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:	6035570
Status:	Active
Facility Name:	Salem Township Hospital
Address:	1201 Ricker Road Salem, IL 62881
County:	Marion
Property Parcel:
Facility Type:	Hospital
Owner Type:	Private
Green Tag Decal:	Y003423
Green Tag Issue Date:	6/5/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Salem Township Hospital
Owner Address:	1201 Ricker Road Salem, IL 62881
Owner Status:	Current Owner
Purchase Date:	12/8/1970
Type of Financial Responsibility:	Guarantee
Financial Responsibility Reporting Due Date:	9/27/2024

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0036003	Salem Township Hospital	Current Owner	12/8/1970
U0025571	Public Hospital Of Salem Il	Former Owner	1/1/1972

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:	1000		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	6/4/1997
OSFM First Notify Date:	3/25/1997		Abandoned Material:
Current Age:	25		Abandoned Date:
Install Date:	1/1/1972		Red Tag Issue Date:
Last Used Date:	6/2/1997		Fee Due:
Product Date:	1/1/1972

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 2

Capacity:	8000		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:	8/3/2011		Abandoned Material:
Current Age:	13		Abandoned Date:
Install Date:	2/17/2011		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	2/18/2011

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	American with Sensors/No Test Suction	N/A	N/A
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors with monitor	4/10/2024	4/10/2025
Overfill Prev Device	Overfill Alarm	5/2/2022	5/2/2025
Overfill Prev Device	Overfill Drop Tube Valve	5/2/2022	5/2/2025
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/2/2022	5/2/2025
Leak Detect - Piping	Sump Sensor	4/10/2024	4/10/2025
Spill Contain Device	Single Wall Spill Bucket	5/2/2022	5/2/2025
Tank	Fiberglass Double Wall XERXES	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
Leak Detect - Piping	American with Sensors/No Test Suction	Functional	Pass	4/10/2024

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found