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:	2026697
Status:	Closed
Facility Name:	Lutheran General Hospital West Pavilion
Address:	1700 Luther Lane Park Ridge, IL 60068
County:	Cook
Property Parcel:
Facility Type:	Private Institution
Owner Type:	Private
Green Tag Decal:	D000812
Green Tag Issue Date:	8/26/2002
Green Tag Expiration Date:	12/31/2005

Owner Details

Owner Name:	Advocate Healthcare
Owner Address:	2025 Windsor Drive Oak Brook, IL 605231586
Owner Status:	Current Owner / Operator
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	4/5/2006

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0018941	Advocate Healthcare	Current Owner / Operator
U0011574	Lutheran General Hosital	Former Owner / Operator	8/25/1991

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
05-0418	3/25/2005	Removal Log	00016-2005REM
91-0822	3/27/1991	Removal Log

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	2000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/27/1991
OSFM First Notify Date:	1/22/1991		Abandoned Material:
Current Age:	25		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	3/20/1991		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 2

Capacity:	1000		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/25/2005
OSFM First Notify Date:	5/12/1997		Abandoned Material:
Current Age:	13		Abandoned Date:
Install Date:	8/25/1991		Red Tag Issue Date:
Last Used Date:	3/22/2005		Fee Due:	$0.00
Product Date:	8/25/1991

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found