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

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Facility Details

Facility Number:	2047671
Status:	Exempt
Facility Name:	Northwestern Memorial Healthcare
Address:	4822 South Cottage Grove Chicago, IL 60615
County:	Cook
Property Parcel:
Facility Type:	Vacant
Owner Type:	Private
Green Tag Decal:
Green Tag Issue Date:
Green Tag Expiration Date:

Owner Details

Owner Name:	Northwestern Memorial Healthcare
Owner Address:	211 E. Ontario St., Suite 800 Chicago, IL 60611
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0041043	Northwestern Memorial Healthcare	Current Owner

Permits (Unexpired)

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Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
01280-2023REM	Removal	Approved / Amended	11/3/2023	11/6/2023	5/7/2024	Documents

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
2023-0940	11/17/2023	Removal Log	01280-2023REM

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	550	Gasoline	Removed	Exempt		$0.00	11/17/2023 - REM
2	160	Gasoline	Removed	Exempt		$0.00	11/17/2023 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found