Information

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

Facility Details

Facility Number:	2025478
Status:	Active
Facility Name:	Highland Park Hospital
Address:	777 Park Avenue West Highland Park, IL 60035
County:	Lake
Property Parcel:
Facility Type:	Hospital
Owner Type:	Private
Green Tag Decal:	X003749
Green Tag Issue Date:	8/18/2022
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:
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
U0030906	Evanston Northwestern Hospital Corp	Former Owner	12/27/1999
U0006823	Highland Park 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
04-0491	4/13/2004	Removal Log	04305-2004REM
09-0969	9/3/2009	Removal Log	00912-2009REM
99-1020	4/20/1999	Removal Log	00153-1999REM

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	3500		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/13/2004
OSFM First Notify Date:	6/21/1989		Abandoned Material:	Inert material mixed with portland cement
Current Age:	31		Abandoned Date:	4/5/1999
Install Date:			Red Tag Issue Date:
Last Used Date:	12/21/1998		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:	10000		Petroleum Use:
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/20/1999
OSFM First Notify Date:	6/21/1989		Abandoned Material:
Current Age:	41		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/8/1995		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 3

Capacity:	15000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	5/21/1992
OSFM First Notify Date:	6/21/1989		Abandoned Material:
Current Age:	19		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:	10000		Petroleum Use:
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/20/1999
OSFM First Notify Date:	6/21/1989		Abandoned Material:
Current Age:	41		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/8/1995		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 5

Capacity:	10000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/7/2003
OSFM First Notify Date:	7/15/1999		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 6

Capacity:	15000		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/3/2009
OSFM First Notify Date:	9/6/2002		Abandoned Material:
Current Age:	16		Abandoned Date:
Install Date:	5/26/1993		Red Tag Issue Date:
Last Used Date:	1/1/2005		Fee Due:	$0.00
Product Date:	6/26/1993

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:	20000		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:	Also a Back up Boiler System
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/2/2004		Abandoned Material:
Current Age:	20		Abandoned Date:
Install Date:	8/19/2003		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/20/2003

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite 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 Incon TS 750	5/17/2023	5/17/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	5/17/2023	5/17/2024
Overfill Prev Device	Overfill Drop Tube Valve	6/10/2021	6/10/2024
Piping	Flexible Double Wall A.P.T. Poly Tech	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Non-Discriminating Sump Sensor	5/15/2020	5/15/2021
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	6/10/2021	6/10/2024
Tank	Composite Double Wall ACT 100	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Tank	Composite Double Wall ACT 100	Precision Test (Tank)	Pass	12/15/2023

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found