Information

JB Pritzker, Governor

Michele L Pankow, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
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Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	1026349
Status:	Closed
Facility Name:	Kishwaukee Community Hospital
Address:	626 Bethany Road PO Box 707 De Kalb, IL 60115
County:	De Kalb
Property Parcel:
Facility Type:	Private Institution
Owner Type:	Private
Green Tag Decal:	F003202
Green Tag Issue Date:	3/9/2004
Green Tag Expire Date:	12/31/2007
MFD Type:	N/A

Owner Details

Owner Name:	Kishwaukee Community Hospital
Owner Address:	1 Kish Hospital Drive De Kalb, IL 60115
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	1/24/2009

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0008511	Kishwaukee Community Hospital	Current Owner

Permits (Unexpired)

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No Active Permits Found

Notice of Violatlions (Current)

No Notice of Violations Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
09-1390	12/16/2009	Removal Log	01490-2009REM

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	3000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	12/16/2009
OSFM First Notify Date:	10/22/1990		Abandoned Material:
Current Age:	27		Abandoned Date:
Install Date:	7/1/1982		Red Tag Issue Date:
Last Used Date:	9/30/2007		Fee Due:	$0.00
Product Date:	7/1/1982

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found