Division of Petroleum & Chemical Safety

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Facility Details

Facility Number:	2019445
Status:	Active
Facility Name:	Edward Hines Jr. Hospital
Address:	5th & Roosevelt Road, Building 218 Hines, IL 60140
County:	Cook
Property Parcel:
Facility Type:	Federal (Non-Military)
Owner Type:	Federal
Green Tag Decal:	X003723
Green Tag Issue Date:	10/18/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	Dept of Veteran Affairs Edward Hines Jr. Hospital
Owner Address:	5th & Roosevelt Road, Bldg 218 P.O. Box 5000-138S Hines, IL 60140
Owner Status:	Current Owner
Purchase Date:	1/1/1984
Type of Financial Responsibility:	Commercial Insurance and Self-Insurance
Financial Responsibility Reporting Due Date:	3/29/2022

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Fleet	10/18/2022	12/31/2024

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0015555	Dept of Veteran Affairs Edward Hines Jr. Hospital	Current Owner	1/1/1984

Permits (Unexpired)

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No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
19-1277	12/17/2019	Removal Log	02117-2019REM
19-1277	12/11/2019	Removal Log	02117-2019REM
19-1277	12/10/2019	Removal Log	02117-2019REM
19-1277	2/10/2020	Removal Log	02117-2019REM
2019-1277	1/31/2020	Removal Log	02117-2019REM
92-2875	10/13/1992	Removal Log
99-0875	4/9/1999	Removal Log	00949-1999REM

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Fee Due	Abandon/Removal Date
1	34200	Heating Oil	Removed	State	$0.00	02/10/2020 - REM
2	30000	Heating Oil	Removed	State	$0.00	12/17/2019 - REM
3	25000	Heating Oil	Removed	State	$0.00	12/17/2019 - REM
4	30000	Heating Oil	Removed	State	$0.00	01/31/2020 - REM
5	30000	Heating Oil	Removed	State	$0.00	12/11/2019 - REM
6	25000	Heating Oil	Removed	State	$0.00	12/10/2019 - REM
7	7500	Diesel Fuel	Removed	Federal	$0.00	02/10/2020 - REM
8	3000	Gasoline	Removed	Federal	$0.00	10/13/1992 - REM
9	1000	Diesel Fuel	Removed	Federal	$0.00	10/13/1992 - REM
10	550	Diesel Fuel	Removed	Federal	$0.00	09/11/2008 - REM
11	300	Diesel Fuel	Removed	Federal	$0.00	04/09/1999 - REM
12	4000	Diesel Fuel	Removed	Federal	$0.00	04/26/2022 - REM
13	1000	Diesel Fuel	Removed	Federal	$0.00	10/13/1992 - REM
14	4000	Diesel Fuel	Currently in use	Federal	$0.00
15	1000	Diesel Fuel	Currently in use	Federal	$0.00
16	1000	Diesel Fuel	Currently in use	Federal	$0.00
17	1000	Diesel Fuel	Currently in use	Federal	$0.00
18	3000	Diesel Fuel	Currently in use	Federal	$0.00
19	1000	Gasoline - Regular	Currently in use	Federal	$0.00
20	6000	Diesel Fuel	Removed	Federal	$0.00	07/06/2022 - REM
21	1000	Diesel Fuel	Removed	Federal	$0.00	09/11/2008 - REM
22	1000	Diesel Fuel	Currently in use	Federal	$0.00
23	1000	Diesel Fuel	Currently in use	Federal	$0.00
24	1500	Diesel Fuel	Currently in use	Federal	$0.00
25	3000	Diesel Fuel	Currently in use	Federal
26	40000	Diesel Fuel	Currently in use	Federal	$0.00
27	40000	Diesel Fuel	Currently in use	Federal	$0.00
28	40000	Diesel Fuel	Currently in use	Federal	$0.00
29	40000	Diesel Fuel	Currently in use	Federal	$0.00
30	40000	Diesel Fuel	Currently in use	Federal	$0.00

Dispenser Information

Name\ID	Status
Gas/Diesel	Active

MFD Motorfuel Dispensing Forms

No Forms Found