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:	2046486
Status:	Active
Facility Name:	Meadow Park Ambulatory Surgery Center
Address:	1131 Techny Road Northbrook, IL 60062
County:	Cook
Property Parcel:
Facility Type:	Hospital
Owner Type:	Private
Green Tag Decal:	X003564
Green Tag Issue Date:	7/29/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	Ann & Robert H. Lurie Children's Hospital of Chicago
Owner Address:	225 E. Chicago Avenue Chicago, IL 60611
Owner Status:	Current Owner
Purchase Date:	1/1/1901
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	7/13/2024

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0004569	Ann & Robert H. Lurie Children's Hospital of Chicago	Current Owner	1/1/1901
U0036641	Lurie Children's Hospital	Former Owner

Permits (Unexpired)

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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

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	1100		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:	9/26/2019		Abandoned Material:
Current Age:	6		Abandoned Date:
Install Date:	10/4/2017		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	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	American with Sensors/No Test Suction	N/A	N/A
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	10/24/2023	10/24/2024
Overfill Prev Device	Overfill Alarm	10/3/2022	10/3/2025
Overfill Prev Device	Overfill Drop Tube Valve	10/3/2022	10/3/2025
Piping	Flexible Double Wall OmegaFlex DoubleTrac	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/3/2022	10/3/2025
Leak Detect - Piping	Non-Discriminating Sump Sensor with positive shutdown	10/3/2022	10/3/2023
Leak Detect - Piping	Sump Sensor	10/24/2023	10/24/2024
Piping	Single Wall Transition Sump	10/3/2022	10/3/2025
Leak Detect - Piping	Sump Sensor	10/24/2023	10/24/2024
Spill Contain Device	Single Wall Spill Bucket	10/3/2022	10/3/2025
Tank	Composite Double Wall Glasteel II	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	American with Sensors/No Test Suction	Functional	Pass	10/24/2023

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found