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:
2037539
Status:
Closed
Facility Name:
Good Shepherd Hospital
Address:
450 West Hwy 22
Barrington, IL 60010
County:
Lake
Property Parcel:
Facility Type:
Private Institution
Owner Type:
Private
Green Tag Decal:
I006822
Green Tag Issue Date:
9/21/2007
Green Tag Expiration Date:
12/31/2009
Owner Details
Owner Name:
Good Shepherd Hospital
Owner Address:
450 West Hwy 22
Barrington, IL 60010
Owner Status:
Current Owner
Purchase Date:
1/1/1979
Type of Financial Responsibility:
Self-Insurance
Financial Responsibility Reporting Due Date:
11/5/2008
Motor Fuel Dispensing Permits
No MFD Permits Found
Owner Summary
Click for Facility/Tank Ownership history
Owner Number
Owner Name
Owner Status
Purchase Date
U0027890
Good Shepherd Hospital
Current Owner
1/1/1979
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
09-0295
3/25/2009
Removal Log
01983-2008REM
LUST
Fund Eligibility and Deductibility Determinations
IEMA Number
Status
OSFM Received Date
OSFM Response Date
Deductible
Letter
99-0935
Eligible
4/11/2000
4/26/2000
$100,000
05-0965
Eligible
2/10/2006
3/8/2006
$100,000
Pay Tank Fees Online
Tank Information
Tank Number 1
Capacity:
20000
Petroleum Use:
Back-up Generator
Product:
Diesel Fuel
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
3/25/2009
OSFM
First Notify Date:
11/10/1998
Abandoned Material:
Current Age:
31
Abandoned Date:
Install Date:
1/1/1978
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
1/1/1978
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Impressed Current Cathodic Protection
Corrosion Prot - Tank
Impressed Current Cathodic Protection
Leak Detect - Tank
Automatic Tank Gauging
Piping
Steel Single Wall Piping
N/A
N/A
Tank
Steel Single Wall
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Dispenser Information
MFD
Motorfuel Dispensing Forms
No Forms Found
