Information
JB Pritzker, Governor

James A. Rivera, 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: 4031618
Status: Active
Facility Name: Casey's General Store #2927
Address: 207 S. Center Street
Forrest, IL 61741
County: Livingston
Property Parcel: 26-26-04-478-030
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: AA00714
Green Tag Issue Date: 3/19/2025
Green Tag Expiration Date: 12/31/2027

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: 11/15/2010
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 3/19/2025 12/31/2027

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0002560 Casey's Retail Company Current Owner 11/15/2010
U0006490 Harper Oil Company Former Owner 3/9/1993
U0021003 Phillips Ser Ctr Former Owner 12/31/1967

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: 12000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 6/1/1993 Abandoned Material:
Current Age: 32 Abandoned Date:
Install Date: 3/9/1993 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 3/9/1993

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank STIP3 Cathodic Protection with Dielectric Coating 8/8/2023 8/8/2026
Leak Detect - Piping Electronic Pressurized Line Leak Detection 6/10/2024 6/10/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 6/10/2024 6/10/2025
Overfill Prev Device Overfill Drop Tube Valve 6/10/2024 6/10/2027
Piping Flexible Double Wall A.P.T. Poly Tech S175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 11/17/2022 11/17/2025
Leak Detect - Piping Sump Sensor 6/10/2024 6/10/2025
Spill Contain Device Single Wall Spill Bucket 11/17/2022 11/17/2025
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 2

Capacity: 12000 Petroleum Use: None
Product: Diesel Fuel CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 6/1/1993 Abandoned Material:
Current Age: 32 Abandoned Date:
Install Date: 3/9/1993 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 3/9/1993

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank STIP3 Cathodic Protection with Dielectric Coating 8/8/2023 8/8/2026
Leak Detect - Piping Electronic Pressurized Line Leak Detection 6/10/2024 6/10/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 6/10/2024 6/10/2025
Overfill Prev Device Overfill Drop Tube Valve 6/10/2024 6/10/2027
Piping Flexible Double Wall A.P.T. Poly Tech S175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 11/17/2022 11/17/2025
Leak Detect - Piping Sump Sensor 6/10/2024 6/10/2025
Spill Contain Device Single Wall Spill Bucket 11/17/2022 11/17/2025
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 3

Capacity: 6000 Petroleum Use:
Product: E85 CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 6/1/1993 Abandoned Material:
Current Age: 32 Abandoned Date:
Install Date: 3/9/1993 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 3/9/1993

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank STIP3 Cathodic Protection with Dielectric Coating 8/8/2023 8/8/2026
Leak Detect - Piping Electronic Pressurized Line Leak Detection 6/10/2024 6/10/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 6/10/2024 6/10/2025
Overfill Prev Device Overfill Drop Tube Valve 6/10/2024 6/10/2027
Piping Flexible Double Wall A.P.T. Poly Tech S175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 11/17/2022 11/17/2025
Leak Detect - Piping Sump Sensor 6/10/2024 6/10/2025
Spill Contain Device Single Wall Spill Bucket 11/17/2022 11/17/2025
Tank STIP3 Single Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall A.P.T. Poly Tech S175SC Precision Test (Piping) Pass 4/7/2021



Tank Number 4

Capacity: 6000 Petroleum Use: None
Product: Gasoline - Premium CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 6/1/1993 Abandoned Material:
Current Age: 32 Abandoned Date:
Install Date: 3/9/1993 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 3/9/1993

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank STIP3 Cathodic Protection with Dielectric Coating 8/8/2023 8/8/2026
Leak Detect - Piping Electronic Pressurized Line Leak Detection 6/10/2024 6/10/2025
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 6/10/2024 6/10/2025
Overfill Prev Device Overfill Drop Tube Valve 6/10/2024 6/10/2027
Piping Flexible Double Wall A.P.T. Poly Tech S175SC N/A N/A
Piping Single Wall STP/Tanktop Sump 11/17/2022 11/17/2025
Leak Detect - Piping Sump Sensor 6/10/2024 6/10/2025
Spill Contain Device Single Wall Spill Bucket 11/17/2022 11/17/2025
Tank STIP3 Single Wall 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 11/17/2022 11/17/2025
Leak Detect - Piping Sump Sensor with positive shutdown 6/10/2024 6/10/2025



Name\ID 3/4

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 11/17/2022 11/17/2025
Leak Detect - Piping Sump Sensor with positive shutdown 6/10/2024 6/10/2025



Name\ID 5/6

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 11/17/2022 11/17/2025
Leak Detect - Piping Sump Sensor with positive shutdown 6/10/2024 6/10/2025



Name\ID 7/8

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 11/17/2022 11/17/2025
Leak Detect - Piping Sump Sensor with positive shutdown 6/10/2024 6/10/2025



Name\ID 9/10

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 11/17/2022 11/17/2025
Leak Detect - Piping Sump Sensor with positive shutdown 6/10/2024 6/10/2025

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