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

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Facility Details

Facility Number:	2001721
Status:	Active
Facility Name:	Evanston Hospital NorthShore University HealthSystem
Address:	2650 Ridge Avenue Evanston, IL 60201
County:	Cook
Property Parcel:	05-35-322-001-0000
Facility Type:	Hospital
Owner Type:	Private
Green Tag Decal:	Y003279
Green Tag Issue Date:	10/25/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	NorthShore University HealthSystem
Owner Address:	1301 Central Street Evanston, IL 60201
Owner Status:	Current Owner
Purchase Date:	4/5/2019
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	10/3/2024

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0040420	NorthShore University HealthSystem	Current Owner	4/5/2019
U0004888	The Evanston Hospital	Former Owner	1/1/1895

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
2021-0539	6/8/2021	Removal Log	00630-2021REM
92-1415	6/10/1992	Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
20210539	Eligible	1/6/2022	1/6/2022	$5,000	Letter

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	4000	Diesel Fuel	Abandoned in place	Federal		$0.00	06/09/2021 - ABN
2	2000	Diesel Fuel	Removed	Federal		$0.00	06/08/2021 - REM
3	12000	Diesel Fuel	Removed	State		$0.00	06/10/1992 - REM
4	12000	Diesel Fuel	Removed	State		$0.00	06/10/1992 - REM
5	15000	Diesel Fuel	Currently in use	State		$0.00
6	10000	Diesel Fuel	Does Not Exist	Federal		$0.00
7	10000	Diesel Fuel	Currently in use	Federal		$0.00

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found