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:	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:	Z000568
Green Tag Issue Date:	8/22/2024
Green Tag Expiration Date:	12/31/2026

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:	10/27/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Self Service	8/22/2024	12/31/2026
Unattended Self Service	8/22/2024	12/31/2026

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 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:	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:	7		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	5/13/2025	5/13/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	5/13/2025	5/13/2026
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	5/13/2025	5/13/2026
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	5/13/2025	5/13/2026
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:
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:	7		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	5/16/2024	5/16/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	5/16/2024	5/13/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	5/13/2025	5/13/2026
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	5/13/2025	5/13/2026
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:	7		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	5/13/2025	5/13/2026

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	5/13/2025	5/13/2026

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	5/13/2025	5/13/2026

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	5/13/2025	5/13/2026

MFD Motorfuel Dispensing Forms

No Forms Found