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:	5031852
Status:	Active
Facility Name:	Hospital Sisters Health System
Address:	4938 LaVerna Road Springfield, IL 62707
County:	Sangamon
Property Parcel:
Facility Type:	Private Institution
Owner Type:	Private
Green Tag Decal:	X003626
Green Tag Issue Date:	6/2/2022
Green Tag Expiration Date:	12/31/2024

Owner Details

Owner Name:	Hospital Sisters Health System
Owner Address:	4938 La Verna Road Springfield, IL 62707
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	6/2/2023

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0036563	Hospital Sisters Health System	Current Owner
U0021360	Hospital Sisters of the Third Order	Former Owner	5/21/1993

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:	3914		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:	11/10/1998		Abandoned Material:
Current Age:	31		Abandoned Date:
Install Date:	5/21/1993		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	5/21/1993

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
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	Automatic Tank Gauging Veeder Root TLS 350	9/29/2023	9/29/2024
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	9/29/2023	9/29/2024
Overfill Prev Device	Overfill Alarm	10/1/2021	10/1/2024
Overfill Prev Device	Overfill Drop Tube Valve	10/1/2021	10/1/2024
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	10/1/2021	10/1/2024
Tank	Fiberglass Brine Filled Double 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