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:	3014321
Status:	Closed
Facility Name:	Genesis Medical Center
Address:	801 Illini Drive Silvis, IL 61282
County:	Rock Island
Property Parcel:
Facility Type:	Private Institution
Owner Type:	Private
Green Tag Decal:	T005397
Green Tag Issue Date:	9/5/2018
Green Tag Expiration Date:	12/31/2020

Owner Details

Owner Name:	Genesis Medical Center
Owner Address:	801 Illini Drive Silvis, IL 61282
Owner Status:	Current Owner
Purchase Date:	5/10/2004
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	12/27/2019

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0033612	Genesis Medical Center	Current Owner	5/10/2004
U0007467	Illini Hospital Dist	Former Owner	5/10/2004

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

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	#2 Fuel Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/24/1998
OSFM First Notify Date:	4/18/1986		Abandoned Material:
Current Age:	24		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:
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:	1000		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/14/2019
OSFM First Notify Date:	7/31/2006		Abandoned Material:
Current Age:	29		Abandoned Date:
Install Date:	1/1/1990		Red Tag Issue Date:
Last Used Date:	3/5/2019		Fee Due:	$0.00
Product Date:	1/1/1990

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Piping	Other Aboveground Piping	N/A	N/A
Corrosion Prot - Tank	Sacrificial Anode Cathodic Protection	7/17/2018	7/17/2021
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	7/17/2018	7/17/2019
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Aboveground	N/A	N/A
Piping	Fiberglass Double Wall Ameron	N/A	N/A
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	STIP3 Double 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