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:	5029017
Status:	Closed
Facility Name:	SIU Support Services
Address:	201 E. Madison Springfield, IL 62703
County:	Sangamon
Property Parcel:
Facility Type:	Private Institution
Owner Type:	Private
Green Tag Decal:	O002084
Green Tag Issue Date:	3/6/2014
Green Tag Expiration Date:	12/31/2015

Owner Details

Owner Name:	Memorial Medical Center
Owner Address:	701 North 1st Street Springfield, IL 62781
Owner Status:	Current Owner
Purchase Date:	6/20/2014
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	7/31/2015

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0020933	Memorial Medical Center	Current Owner	6/20/2014
U0032436	Midwest Equities, LLC	Former Owner	12/1/1998
U0018478	First Of America Trust # 1305825-00	Former Owner

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
15-0869	Eligible	1/21/2016	2/18/2016	$5,000

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Tank Information

Tank Number 1

Capacity:	1000		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	4/21/2015
OSFM First Notify Date:	11/21/1991		Abandoned Material:
Current Age:	28		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	9/4/2013		Fee Due:	$0.00
Product Date:	2/1/1987

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	1/21/2014	1/21/2017
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging OPW EECO 1500
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Flexible Double Wall	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket
Tank	STIP3 Single Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found