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:	1026569
Status:	Active
Facility Name:	Katherine Shaw Bethea Hospital
Address:	403 East 1st Street Dixon, IL 61021
County:	Lee
Property Parcel:	07-08-05-210-026
Facility Type:	Hospital
Owner Type:	Private
Green Tag Decal:	Y004594
Green Tag Issue Date:	10/4/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Katherine Shaw Bethea Hospital
Owner Address:	403 East 1st Street Dixon, IL 61021
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	5/8/2026

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0008284	Katherine Shaw Bethea Hospital	Current Owner

Permits (Unexpired)

Click for permit history

No Active Permits Found

Notice of Violatlions (Current)

No Notice of Violations 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:	3000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	1/17/1991
OSFM First Notify Date:	9/20/1990		Abandoned Material:
Current Age:	28		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

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:	2000		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:	7/31/1991		Abandoned Material:
Current Age:	34		Abandoned Date:
Install Date:	1/1/1991		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Composite Secondary Containment	N/A	N/A
Corrosion Prot - Tank	Sacrificial Anode Cathodic Protection	8/9/2024	8/9/2027
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors with monitor	8/7/2024	8/7/2025
Overfill Prev Device	Overfill Drop Tube Valve	8/7/2024	8/7/2027
Piping	Polyethylene Chase	N/A	N/A
Piping	Steel Single Wall Piping	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Non-Discriminating Sump Sensor	4/4/2022	4/4/2023
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	8/7/2024	8/7/2027
Tank	STIP3 Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	7000		Petroleum Use:
Product:	Heating Oil		CERCLA Substance:
Status:	Pre 1974		CAS Code:
Regulated Status:	Exempt		Removed Date:
OSFM First Notify Date:			Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	12/1/1973		Fee Due:
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 4

Capacity:	7000		Petroleum Use:
Product:	Heating Oil		CERCLA Substance:
Status:	Pre 1974		CAS Code:
Regulated Status:	Exempt		Removed Date:
OSFM First Notify Date:			Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	12/1/1973		Fee Due:
Product Date:

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