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:	2016142
Status:	Active
Facility Name:	Community First Medical Center
Address:	5645 W. Addison Street Chicago, IL 60634
County:	Cook
Property Parcel:
Facility Type:	Private Institution
Owner Type:	Private
Green Tag Decal:	Y003568
Green Tag Issue Date:	10/4/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Community First Medical Center
Owner Address:	5645 W. Addison Street Chicago Heights, IL 60634
Owner Status:	Current Owner
Purchase Date:	1/1/2015
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	10/4/2024

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0037771	Community First Medical Center	Current Owner	1/1/2015
U0012643	Resurrection Health Care Corp.	Former Owner	12/8/1993
U0011132	Northwest Hospital	Former Owner	12/31/1967
U0037097	Presence Health	Former 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:	1/25/1994
OSFM First Notify Date:	5/29/1986		Abandoned Material:
Current Age:	19		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/24/1994		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:	2500		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:	2/28/1994		Abandoned Material:
Current Age:	31		Abandoned Date:
Install Date:	12/9/1993		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/9/1993

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	N/A	N/A
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	5/13/2025	5/13/2026
Overfill Prev Device	Overfill Drop Tube Valve	5/13/2025	5/13/2028
Piping	Fiberglass Double Wall	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Non-Discriminating Sump Sensor	4/21/2021	4/21/2022
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	5/13/2025	5/13/2028
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Fiberglass Double Wall	Precision Test (Piping)	Pass	5/30/2024
Tank	Fiberglass Double Wall	Precision Test (Tank)	Pass	5/13/2025

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found