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:	7045452
Status:	Active
Facility Name:	Memorial Hospital of Carbondale - Energy Center
Address:	200 N. Poplar Street Carbondale, IL 62901
County:	Jackson
Property Parcel:	15-21-109-017
Facility Type:	Hospital
Owner Type:	Private
Green Tag Decal:	Z003662
Green Tag Issue Date:	3/12/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Southern Illinois Hospital Services
Owner Address:	1239 East Main Street Carbondale, IL 62901
Owner Status:	Current Owner
Purchase Date:	1/1/1901
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	3/12/2025

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0014187	Southern Illinois Hospital Services	Current Owner	1/1/1901
U0036999	Southern Illinois Hospital Services	Former Owner	9/26/2013

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:	25000		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:	7/2/2014		Abandoned Material:
Current Age:	10		Abandoned Date:
Install Date:	9/26/2013		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/27/2013

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	10/25/2023	10/25/2024
Leak Detect - Tank	Automatic Tank Gauging Incon TS 550 with SCALD	10/25/2023	10/25/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	10/25/2023	10/25/2024
Overfill Prev Device	Overfill Drop Tube Valve	10/25/2023	10/25/2026
Piping	Flexible Double Wall A.P.T. Poly Tech P150SC	N/A	N/A
Piping	Flexible Double Wall A.P.T. Poly Tech P200SC	N/A	N/A
Piping	Double Wall STP/Tanktop Sump	10/25/2023	10/25/2026
Leak Detect - Piping	Sump Sensor with positive shutdown	10/25/2023	10/25/2024
Piping	Single Wall Transition Sump	10/25/2023	10/25/2026
Leak Detect - Piping	Sump Sensor	10/25/2023	10/25/2024
Spill Contain Device	Single Wall Spill Bucket	10/25/2023	10/25/2026
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall A.P.T. Poly Tech P150SC	Precision Test	Pass	10/25/2023
Piping	Flexible Double Wall A.P.T. Poly Tech P200SC	Precision Test	Pass	10/25/2023
Tank	Fiberglass Double Wall Containment Solutions	Precision Test (Tank)	Pass	10/25/2023

Tank Number 2

Capacity:	20000		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:	8/22/2022		Abandoned Material:
Current Age:	1		Abandoned Date:
Install Date:	6/29/2022		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	6/29/2022

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	10/25/2023	10/25/2024
Leak Detect - Tank	Automatic Tank Gauging Incon TS 550 with SCALD	10/25/2023	10/25/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	10/25/2023	10/25/2024
Overfill Prev Device	Overfill Drop Tube Valve	10/25/2023	10/25/2026
Piping	Flexible Double Wall OPW Flexworks	N/A	N/A
Piping	Fiberglass Single Wall Piping Ameron Dualoy 3000/L	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/25/2023	10/25/2026
Leak Detect - Piping	Sump Sensor	10/25/2023	10/25/2024
Piping	Single Wall STP/Tanktop Sump	10/25/2023	10/25/2026
Leak Detect - Piping	Sump Sensor	10/25/2023	10/25/2024
Spill Contain Device	Single Wall Spill Bucket	10/25/2023	10/25/2026
Tank	Fiberglass Double Wall Containment Solutions	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Single Wall Piping Ameron Dualoy 3000/L	Precision Test	Pass	10/25/2023
Piping	Flexible Double Wall OPW Flexworks	Precision Test	Pass	10/25/2023
Piping	Polyethylene Chase	Precision Test	Pass	8/1/2022
Piping	Steel Single Wall Piping	Precision Test	Pass	8/1/2022
Tank	Fiberglass Double Wall Containment Solutions	Precision Test (Tank)	Pass	10/25/2023

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found