2024 7/1/2025
Spill Contain Device Single Wall Spill Bucket 6/23/2022 6/23/2025
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall A.P.T. Poly Tech P175SC Precision Test (Piping) Pass 7/24/2019
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 7/24/2019



Tank Number 4

Capacity: 8000 Petroleum Use:
Product: Gasoline - Non Ethanol CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 7/24/2019 Abandoned Material:
Current Age: 5 Abandoned Date:
Install Date: 5/16/2019 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 7/16/2019

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 7/1/2024 7/1/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 7/1/2024 7/1/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 7/1/2024 7/1/2025
Overfill Prev Device Overfill Drop Tube Valve 7/1/2024 7/1/2027
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 6/23/2022 6/23/2025
Leak Detect - Piping Sump Sensor with positive shutdown 7/1/2024 7/1/2025
Spill Contain Device Single Wall Spill Bucket 6/23/2022 6/23/2025
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall A.P.T. Poly Tech P175SC Precision Test (Piping) Pass 7/24/2019
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 7/24/2019



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: 7/24/2019 Abandoned Material:
Current Age: 5 Abandoned Date:
Install Date: 5/16/2019 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 7/16/2019

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 7/1/2024 7/1/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 7/1/2024 7/1/2025
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 7/1/2024 7/1/2025
Overfill Prev Device Overfill Drop Tube Valve 7/1/2024 7/1/2027
Piping Flexible Double Wall A.P.T. Poly Tech P175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 6/23/2022 6/23/2025
Leak Detect - Piping Sump Sensor with positive shutdown 7/1/2024 7/1/2025
Spill Contain Device Single Wall Spill Bucket 6/23/2022 6/23/2025
Tank Fiberglass Double Wall XERXES N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall A.P.T. Poly Tech P175SC Precision Test (Piping) Pass 7/24/2019
Tank Fiberglass Double Wall XERXES Precision Test (Tank) Pass 7/24/2019

Dispenser Information



Name\ID 1/2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 6/23/2022 6/23/2025
Leak Detect - Piping Sump Sensor with positive shutdown 7/1/2024 7/1/2025



Name\ID 11/12

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 6/23/2022 6/23/2025
Leak Detect - Piping Sump Sensor with positive shutdown 7/1/2024 7/1/2025



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 6/23/2022 6/23/2025
Leak Detect - Piping Sump Sensor with positive shutdown 7/1/2024 7/1/2025



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 6/23/2022 6/23/2025
Leak Detect - Piping Sump Sensor with positive shutdown 7/1/2024 7/1/2025



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 6/23/2022 6/23/2025
Leak Detect - Piping Sump Sensor with positive shutdown 7/1/2024 7/1/2025



Name\ID 9/10

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 6/23/2022 6/23/2025
Leak Detect - Piping Sump Sensor with positive shutdown 7/1/2024 7/1/2025

MFD Motorfuel Dispensing Forms

Facility Number Name City Received Date Letter
1046835 Casey's General Store Rockford 07/25/2019 Letter Form
Office of the Illinois State Fire Marshal
1035 Stevenson Dr. Springfield, IL 62704 | (217) 785-0969 | Contact Us