Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 5020600
Status: Closed
Facility Name: Casey's General Stores #2936
Address: 1312 S. Main St.
Jacksonville, IL 62650
County: Morgan
Property Parcel:
Facility Type: Attended Self-Service Station
Owner Type: Private
Green Tag Decal: R002357
Green Tag Issue Date: 3/25/2016
Green Tag Expiration Date: 12/31/2018

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: 10/27/2018

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Self Service 3/25/2016 12/31/2018

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 1/1/1979

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

IEMA Number Inspection Date Inspection Type Permit Number
18-0290 3/27/2018 Removal Log 00016-2018REM
18-0290 3/28/2018 Removal Log 00016-2018REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number Status OSFM Received Date OSFM Response Date Deductible Letter
10-1250 Partial Eligible 2/28/2011 3/21/2011 $5,000
20180290 Eligible 5/8/2018 5/9/2018 $5,000 Letter
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: 3/28/2018
OSFM First Notify Date: 5/6/1986 Abandoned Material:
Current Age: 38 Abandoned Date:
Install Date: 10/17/1979 Red Tag Issue Date:
Last Used Date: 12/31/2017 Fee Due: $0.00
Product Date: 10/17/1979

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 10/3/2017 10/3/2020
Leak Detect - Piping Electronic Pressurized Line Leak Detection 10/3/2017 10/3/2018
Leak Detect - Piping Sump Sensor 10/3/2017 10/3/2018
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device Overfill Drop Tube Valve
Piping Flexible Double Wall A.P.T. Poly Tech N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank STIP3 Single Wall N/A N/A
Vent, Riser, Fill Piping Steel risers N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Leak Detect - Piping Non-Discriminating Sump Sensor Sensor Functional Pass 3/28/2008



Tank Number 2

Capacity: 10000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 4/15/1988
OSFM First Notify Date: 5/6/1986 Abandoned Material:
Current Age: 8 Abandoned Date:
Install Date: 10/17/1979 Red Tag Issue Date:
Last Used Date: 4/15/1988 Fee Due: $0.00
Product Date: 10/17/1979

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 3

Capacity: 10000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 3/28/2018
OSFM First Notify Date: 5/6/1986 Abandoned Material:
Current Age: 38 Abandoned Date:
Install Date: 10/17/1979 Red Tag Issue Date:
Last Used Date: 12/31/2017 Fee Due: $0.00
Product Date: 10/17/1979

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 10/3/2017 10/3/2020
Leak Detect - Piping Electronic Pressurized Line Leak Detection 10/3/2017 10/3/2018
Leak Detect - Piping Sump Sensor 10/3/2017 10/3/2018
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device Ball Float Vent Valve
Piping Flexible Double Wall A.P.T. Poly Tech N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank STIP3 Single Wall N/A N/A
Vent, Riser, Fill Piping Steel risers N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Leak Detect - Piping Non-Discriminating Sump Sensor Sensor Functional Pass 3/28/2008



Tank Number 4

Capacity: 10000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 3/28/2018
OSFM First Notify Date: 5/6/1986 Abandoned Material:
Current Age: 38 Abandoned Date:
Install Date: 10/17/1979 Red Tag Issue Date:
Last Used Date: 12/31/2017 Fee Due: $0.00
Product Date: 10/17/1979

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 10/3/2017 10/3/2020
Leak Detect - Piping Electronic Pressurized Line Leak Detection 10/3/2017 10/3/2018
Leak Detect - Piping Sump Sensor 10/3/2017 10/3/2018
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device Ball Float Vent Valve
Piping Flexible Double Wall A.P.T. Poly Tech N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank STIP3 Single Wall N/A N/A
Vent, Riser, Fill Piping Steel risers N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Leak Detect - Piping Non-Discriminating Sump Sensor Sensor Functional Pass 3/28/2008



Tank Number 5

Capacity: 10000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 3/27/2018
OSFM First Notify Date: 10/16/1992 Abandoned Material:
Current Age: 29 Abandoned Date:
Install Date: 4/15/1988 Red Tag Issue Date:
Last Used Date: 12/31/2017 Fee Due: $0.00
Product Date: 4/15/1988

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 10/3/2017 10/3/2020
Leak Detect - Piping Electronic Pressurized Line Leak Detection 10/3/2017 10/3/2018
Leak Detect - Piping Sump Sensor 10/3/2017 10/3/2018
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD
Overfill Prev Device Ball Float Vent Valve
Piping Flexible Double Wall A.P.T. Poly Tech N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank STIP3 Single Wall N/A N/A
Vent, Riser, Fill Piping Steel risers N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Leak Detect - Piping Non-Discriminating Sump Sensor Sensor Functional Pass 3/28/2008

Dispenser Information



MFD Motorfuel Dispensing Forms

No Forms Found