Information
JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety
State of Illinois
Employment Opportunities
Ready Illinois
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Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 1046418
Status: Active
Facility Name: Javon Bea Hospital
Address: 8201 E. Riverside Blvd.
Rockford, IL 61114
County: Winnebago
Property Parcel:
Facility Type: Hospital
Owner Type: Private
Green Tag Decal: X003089
Green Tag Issue Date: 12/9/2022
Green Tag Expiration Date: 12/31/2024

Owner Details

Owner Name: Mercy Health
Owner Address: 2400 N. Rockton Ave.
Rockford, IL 61103
Owner Status: Current Owner
Purchase Date: 9/26/2017
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 7/11/2023

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0038808 Mercy Health Current Owner 9/26/2017

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

No Deficiencies 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: 30000 Petroleum Use: Back-up Generator
Product: #2 Fuel Oil CERCLA Substance:
Status: Currently in use CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 10/25/2018 Abandoned Material:
Current Age: 6 Abandoned Date:
Install Date: 9/26/2017 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 4/4/2018

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Polyethylene Chase N/A N/A
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 7/10/2023 7/10/2024
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD 7/10/2023 7/10/2024
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 7/10/2023 7/10/2024
Manway At Grade Accessible Manway Accessible at Grade N/A N/A
Overfill Prev Device Overfill Alarm 10/19/2021 10/19/2024
Overfill Prev Device Overfill Drop Tube Valve 10/19/2021 10/19/2024
Piping Polyethylene Chase N/A N/A
Piping Flexible Double Wall OPW Flexworks N/A N/A
Piping Single Wall STP/Tanktop Sump 10/19/2021 10/19/2024
Leak Detect - Piping Non-Discriminating Sump Sensor with positive shutdown 7/18/2022 7/18/2023
Leak Detect - Piping Sump Sensor 7/10/2023 7/10/2024
Piping Single Wall Transition Sump 10/19/2021 10/19/2024
Leak Detect - Piping Non-Discriminating Sump Sensor with positive shutdown 11/7/2022 11/7/2023
Leak Detect - Piping Sump Sensor 7/10/2023 7/10/2024
Spill Contain Device Double Wall Spill Bucket 10/19/2021 10/19/2024
Tank Fiberglass Brine Filled Double Wall XERXES 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
Piping Flexible Double Wall OPW Flexworks Precision Test Pass 7/10/2023

Dispenser Information



Name\ID 1

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 10/19/2021 10/19/2024
Leak Detect - Piping Sump Sensor 7/10/2023 7/10/2024



Name\ID 2

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 10/19/2021 10/19/2024
Leak Detect - Piping Sump Sensor 7/10/2023 7/10/2024



Name\ID 3

Status: Active
Equipment Type Equipment Last Passing Date Test Expire Date
Dispenser Single Wall UDC Sump 10/19/2021 10/19/2024
Leak Detect - Piping Sump Sensor 7/10/2023 7/10/2024

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