Division of Petroleum & Chemical Safety

 
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Facility Details

Facility Number: 7044887
Status: Active
Facility Name: SSM Health Good Samaritan Hospital
Address: 1 Good Samaritan Way
Mount Vernon, IL 62864
County: Jefferson
Property Parcel:
Facility Type: Hospital
Owner Type: Private
Green Tag Decal: X003871
Green Tag Issue Date: 5/10/2022
Green Tag Expiration Date: 12/31/2024

Owner Details

Owner Name: SSM Health Good Samaritan Hospital
Owner Address: 1 Good Samaritan Way
Mount Vernon, IL 62864
Owner Status: Current Owner
Purchase Date: 8/24/2015
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 7/13/2024

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

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Owner Number Owner Name Owner Status Purchase Date
U0038414 SSM Health Good Samaritan Hospital Current Owner 8/24/2015
U0036084 St. Mary's Good Samaratin Medical Center Former Owner

Permits (Unexpired)

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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

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Tank Information

Tank Number Capacity Product Status Regulated Status Red Tag Issued Fee Due Abandon/Removal Date
1 50000 Diesel Fuel Currently in use Federal

Dispenser Information

Name\ID Status

MFD Motorfuel Dispensing Forms

No Forms Found