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:	1020959
Status:	Active
Facility Name:	Rockford Memorial Hospital
Address:	2400 North Rockton Avenue Rockford, IL 61101
County:	Winnebago
Property Parcel:	11-10-476-003
Facility Type:	Private Institution
Owner Type:	Private
Green Tag Decal:	X003542
Green Tag Issue Date:	5/2/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	Rockford Memorial Hospital
Owner Address:	2400 North Rockton Avenue Rockford, IL 61101
Owner Status:	Current Owner
Purchase Date:	9/15/2015
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	3/6/2025

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Fleet	5/2/2022	12/31/2024

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0012994	Rockford Memorial Hospital	Current Owner	9/15/2015

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
93-2774	10/19/1993	Removal Log

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	560		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/19/1993
OSFM First Notify Date:	5/8/1986		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:	6/1/1983		Red Tag Issue Date:
Last Used Date:	9/16/1993		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

Tank Number 2

Capacity:	2000		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	10/19/1993
OSFM First Notify Date:	5/8/1986		Abandoned Material:
Current Age:	11		Abandoned Date:
Install Date:	7/1/1982		Red Tag Issue Date:
Last Used Date:	10/12/1993		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

Tank Number 3

Capacity:	2000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/1/1996
OSFM First Notify Date:	5/8/1986		Abandoned Material:
Current Age:	31		Abandoned Date:
Install Date:			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

Tank Number 4

Capacity:	20000		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	10/19/1993
OSFM First Notify Date:	5/8/1986		Abandoned Material:
Current Age:	38		Abandoned Date:
Install Date:	6/1/1955		Red Tag Issue Date:
Last Used Date:	9/23/1993		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

Tank Number 5

Capacity:	1000		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/7/1993		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	10/27/1993		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	10/28/1993

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	4/5/2024	4/5/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	4/5/2024	4/5/2025
Overfill Prev Device	Overfill Alarm	4/26/2022	4/26/2025
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Sump Sensor	4/5/2024	4/5/2025
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	4/26/2022	4/26/2025
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 6

Capacity:	5000		Petroleum Use:
Product:	Aviation Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	1/10/1996		Abandoned Material:
Current Age:	27		Abandoned Date:
Install Date:	7/31/1996		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	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	4/5/2024	4/5/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	4/5/2024	4/5/2025
Overfill Prev Device	Overfill Alarm	4/26/2022	4/26/2025
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Sump Sensor	4/5/2024	4/5/2025
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	4/26/2022	4/26/2025
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

Name\ID 1

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Single Wall UDC Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A

Name\ID 2

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found