Information

JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
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Ready Illinois
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Division of Petroleum & Chemical Safety

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 1

Capacity:	4000		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Abandoned in place		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	2/12/1986		Abandoned Material:	Inert material mixed with portland cement
Current Age:	55		Abandoned Date:	6/9/2021
Install Date:	1/1/1969		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	Impressed Current Cathodic Protection	5/20/2020	5/20/2021
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 300i	5/13/2020	5/13/2021
Overfill Prev Device	Overfill Alarm	8/14/2018	8/14/2021
Overfill Prev Device	Overfill Drop Tube Valve	8/14/2018	8/14/2021
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	8/14/2018	8/14/2021
Tank	Fiberglass Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	2000		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/8/2021
OSFM First Notify Date:	2/12/1986		Abandoned Material:
Current Age:	52		Abandoned Date:
Install Date:	1/1/1969		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	Impressed Current Cathodic Protection	5/20/2020	5/20/2021
Corrosion Prot - Tank	Impressed Current Cathodic Protection	5/20/2020	5/20/2021
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300i	5/20/2020	5/20/2021
Overfill Prev Device	Overfill Alarm	8/14/2018	8/14/2021
Overfill Prev Device	Overfill Drop Tube Valve	8/14/2018	8/14/2021
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	8/14/2018	8/14/2021
Tank	Steel Single Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	12000		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	6/10/1992
OSFM First Notify Date:	3/23/1993		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	4/28/1992		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:	12000		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	6/10/1992
OSFM First Notify Date:	3/23/1993		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	4/28/1992		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:	15000		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	State		Removed Date:
OSFM First Notify Date:	3/23/1993		Abandoned Material:
Current Age:	31		Abandoned Date:
Install Date:	8/1/1992		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/27/1992

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite 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 300i	4/4/2024	4/4/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	4/4/2024	4/4/2025
Overfill Prev Device	Overfill Alarm	4/4/2024	4/4/2027
Overfill Prev Device	Overfill Drop Tube Valve	4/4/2024	4/4/2027
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Sump Sensor	6/24/2021	6/24/2022
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	4/4/2024	4/4/2027
Tank	Composite Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 6

Capacity:	10000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Does Not Exist		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:			Abandoned Material:
Current Age:			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 7

Capacity:	10000		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:	7/9/2021		Abandoned Material:
Current Age:	2		Abandoned Date:
Install Date:	6/16/2021		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	American with Sensors/No Test Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus	4/4/2024	4/4/2025
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	4/4/2024	4/4/2025
Overfill Prev Device	Overfill Alarm	4/4/2024	4/4/2027
Overfill Prev Device	Overfill Drop Tube Valve	4/4/2024	4/4/2027
Piping	Flexible Double Wall OmegaFlex DoubleTrac	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	4/4/2024	4/4/2025
Piping	Single Wall Transition Sump	4/4/2024	4/4/2027
Leak Detect - Piping	Sump Sensor	4/4/2024	4/4/2025
Spill Contain Device	Single Wall Spill Bucket	4/4/2024	4/4/2027
Tank	Fiberglass Brine Filled Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	American with Sensors/No Test Suction	Functional	Pass	4/4/2024
Piping	Flexible Double Wall OmegaFlex DoubleTrac	Precision Test	Pass	9/10/2021
Tank	Fiberglass Brine Filled Double Wall XERXES	Precision Test (Tank)	Pass	9/10/2021

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found