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:	6033827
Status:	Closed
Facility Name:	#7 Edwardsville Ambulatory Surgery Center
Address:	12 Ginger Creek Parkway Glen Carbon, IL 62025
County:	Madison
Property Parcel:	14-2-15-22-14-301-062
Facility Type:	Private Institution
Owner Type:	Private
Green Tag Decal:	V003544
Green Tag Issue Date:	7/24/2020
Green Tag Expiration Date:	12/31/2022

Owner Details

Owner Name:	Gateway Regional Medical Center
Owner Address:	2100 Madison Avenue Granite City, IL 62040
Owner Status:	Current Owner
Purchase Date:	1/1/2001
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	4/19/2023

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0035039	Gateway Regional Medical Center	Current Owner	1/1/2001
U0025219	Edwardsville Ambulatory Surgery Center	Former Owner	7/12/1995
U0023699	Madison Co Ambulatory Surgical Care	Former Owner	12/31/1967

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:	300		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	12/21/2022
OSFM First Notify Date:	1/13/1995		Abandoned Material:
Current Age:	35		Abandoned Date:
Install Date:	7/6/1987		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	7/10/1987

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	6/6/2019	6/6/2022
Corrosion Prot - Tank	Sacrificial Anode Cathodic Protection	6/6/2019	6/6/2022
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	110 - 600 gallons Manual Tank Gauging	N/A	N/A
Overfill Prev Device	Overfill Alarm	6/18/2020	6/18/2023
Piping	Steel Single Wall Piping	N/A	N/A
Piping	Not Installed STP/Tanktop Sump	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	6/18/2020	6/18/2023
Tank	Steel 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