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:	5038058
Status:	Closed
Facility Name:	Carlinville Area Hospital
Address:	1001 E. Morgan St. Carlinville, IL 62626
County:	Macoupin
Property Parcel:
Facility Type:	Private Institution
Owner Type:	Private
Green Tag Decal:	K002394
Green Tag Issue Date:	1/14/2009
Green Tag Expiration Date:	12/31/2011

Owner Details

Owner Name:	Carlinville Area Hospital
Owner Address:	1001 E Morgan St. Carlinville, IL 62626
Owner Status:	Current Owner
Purchase Date:	1/1/1981
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	5/3/2012

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0027903	Carlinville Area Hospital	Current Owner	1/1/1981

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
02-0359	3/19/2002	Removal Log	00309-2002REM
11-1132	10/20/2011	Removal Log	00963-2011REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
02-0359	Eligible	12/29/2011	2/24/2012	$15,000

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Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	1000	Heating Oil	Removed	State		$0.00	03/19/2002 - REM
2	1000	Diesel Fuel	Removed	Federal		$0.00	10/20/2011 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found