Information

JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
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Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	5028708
Status:	Active
Facility Name:	Casey's General Store #1580
Address:	221 West State Street Nokomis, IL 62075
County:	Montgomery
Property Parcel:	08-23-158-018
Facility Type:	Attended Self-Service Station
Owner Type:	Private
Green Tag Decal:	Y000085
Green Tag Issue Date:	7/31/2023
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:	11/27/1990
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	7/31/2023	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	11/27/1990

Permits (Unexpired)

Click for permit history

Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
00364-2025UPG	Upgrade	Approved / Issued	3/28/2025	3/31/2025	9/30/2025	Documents

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:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/5/2017
OSFM First Notify Date:	12/17/1990		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	11/27/1990		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/7/1990

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	10/23/2015	10/23/2016
Leak Detect - Piping	Sump Sensor	10/23/2015	10/23/2016
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 S175SC	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	10000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/5/2017
OSFM First Notify Date:	12/17/1990		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	11/27/1990		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/27/1990

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	10/23/2015	10/23/2016
Leak Detect - Piping	Sump Sensor	10/23/2015	10/23/2016
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 S175SC	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	10000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/5/2017
OSFM First Notify Date:	12/17/1990		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:	11/27/1990		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/27/1990

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	10/23/2015	10/23/2016
Leak Detect - Piping	Sump Sensor	10/23/2015	10/23/2016
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 S175SC	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	22000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/25/2017		Abandoned Material:
Current Age:	7		Abandoned Date:
Install Date:	6/15/2017		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/18/2017

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	4/11/2025	4/11/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	4/11/2025	4/11/2026
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	4/11/2025	4/11/2026
Overfill Prev Device	Overfill Drop Tube Valve	9/25/2023	9/25/2026
Piping	Flexible Double Wall A.P.T. Poly Tech S175SC	N/A	N/A
Piping	Flex Connector Steel	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	9/25/2023	9/25/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	4/11/2025	4/11/2026
Spill Contain Device	Single Wall Spill Bucket	9/25/2023	9/25/2026
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	14000		Petroleum Use:
Product:	B-11		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/25/2017		Abandoned Material:
Current Age:	7		Abandoned Date:
Install Date:	6/15/2017		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/18/2017

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	4/11/2025	4/11/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	4/11/2025	4/11/2026
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	4/11/2025	4/11/2026
Overfill Prev Device	Overfill Drop Tube Valve	9/25/2023	9/25/2026
Piping	Flexible Double Wall A.P.T. Poly Tech S175SC	N/A	N/A
Piping	Flex Connector Steel	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	9/25/2023	9/25/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	4/11/2025	4/11/2026
Spill Contain Device	Single Wall Spill Bucket	9/25/2023	9/25/2026
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 6

Capacity:	8000		Petroleum Use:
Product:	E15		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/25/2017		Abandoned Material:
Current Age:	7		Abandoned Date:
Install Date:	6/15/2017		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/18/2017

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	4/11/2025	4/11/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	4/11/2025	4/11/2026
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	4/11/2025	4/11/2026
Overfill Prev Device	Overfill Drop Tube Valve	9/25/2023	9/25/2026
Piping	Flexible Double Wall A.P.T. Poly Tech S175SC	N/A	N/A
Piping	Flex Connector Steel	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	9/25/2023	9/25/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	4/11/2025	4/11/2026
Spill Contain Device	Single Wall Spill Bucket	9/25/2023	9/25/2026
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 7

Capacity:	8000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/25/2017		Abandoned Material:
Current Age:	7		Abandoned Date:
Install Date:	6/15/2017		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/18/2017

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	4/11/2025	4/11/2026
Leak Detect - Piping	Siphon Bar	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	4/11/2025	4/11/2026
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	4/11/2025	4/11/2026
Overfill Prev Device	Overfill Drop Tube Valve	9/25/2023	9/25/2026
Piping	Flexible Double Wall A.P.T. Poly Tech S175SC	N/A	N/A
Piping	Flex Connector Steel	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	9/25/2023	9/25/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	4/11/2025	4/11/2026
Spill Contain Device	Single Wall Spill Bucket	9/25/2023	9/25/2026
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	Siphon Bar	Functional	Pass	9/6/2022

Tank Number 8

Capacity:	8000		Petroleum Use:
Product:	Gasoline - Premium		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/25/2017		Abandoned Material:
Current Age:	7		Abandoned Date:
Install Date:	6/15/2017		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/18/2017

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	4/11/2025	4/11/2026
Leak Detect - Piping	Siphon Bar	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	4/11/2025	4/11/2026
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	4/11/2025	4/11/2026
Overfill Prev Device	Overfill Drop Tube Valve	9/25/2023	9/25/2026
Piping	Flexible Double Wall A.P.T. Poly Tech S175SC	N/A	N/A
Piping	Flex Connector Steel	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	9/25/2023	9/25/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	4/11/2025	4/11/2026
Spill Contain Device	Single Wall Spill Bucket	9/25/2023	9/25/2026
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	Siphon Bar	Functional	Pass	9/6/2022

Dispenser Information

Name\ID 1/2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	9/25/2023	9/25/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	4/11/2025	4/11/2026

Name\ID 3/4

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	9/25/2023	9/25/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	4/11/2025	4/11/2026

Name\ID 5/6

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	9/25/2023	9/25/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	4/11/2025	4/11/2026

Name\ID 7/8

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump	9/25/2023	9/25/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	4/11/2025	4/11/2026

MFD Motorfuel Dispensing Forms

Facility Number	Name	City	Received Date	Letter
5028708	Casey's General Store #1580	Nokomis	04/25/2017	Letter Form