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:	4011011
Status:	Active
Facility Name:	St. Anthony Memorial Hospital
Address:	503 N. Maple Effingham, IL 62401
County:	Effingham
Property Parcel:
Facility Type:	Hospital
Owner Type:	Private
Green Tag Decal:	Y000095
Green Tag Issue Date:	8/15/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	St. Anthony Memorial Hospital
Owner Address:	503 N. Maple Effingham, IL 62401
Owner Status:	Current Owner
Purchase Date:	10/23/1996
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	4/4/2025

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0014327	St. Anthony Memorial Hospital	Current Owner	10/23/1996

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:	5000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/8/1996
OSFM First Notify Date:	4/18/1986		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	10/7/1996		Fee Due:	$0.00
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:	5000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	10/8/1996
OSFM First Notify Date:	4/18/1986		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	10/7/1996		Fee Due:	$0.00
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 3

Capacity:	8000		Petroleum Use:
Product:			CERCLA Substance:	Brine
Status:	Unknown		CAS Code:
Regulated Status:	Non-Regulated		Removed Date:
OSFM First Notify Date:	4/18/1986		Abandoned Material:
Current Age:	22		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 4

Capacity:	15000		Petroleum Use:
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/14/1993
OSFM First Notify Date:	3/12/1990		Abandoned Material:
Current Age:	45		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	9/9/1993		Fee Due:	$0.00
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 5

Capacity:	15000		Petroleum Use:
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/14/1993
OSFM First Notify Date:	3/12/1990		Abandoned Material:
Current Age:	45		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	9/9/1993		Fee Due:	$0.00
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 6

Capacity:	15000		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:	10/13/1993		Abandoned Material:
Current Age:	30		Abandoned Date:
Install Date:	9/17/1993		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/17/1993

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	3/13/2023	3/13/2026
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	3/13/2024	3/13/2025
Overfill Prev Device	Overfill Drop Tube Valve	3/13/2024	3/13/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Not Installed STP/Tanktop Sump	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	3/13/2024	3/13/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	Sensor Functional	Pass	6/7/2011

Tank Number 7

Capacity:	2500		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:	11/8/1996		Abandoned Material:
Current Age:	27		Abandoned Date:
Install Date:	10/8/1996		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	10/8/1996

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	4/19/2023	4/19/2026
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	3/13/2024	3/13/2025
Overfill Prev Device	Overfill Drop Tube Valve	3/13/2024	3/13/2027
Piping	Fiberglass Double Wall A.O. Smith	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	3/13/2024	3/13/2027
Tank	Fiberglass Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	Sensor Functional	Pass	6/7/2011

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found