Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 2013070
Status: Active
Facility Name: North Shore University Health System
Address: 9600 Gross Point Road
Skokie, IL 60076
County: Cook
Property Parcel:
Facility Type: Private Institution
Owner Type: Private
Green Tag Decal: X003453
Green Tag Issue Date: 8/3/2022
Green Tag Expiration Date: 12/31/2024

Owner Details

Owner Name: North Shore University Health System
Owner Address: 1301 Central Street
Evanston, IL 60201
Owner Status: Current Owner
Purchase Date: 11/1/2008
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 3/25/2025

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0035148 North Shore University Health System Current Owner 11/1/2008
U0034834 Rush North Shore Medical Former Owner 9/15/1989
U0014032 Skokie Valley Hospital Former 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
08-1538 10/16/2008 Removal Log 01360-2008REM

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information



Tank Number 1

Capacity: 10000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 8/23/1990
OSFM First Notify Date: 1/6/1987 Abandoned Material:
Current Age: 18 Abandoned Date:
Install Date: 1/1/1972 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 2

Capacity: 1000 Petroleum Use: Back-up Generator
Product: Fuel Oil CERCLA Substance:
Status: Moved CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 6/3/2008 Abandoned Material:
Current Age: 43 Abandoned Date:
Install Date: 4/16/1981 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 Sacrificial Anode Cathodic Protection
Piping Double Wall steel N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 3

Capacity: 500 Petroleum Use: Back-up Generator
Product: Diesel Fuel CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 10/16/2008
OSFM First Notify Date: 8/4/2008 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 4

Capacity: 1000 Petroleum Use: Back-up Generator
Product: Diesel Fuel CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 6/23/2011
OSFM First Notify Date: 8/4/2008 Abandoned Material:
Current Age: 21 Abandoned Date:
Install Date: 9/15/1989 Red Tag Issue Date:
Last Used Date: 6/15/2011 Fee Due: $0.00
Product Date: 10/1/1989

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 - Piping Sump Sensor
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 300c
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors
Overfill Prev Device Overfill Drop Tube Valve
Piping Fiberglass Double Wall N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank Fiberglass Double Wall 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
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors Sensor Functional Pass 10/1/2010
Leak Detect - Piping Sump Sensor Sensor Functional Pass 10/1/2010



Tank Number 5

Capacity: 20000 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: 6/27/2011 Abandoned Material:
Current Age: 13 Abandoned Date:
Install Date: 9/21/2010 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 4/15/2011

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 American with Sensors/No Test Suction N/A N/A
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 5/1/2024 5/1/2025
Overfill Prev Device Overfill Alarm 5/1/2024 5/1/2027
Overfill Prev Device Overfill Drop Tube Valve 6/9/2021 6/9/2024
Piping Fiberglass Double Wall A.O. Smith N/A N/A
Piping Fiberglass Double Wall A.O. Smith N/A N/A
Piping Single Wall STP/Tanktop Sump 5/1/2024 5/1/2027
Leak Detect - Piping Non-Discriminating Sump Sensor with positive shutdown 6/8/2022 6/8/2023
Leak Detect - Piping Sump Sensor 5/1/2024 5/1/2025
Piping Single Wall STP/Tanktop Sump 5/1/2024 5/1/2027
Leak Detect - Piping Sump Sensor 5/1/2024 5/1/2025
Piping Single Wall Transition Sump 5/1/2024 5/1/2027
Leak Detect - Piping Non-Discriminating Sump Sensor with positive shutdown 6/8/2022 6/8/2023
Leak Detect - Piping Stand Alone Sump Sensor Non-Discriminating 6/8/2022 6/8/2023
Leak Detect - Piping Sump Sensor 5/1/2024 5/1/2025
Piping Single Wall Transition Sump 5/1/2024 5/1/2027
Leak Detect - Piping Sump Sensor 5/1/2024 5/1/2025
Spill Contain Device Single Wall Spill Bucket 5/1/2024 5/1/2027
Tank Fiberglass Double Wall Containment Solutions 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 5/1/2024
Piping Fiberglass Double Wall A.O. Smith Precision Test Pass 5/1/2024
Piping Fiberglass Double Wall A.O. Smith Precision Test Pass 5/1/2024

Dispenser Information



MFD Motorfuel Dispensing Forms

No Forms Found