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:	5031556
Status:	Active
Facility Name:	Memorial Medical Center
Address:	701 North 1st Street Springfield, IL 62781
County:	Sangamon
Property Parcel:	14-28.0-281-010
Facility Type:	Private Institution
Owner Type:	Private
Green Tag Decal:	X003640
Green Tag Issue Date:	5/19/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	Memorial Medical Center
Owner Address:	701 North 1st Street Springfield, IL 62781
Owner Status:	Current Owner
Purchase Date:	1/1/1970
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	3/28/2025

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0020933	Memorial Medical Center	Current Owner	1/1/1970

Permits (Unexpired)

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No Active Permits Found

Deficiencies (Current)

No Deficiencies Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
04-1654	11/29/2004	Removal Log	05429-2004REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
04-1654	Eligible	5/20/2005	6/23/2005	$15,000

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	20000	Diesel Fuel	Removed	Federal		$0.00	11/29/2004 - REM
2	20000	Diesel Fuel	Removed	Federal		$0.00	11/29/2004 - REM
3	20000	Diesel Fuel	Currently in use	Federal		$0.00
4	20000	Diesel Fuel	Currently in use	Federal		$0.00
5	20000	Diesel Fuel	Currently in use	Federal

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found