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:	2047217
Status:	Active
Facility Name:	Edward Hines Jr VA Hospital
Address:	5th & Roosevelt Road Building 226B Hines, IL 60141
County:	Cook
Property Parcel:	15-23-100-004-0000
Facility Type:	Hospital
Owner Type:	Federal
Green Tag Decal:	X003722
Green Tag Issue Date:	10/18/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	Dept of Veteran Affairs Edward Hines Jr. Hospital
Owner Address:	5th & Roosevelt Road, Bldg 218 P.O. Box 5000-138S Hines, IL 60140
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	3/29/2024

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0015555	Dept of Veteran Affairs Edward Hines Jr. Hospital	Current 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:	40000		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:	10/12/2022		Abandoned Material:
Current Age:	2		Abandoned Date:
Install Date:	4/16/2021		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/8/2021

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	American with Sensors/No Test Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus	5/25/2023	5/25/2024
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	5/25/2023	5/25/2024
Overfill Prev Device	Overfill Alarm	5/25/2023	5/25/2026
Overfill Prev Device	Overfill Drop Tube Valve	5/25/2023	5/25/2026
Piping	Flexible Double Wall OmegaFlex DoubleTrac	N/A	N/A
Piping	Double Wall STP/Tanktop Sump	5/25/2023	5/25/2026
Leak Detect - Piping	Sump Sensor	5/25/2023	5/25/2024
Spill Contain Device	Single Wall Spill Bucket	5/25/2023	5/25/2026
Tank	Fiberglass Double Wall XERXES	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	9/8/2022
Piping	Flexible Double Wall OmegaFlex DoubleTrac	Precision Test	Pass	5/19/2021
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	9/7/2021

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found