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:	2000401
Status:	Active
Facility Name:	Alexian Brothers Medical Center
Address:	850 Biesterfield Road Elk Grove Village, IL 60007
County:	Cook
Property Parcel:
Facility Type:	Private Institution
Owner Type:	Private
Green Tag Decal:	X001483
Green Tag Issue Date:	7/12/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	Alexian Brothers Hospital
Owner Address:	800 Biesterfield Road Elk Grove Village, IL 60007
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	4/5/2025

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0000356	Alexian Brothers Hospital	Current Owner

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
04-0405	3/25/2004	Removal Log	04126-2004REM
06-0287	3/4/2006	Removal Log	00155-2006REM
99-2308	12/15/1999	Removal Log	03395-1999REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
99-2308	Eligible	1/4/2000	1/7/2000	$10,000
06-0287	Eligible	7/24/2006	8/25/2006	$10,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	20000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/7/2006
OSFM First Notify Date:	1/16/1986		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:	11/1/1984		Red Tag Issue Date:
Last Used Date:	2/1/2006		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:	6000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	12/15/1999
OSFM First Notify Date:	1/16/1986		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	12/1/1999		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:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/25/2004
OSFM First Notify Date:	1/16/1986		Abandoned Material:
Current Age:	18		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	2/1/2004		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:	30000		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	7/3/2006		Abandoned Material:
Current Age:	18		Abandoned Date:
Install Date:	5/24/2006		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	5/24/2006

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	American with Annual Prec Line Testing Suction	4/5/2024	4/5/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300c	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	4/5/2024	4/5/2027
Overfill Prev Device	Overfill Drop Tube Valve	4/5/2024	4/5/2027
Piping	Flexible Double Wall Total Containment Enviroflex non-corrosive
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Non-Discriminating Sump Sensor	4/27/2022	4/27/2023
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	4/5/2024	4/5/2027
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 Total Containment Enviroflex non-corrosive	Precision Test	Pass	4/5/2024
Tank	Fiberglass Double Wall Containment Solutions	Precision Test (Tank)	Pass	3/11/2021

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found