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:	4005335
Status:	Active
Facility Name:	Sara Bush Lincoln Health Center
Address:	1000 Health Center Drive PO Box 372 Mattoon, IL 61938
County:	Coles
Property Parcel:
Facility Type:	Hospital
Owner Type:	Private
Green Tag Decal:	X002691
Green Tag Issue Date:	8/18/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	Sara Bush Lincoln Health Center
Owner Address:	1000 Health Center Drive P.O. Box 372 Mattoon, IL 61938
Owner Status:	Current Owner
Purchase Date:	5/1/1977
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	5/1/2025

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0021010	Sara Bush Lincoln Health Center	Current Owner	5/1/1977

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

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
91-3319	Eligible	7/13/1995	8/4/1995	$15,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	15000		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	7/19/1994
OSFM First Notify Date:	3/24/1986		Abandoned Material:
Current Age:	17		Abandoned Date:
Install Date:	1/1/1976		Red Tag Issue Date:
Last Used Date:	3/30/1991		Fee Due:	$0.00
Product Date:	5/1/1977

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:	15000		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	7/19/1994
OSFM First Notify Date:	3/24/1986		Abandoned Material:
Current Age:	17		Abandoned Date:
Install Date:	1/1/1976		Red Tag Issue Date:
Last Used Date:	3/30/1991		Fee Due:	$0.00
Product Date:	5/1/1977

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	1000		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	1/12/1990
OSFM First Notify Date:	11/24/1992		Abandoned Material:
Current Age:	7		Abandoned Date:
Install Date:	11/1/1982		Red Tag Issue Date:
Last Used Date:	1/10/1990		Fee Due:	$0.00
Product Date:	11/1/1982

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	8000		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:	5/31/1995		Abandoned Material:
Current Age:	29		Abandoned Date:
Install Date:	1/16/1995		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/16/1995

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	10/18/2023	10/18/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	10/18/2023	10/18/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	10/18/2023	10/18/2024
Overfill Prev Device	Overfill Alarm	10/18/2021	10/18/2024
Overfill Prev Device	Overfill Drop Tube Valve	10/18/2021	10/18/2024
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/18/2021	10/18/2024
Leak Detect - Piping	Non-Discriminating Sump Sensor	12/3/2020	12/3/2021
Leak Detect - Piping	Sump Sensor	10/18/2023	10/18/2024
Spill Contain Device	Single Wall Spill Bucket	10/18/2021	10/18/2024
Tank	Composite Double Wall Plasteel	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 5

Capacity:	8000		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Diesel Fuel		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	State		Removed Date:
OSFM First Notify Date:	5/31/1995		Abandoned Material:
Current Age:	29		Abandoned Date:
Install Date:	1/16/1995		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/16/1995

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	10/18/2023	10/18/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	10/18/2023	10/18/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	10/18/2023	10/18/2024
Overfill Prev Device	Overfill Alarm	10/18/2021	10/18/2024
Overfill Prev Device	Overfill Drop Tube Valve	10/18/2021	10/18/2024
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall Transition Sump	10/18/2021	10/18/2024
Leak Detect - Piping	Sump Sensor	10/18/2023	10/18/2024
Spill Contain Device	Single Wall Spill Bucket	10/18/2021	10/18/2024
Tank	Composite Double Wall Plasteel	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found