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JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
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Division of Petroleum & Chemical Safety

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Facility Details

Facility Number:	2021290
Status:	Active
Facility Name:	LaGrange Memorial Hospital
Address:	5101 South Willow Springs Road La Grange, IL 60525
County:	Cook
Property Parcel:
Facility Type:	Private Institution
Owner Type:	Private
Green Tag Decal:	Z003448
Green Tag Issue Date:	1/31/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	LaGrange Memorial Hospital
Owner Address:	5101 South Willow Springs Road La Grange, IL 60525
Owner Status:	Current Owner
Purchase Date:	1/1/1987
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	1/31/2025

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0008740	LaGrange Memorial Hospital	Current Owner	1/1/1987

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
04-0084	2/25/2004	Removal Log	04162-2004REM
04-0178	8/5/2004	Removal Log	04246-2004REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
90-2391	Eligible	12/1/1993	12/20/1993	$10,000
04-0084	Eligible	1/27/2004	2/11/2004	$10,000
04-0178	Eligible	2/17/2004	2/26/2004	$10,000

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	15000	Diesel Fuel	Removed	Federal		$0.00	02/24/2004 - REM
2	15000	Diesel Fuel	Removed	Federal		$0.00	02/24/2004 - REM
3	15000	Diesel Fuel	Removed	Federal		$0.00	02/24/2004 - REM
4	12000	Diesel Fuel	Removed	Federal		$0.00	08/05/2004 - REM
5	12000	Diesel Fuel	Removed	Federal		$0.00	08/05/2004 - REM
6	12000	Diesel Fuel	Currently in use	Federal		$0.00
7	12000	Diesel Fuel	Currently in use	Federal		$0.00

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found