Division of Petroleum & Chemical Safety

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Facility Details

Facility Number:	2013075
Status:	Active
Facility Name:	Gottlieb Memorial Hospital
Address:	701 West North Avenue Melrose Park, IL 60160
County:	Cook
Property Parcel:
Facility Type:	Hospital
Owner Type:	Private
Green Tag Decal:	X004484
Green Tag Issue Date:	3/10/2022
Green Tag Expiration Date:	12/31/2024

Owner Name:	Gottlieb Memorial Hospital
Owner Address:	701 West North Avenue Melrose Park, IL 60160
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	2/20/2025

No MFD Permits Found

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0006013	Gottlieb Memorial Hospital	Current Owner

Click for permit history

Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
01412-2023REM	Removal	Approved / Issued	12/6/2023	12/6/2023	6/6/2024	Documents

NOV Number: E0020232462 (Pending) Issue Date: 11/2/2023 Expiration Date: 1/1/2024 View NOV Form

Tanks	Deficiency
4	Precision line test required. - Precision test failed. Repair/replace and retest.
4	Tank precision test required. - Precision test failed. Repair/replace and retest.

No IEMA Numbers Found

No Applications Found

Pay Tank Fees Online

Tank Number	Capacity	Product	Status	Regulated Status	Fee Due	Abandon/Removal Date
1	20000	Heating Oil	Removed	State	$0.00	07/10/1990 - REM
2	20000	Fuel Oil	Removed	State		07/10/1990 - REM
3	1000	Diesel Fuel	Removed	Federal	$0.00	07/10/1990 - REM
4	10000	Diesel Fuel	Currently in use	Federal	$0.00

Name\ID	Status

No Forms Found