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:	2004978
Status:	Closed
Facility Name:	Palos Community Hospital
Address:	12251 S. 80th Avenue Palos Heights, IL 60463
County:	Cook
Property Parcel:
Facility Type:	Private Institution
Owner Type:	Private
Green Tag Decal:	J007061
Green Tag Issue Date:	1/28/2008
Green Tag Expire Date:	12/31/2010
MFD Type:	N/A

Owner Details

Owner Name:	Palos Community Hospital
Owner Address:	12251 S. 80th Avenue Palos Heights, IL 60463
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	6/25/2010

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0014353	Palos Community 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

IEMA Number	Inspection Date	Inspection Type	Permit Number
09-0566	5/27/2009	Removal Log	00560-2009REM
09-0646	7/2/2009	Removal Log	00744-2009REM
91-3764	12/30/1991	Removal Log

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	10000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	12/30/1991
OSFM First Notify Date:	3/25/1986		Abandoned Material:
Current Age:	20		Abandoned Date:
Install Date:	1/1/1971		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:	500		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	7/2/2009
OSFM First Notify Date:	1/22/1992		Abandoned Material:
Current Age:	17		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	12/31/1973		Fee Due:	$0.00
Product Date:	1/9/1992

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	American with Annual Prec Line Testing Suction
Leak Detect - Tank	Automatic Tank Gauging Incon TS 750
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors
Overfill Prev Device	Overfill Drop Tube Valve
Piping	Steel Single Wall Piping	N/A	N/A
Spill Contain Device	Manhole Field Constructed
Tank	Composite Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	3000		Petroleum Use:
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	5/27/2009
OSFM First Notify Date:	6/11/2009		Abandoned Material:
Current Age:			Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	12/31/1973		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:	10000		Petroleum Use:	Back-up Generator
Product:	#2 Fuel Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/16/2010
OSFM First Notify Date:	1/22/1992		Abandoned Material:
Current Age:	18		Abandoned Date:
Install Date:	1/10/1992		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

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found