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:	2037019
Status:	Active
Facility Name:	Elmhurst Memorial Center For Health
Address:	1200 South York St. Elmhurst, IL 60126
County:	Du Page
Property Parcel:
Facility Type:	Private Institution
Owner Type:	Private
Green Tag Decal:	Y003923
Green Tag Issue Date:	8/30/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Elmhurst Memorial Hospital
Owner Address:	155 E. Brush Hill Road Elmhurst, IL 60126
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	2/19/2025

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0004713	Elmhurst Memorial Hospital	Current Owner

Permits (Unexpired)

Click for permit history

No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
13-1113	Eligible	5/19/2014	7/8/2014	$5,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	2500		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	3/2/2010
OSFM First Notify Date:	10/16/1998		Abandoned Material:
Current Age:	11		Abandoned Date:
Install Date:	8/27/1998		Red Tag Issue Date:
Last Used Date:	2/26/2010		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:	30000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Moved		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:			Abandoned Material:
Current Age:	12		Abandoned Date:
Install Date:	6/28/2011		Red Tag Issue Date:
Last Used Date:			Fee Due:
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	Mechanical Pressurized Line Leak Detection	6/28/2011	6/28/2012
Leak Detect - Piping	Sump Sensor
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors
Overfill Prev Device	Ball Float Vent Valve OPW 53VML
Overfill Prev Device	Overfill Alarm
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	Sensor Functional	Pass	6/28/2011
Leak Detect - Piping	Sump Sensor	Sensor Functional	Pass	6/28/2011

Tank Number 3

Capacity:	30000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Moved		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:			Abandoned Material:
Current Age:	12		Abandoned Date:
Install Date:	6/28/2011		Red Tag Issue Date:
Last Used Date:			Fee Due:
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	Mechanical Pressurized Line Leak Detection	6/28/2011	6/28/2012
Leak Detect - Piping	Sump Sensor
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors
Overfill Prev Device	Ball Float Vent Valve OPW 53VML
Overfill Prev Device	Overfill Alarm
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	Sensor Functional	Pass	6/28/2011
Leak Detect - Piping	Sump Sensor	Sensor Functional	Pass	6/28/2011

Tank Number 4

Capacity:	40000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Moved		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:			Abandoned Material:
Current Age:	12		Abandoned Date:
Install Date:	6/28/2011		Red Tag Issue Date:
Last Used Date:			Fee Due:
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	Mechanical Pressurized Line Leak Detection	6/28/2011	6/28/2012
Leak Detect - Piping	Sump Sensor
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors
Overfill Prev Device	Ball Float Vent Valve OPW 53VML
Overfill Prev Device	Overfill Alarm
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	Sensor Functional	Pass	6/28/2011
Leak Detect - Piping	Sump Sensor	Sensor Functional	Pass	6/28/2011

Tank Number 5

Capacity:	0		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Does Not Exist		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:			Abandoned Material:
Current Age:	1		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
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	10/22/2010	10/22/2011
Leak Detect - Piping	Sump Sensor
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300c
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors
Overfill Prev Device	Overfill Alarm
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	Sensor Functional	Pass	10/22/2010
Leak Detect - Piping	Sump Sensor	Sensor Functional	Pass	10/22/2010

Tank Number 6

Capacity:	2500		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	6/27/2011		Abandoned Material:
Current Age:	13		Abandoned Date:
Install Date:	10/15/2010		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	2/1/2011

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	4/15/2024	4/15/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	4/15/2024	4/15/2025
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	4/15/2024	4/15/2025
Overfill Prev Device	Overfill Alarm	5/26/2023	5/26/2026
Overfill Prev Device	Overfill Drop Tube Valve	5/26/2023	5/26/2026
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/26/2023	5/26/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	4/15/2024	4/15/2025
Piping	Single Wall Transition Sump	5/26/2023	5/26/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	4/15/2024	4/15/2025
Spill Contain Device	Single Wall Spill Bucket	5/26/2023	5/26/2026
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test	Pass	5/18/2021

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found