Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 2018522
Status: Inactive
Facility Name: Oak Forest Hospital
Address: 15900 S. Cicero Ave.
Oak Forest, IL 60452
County: Cook
Property Parcel: 28-16-416-002-0000
Facility Type: Hospital
Owner Type: Private
Green Tag Decal: Extend
Green Tag Issue Date: 4/30/2020
Green Tag Expiration Date: 6/30/2020

Owner Details

Owner Name: Oak Forest Hospital
Owner Address: 15900 S. Cicero Ave.
Oak Forest, IL 60452
Owner Status: Current Owner
Purchase Date: 3/17/1993
Type of Financial Responsibility: Self-Insurance
Financial Responsibility Reporting Due Date: 5/29/2023

Motor Fuel Dispensing Permits

MFD Permit Type Issue Date Expiration Date
Fleet 10/19/2017 12/31/2019

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0021380 Oak Forest Hospital Current Owner 3/17/1993
U0003392 Cook County Bldg Former Owner 12/31/1967
U0004961 Fairview Baptist Home Former Owner

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

NOV Number: E0020230339 (Referred to Legal)    Issue Date: 2/3/2023    Expiration Date: 4/4/2023    View NOV Form

Tanks Deficiency
4, 5, 7, 8, 9, 21, 22, 24 Remove tank(s) - Doubled-Walled, Over 30 Years Old and OOS Over One Year - Nothing has been done.

NOV Number: E0020240966 (Pending)    Issue Date: 4/3/2024    Expiration Date: 6/2/2024    View NOV Form

Tanks Deficiency
Facility Financial responsibility must be reported yearly - Financial Responsibility form can be found at https://webapps.sfm.illinois.gov/USTPortal/Forms/FinancialResponsibility.
1, 2, 23 Remove tank(s) - Doubled-Walled, Over 30 Years Old and OOS Over One Year

IEMA Numbers Associated with the Facility

IEMA Number Inspection Date Inspection Type Permit Number
93-1535 6/9/1993 Removal Log

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information



Tank Number 1

Capacity: 10000 Petroleum Use:
Product: Gasoline - Regular CERCLA Substance:
Status: Condemned Tank CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 7/2/1993 Abandoned Material:
Current Age: 31 Abandoned Date:
Install Date: 5/19/1993 Red Tag Issue Date: 1/19/2021
Last Used Date: 11/22/2021 Fee Due: $0.00
Product Date: 5/19/1993

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 Electronic Pressurized Line Leak Detection 2/2/2021 2/2/2022
Leak Detect - Tank Automatic Tank Gauging Red Jacket Pro Link
Overfill Prev Device Overfill Drop Tube Valve
Piping Fiberglass Double Wall N/A N/A
Spill Contain Device Single Wall Spill Bucket 12/17/2019 12/17/2022
Tank Fiberglass Double Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 2

Capacity: 6000 Petroleum Use: None
Product: Diesel Fuel CERCLA Substance:
Status: Condemned Tank CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 7/2/1993 Abandoned Material:
Current Age: 31 Abandoned Date:
Install Date: 5/19/1993 Red Tag Issue Date: 1/19/2021
Last Used Date: 11/22/2021 Fee Due: $0.00
Product Date: 5/19/1993

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 - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD
Overfill Prev Device Overfill Drop Tube Valve 12/17/2019 12/17/2022
Piping Fiberglass Double Wall N/A N/A
Spill Contain Device Single Wall Spill Bucket 12/17/2019 12/17/2022
Tank Fiberglass Double Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 3

Capacity: 2000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Exempt Removed Date: 11/21/1990
OSFM First Notify Date: 4/1/1986 Abandoned Material: Inert material mixed with portland cement
Current Age: 24 Abandoned Date: 6/1/1979
Install Date: Red Tag Issue Date:
Last Used Date: 6/1/1978 Fee Due:
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: 2000 Petroleum Use: None
Product: Diesel Fuel CERCLA Substance:
Status: Condemned Tank CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 4/1/1986 Abandoned Material:
Current Age: 42 Abandoned Date:
Install Date: 2/4/1982 Red Tag Issue Date:
Last Used Date: 11/22/2021 Fee Due: $0.00
Product Date:

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 - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD
Overfill Prev Device Overfill Drop Tube Valve 12/17/2019 12/17/2022
Piping Fiberglass Double Wall N/A N/A
Spill Contain Device Single Wall Spill Bucket 12/17/2019 12/17/2022
Tank Fiberglass Double Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 5

Capacity: 2000 Petroleum Use: None
Product: Diesel Fuel CERCLA Substance:
Status: Condemned Tank CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 4/1/1986 Abandoned Material:
Current Age: 42 Abandoned Date:
Install Date: 2/4/1982 Red Tag Issue Date:
Last Used Date: 11/22/2021 Fee Due: $0.00
Product Date:

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 - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD 2/2/2021 2/2/2022
Overfill Prev Device Overfill Drop Tube Valve 12/17/2019 12/17/2022
Piping Fiberglass Double Wall N/A N/A
Spill Contain Device Single Wall Spill Bucket 12/17/2019 12/17/2022
Tank Fiberglass Double Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 6

Capacity: 2000 Petroleum Use: Back-up Generator
Product: Diesel Fuel CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 3/6/1991
OSFM First Notify Date: 4/1/1986 Abandoned Material:
Current Age: 9 Abandoned Date:
Install Date: 2/4/1982 Red Tag Issue Date:
Last Used Date: 2/13/1991 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: 2500 Petroleum Use: Back-up Generator
Product: Diesel Fuel CERCLA Substance:
Status: Condemned Tank CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 1/29/1993 Abandoned Material:
Current Age: 33 Abandoned Date:
Install Date: 5/6/1991 Red Tag Issue Date:
Last Used Date: 11/22/2021 Fee Due:
Product Date: 5/21/1991

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 - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD 2/2/2021 2/2/2022
Overfill Prev Device Overfill Drop Tube Valve 12/17/2019 12/17/2022
Piping Fiberglass Double Wall N/A N/A
Spill Contain Device Single Wall Spill Bucket 12/17/2019 12/17/2022
Tank Fiberglass Double Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 8

Capacity: 2500 Petroleum Use: Back-up Generator
Product: Diesel Fuel CERCLA Substance:
Status: Condemned Tank CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 1/29/1993 Abandoned Material:
Current Age: 31 Abandoned Date:
Install Date: 4/6/1991 Red Tag Issue Date:
Last Used Date: 11/22/2021 Fee Due:
Product Date: 6/3/1992

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 - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD 2/2/2021 2/2/2022
Overfill Prev Device Overfill Drop Tube Valve
Piping Fiberglass Double Wall N/A N/A
Spill Contain Device Single Wall Spill Bucket 12/17/2019 12/17/2022
Tank Fiberglass Double Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 9

Capacity: 2000 Petroleum Use: None
Product: Diesel Fuel CERCLA Substance:
Status: Condemned Tank CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 4/1/1986 Abandoned Material:
Current Age: 42 Abandoned Date:
Install Date: 2/4/1982 Red Tag Issue Date:
Last Used Date: 11/22/2021 Fee Due: $0.00
Product Date:

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 - Tank Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD 2/2/2021 2/2/2022
Overfill Prev Device Overfill Drop Tube Valve 12/17/2019 12/17/2022
Piping Fiberglass Double Wall N/A N/A
Spill Contain Device Single Wall Spill Bucket 12/17/2019 12/17/2022
Tank Fiberglass Double Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 10

Capacity: 5000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 6/9/1993
OSFM First Notify Date: 4/1/1986 Abandoned Material:
Current Age: 11 Abandoned Date:
Install Date: 2/4/1982 Red Tag Issue Date:
Last Used Date: 6/8/1993 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 11

Capacity: 5000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 6/9/1993
OSFM First Notify Date: 4/1/1986 Abandoned Material:
Current Age: 11 Abandoned Date:
Install Date: 2/4/1982 Red Tag Issue Date:
Last Used Date: 6/8/1993 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 12

Capacity: 5000 Petroleum Use:
Product: Gasoline CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 6/9/1993
OSFM First Notify Date: 4/1/1986 Abandoned Material:
Current Age: 11 Abandoned Date:
Install Date: 2/4/1982 Red Tag Issue Date:
Last Used Date: 6/8/1993 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 13

Capacity: 1000 Petroleum Use:
Product: Diesel Fuel CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 1/11/1996
OSFM First Notify Date: 6/19/1990 Abandoned Material:
Current Age: 22 Abandoned Date:
Install Date: 1/1/1974 Red Tag Issue Date:
Last Used Date: 1/1/1990 Fee Due: $0.00
Product Date: 1/1/1974

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 14

Capacity: 20000 Petroleum Use:
Product: Heating Oil CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 12/30/1998
OSFM First Notify Date: 4/1/1986 Abandoned Material:
Current Age: 16 Abandoned Date:
Install Date: 2/4/1982 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 15

Capacity: 20000 Petroleum Use:
Product: Heating Oil CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 12/30/1998
OSFM First Notify Date: 4/1/1986 Abandoned Material:
Current Age: 16 Abandoned Date:
Install Date: 2/4/1982 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 16

Capacity: 20000 Petroleum Use:
Product: Heating Oil CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 12/30/1998
OSFM First Notify Date: 4/1/1986 Abandoned Material:
Current Age: 16 Abandoned Date:
Install Date: 2/4/1982 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 17

Capacity: 20000 Petroleum Use:
Product: Heating Oil CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 12/29/1998
OSFM First Notify Date: 4/1/1986 Abandoned Material:
Current Age: 16 Abandoned Date:
Install Date: 2/4/1982 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 18

Capacity: 20000 Petroleum Use:
Product: Heating Oil CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 12/30/1998
OSFM First Notify Date: 4/1/1986 Abandoned Material:
Current Age: 16 Abandoned Date:
Install Date: 2/4/1982 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 19

Capacity: 20000 Petroleum Use:
Product: Heating Oil CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 12/29/1998
OSFM First Notify Date: 4/1/1986 Abandoned Material:
Current Age: 16 Abandoned Date:
Install Date: 2/4/1982 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 20

Capacity: 20000 Petroleum Use:
Product: Heating Oil CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 12/29/1998
OSFM First Notify Date: 4/1/1986 Abandoned Material:
Current Age: 16 Abandoned Date:
Install Date: 2/4/1982 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 21

Capacity: 20000 Petroleum Use: Back-up Generator
Product: Heating Oil CERCLA Substance:
Status: Condemned Tank CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 4/1/1986 Abandoned Material:
Current Age: 42 Abandoned Date:
Install Date: 2/4/1982 Red Tag Issue Date:
Last Used Date: 11/22/2021 Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Impressed Current Cathodic Protection 11/17/2022 11/17/2023
Corrosion Prot - Tank Impressed Current Cathodic Protection 11/17/2022 11/17/2023
Leak Detect - Piping European with No Test Req Suction N/A N/A
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 2/2/2021 2/2/2022
Overfill Prev Device Overfill Drop Tube Valve 12/17/2019 12/17/2022
Piping Galvanized Steel Single Wall Piping N/A N/A
Spill Contain Device Single Wall Spill Bucket 12/17/2019 12/17/2022
Tank Steel Double Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 22

Capacity: 20000 Petroleum Use: Back-up Generator
Product: Heating Oil CERCLA Substance:
Status: Condemned Tank CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 4/1/1986 Abandoned Material:
Current Age: 42 Abandoned Date:
Install Date: 2/4/1982 Red Tag Issue Date:
Last Used Date: 11/22/2021 Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Impressed Current Cathodic Protection 11/17/2022 11/17/2023
Corrosion Prot - Tank Impressed Current Cathodic Protection 11/17/2022 11/17/2023
Leak Detect - Piping European with No Test Req Suction N/A N/A
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 2/2/2021 2/2/2022
Overfill Prev Device Overfill Drop Tube Valve 12/17/2019 12/17/2022
Piping Galvanized Steel Single Wall Piping N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank Steel Double Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 23

Capacity: 20000 Petroleum Use: Back-up Generator
Product: Heating Oil CERCLA Substance:
Status: Condemned Tank CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 4/1/1986 Abandoned Material:
Current Age: 42 Abandoned Date:
Install Date: 2/4/1982 Red Tag Issue Date:
Last Used Date: 11/22/2021 Fee Due: $0.00
Product Date:

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Impressed Current Cathodic Protection 11/17/2022 11/17/2023
Corrosion Prot - Tank Impressed Current Cathodic Protection 11/17/2022 11/17/2023
Leak Detect - Piping European with No Test Req Suction N/A N/A
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 350 with CSLD 2/2/2021 2/2/2022
Overfill Prev Device Overfill Drop Tube Valve 12/17/2019 12/17/2022
Piping Galvanized Steel Single Wall Piping N/A N/A
Spill Contain Device Single Wall Spill Bucket
Tank Steel Double Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date



Tank Number 24

Capacity: 6000 Petroleum Use: None
Product: Diesel Fuel CERCLA Substance:
Status: Condemned Tank CAS Code:
Regulated Status: Federal Removed Date:
OSFM First Notify Date: 6/19/1990 Abandoned Material:
Current Age: 42 Abandoned Date:
Install Date: 2/4/1982 Red Tag Issue Date:
Last Used Date: 11/22/2021 Fee Due: $0.00
Product Date:

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 Electronic Pressurized Line Leak Detection 2/2/2021 2/2/2022
Leak Detect - Tank Automatic Tank Gauging Red Jacket Pro Link
Overfill Prev Device Overfill Drop Tube Valve 12/17/2019 12/17/2022
Piping Fiberglass Double Wall N/A N/A
Spill Contain Device Single Wall Spill Bucket 12/17/2019 12/17/2022
Tank Fiberglass Double Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date

Dispenser Information



MFD Motorfuel Dispensing Forms

No Forms Found