Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	2025797
Status:	Active
Facility Name:	Northwestern Medicine Lake Forest Hospital
Address:	1000 N. Westmoreland Rd. Lake Forest, IL 60045
County:	Lake
Property Parcel:	1229300007
Facility Type:	Hospital
Owner Type:	Private
Green Tag Decal:	Z003573
Green Tag Issue Date:	7/1/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Northwestern Medicine Lake Forest Hospital
Owner Address:	1000 N. Westmoreland Rd. Lake Forest, IL 60045
Owner Status:	Current Owner
Purchase Date:	5/26/2016
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	8/20/2025

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0039552	Northwestern Medicine Lake Forest Hospital	Current Owner	5/26/2016
U0038383	Northwestern Memorial Healthcare	Former Owner	7/18/2016
U0008830	Lake Forest Hospital	Former Owner

Permits (Unexpired)

Click for permit history

No Active Permits Found

Notice of Violations (Current)

No Notice of Violations Found

IEMA Numbers Associated with the Facility

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
98-0382	Eligible	2/27/1998	3/19/1998	$15,000
03-1157	Eligible	4/20/2004	4/29/2004	$15,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	2000	Petroleum Use:
Product:	Gasoline	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	Federal	Removed Date:	9/24/2003
OSFM First Notify Date:	5/14/1990	Abandoned Material:
Current Age:	14	Abandoned Date:
Install Date:	8/1/1989	Red Tag Issue Date:
Last Used Date:		Fee Due:	$0.00
Product Date:	8/1/1989

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:	10000	Petroleum Use:	Back-up Generator
Product:	Diesel Fuel	CERCLA Substance:
Status:	Abandoned in place	CAS Code:
Regulated Status:	Federal	Removed Date:
OSFM First Notify Date:	6/2/1990	Abandoned Material:	Inert material mixed with portland cement
Current Age:	49	Abandoned Date:	9/10/1998
Install Date:	1/1/1976	Red Tag Issue Date:
Last Used Date:	2/20/1998	Fee Due:	$0.00
Product Date:	1/1/1976

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Tank Number 3

Capacity:	2000	Petroleum Use:
Product:	Gasoline	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	Federal	Removed Date:	9/28/1989
OSFM First Notify Date:	4/6/1990	Abandoned Material:
Current Age:	12	Abandoned Date:
Install Date:	1/1/1977	Red Tag Issue Date:
Last Used Date:	11/1/1989	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 4

Capacity:	1000	Petroleum Use:
Product:	Gasoline	CERCLA Substance:
Status:	Removed	CAS Code:
Regulated Status:	Federal	Removed Date:	9/28/1989
OSFM First Notify Date:	4/6/1990	Abandoned Material:
Current Age:	14	Abandoned Date:
Install Date:	1/1/1975	Red Tag Issue Date:
Last Used Date:	5/1/1987	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 5

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:	7/18/2016	Abandoned Material:
Current Age:	9	Abandoned Date:
Install Date:	10/22/2015	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	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	12/27/2024	12/27/2025
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	12/27/2024	12/27/2025
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors with monitor	12/27/2024	12/27/2025
Overfill Prev Device	Overfill Alarm	12/27/2024	12/27/2027
Overfill Prev Device	Overfill Drop Tube Valve	12/27/2024	12/27/2027
Piping	Flexible Double Wall OmegaFlex DoubleTrac	N/A	N/A
Piping	Double Wall STP/Tanktop Sump	12/27/2024	12/27/2027
Leak Detect - Piping	Non-Discriminating Sump Sensor with positive shutdown	12/1/2021	12/1/2022
Leak Detect - Piping	Sump Sensor	12/27/2024	12/27/2025
Piping	Double Wall STP/Tanktop Sump	12/27/2024	12/27/2027
Leak Detect - Piping	Non-Discriminating Sump Sensor with positive shutdown	12/1/2021	12/1/2022
Leak Detect - Piping	Sump Sensor	12/27/2024	12/27/2025
Piping	Single Wall Transition Sump	12/27/2024	12/27/2027
Leak Detect - Piping	Sump Sensor	12/27/2024	12/27/2025
Piping	Single Wall Transition Sump	12/27/2024	12/27/2027
Leak Detect - Piping	Sump Sensor	12/27/2024	12/27/2025
Piping	Single Wall Transition Sump	12/27/2024	12/27/2027
Leak Detect - Piping	Sump Sensor	12/27/2024	12/27/2025
Piping	Single Wall Transition Sump	12/27/2024	12/27/2027
Leak Detect - Piping	Sump Sensor	12/27/2024	12/27/2025
Spill Contain Device	Single Wall Spill Bucket	12/27/2024	12/27/2027
Tank	Fiberglass Brine Filled Double Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Piping	Flexible Double Wall OmegaFlex DoubleTrac	Precision Test (Piping)	Pass	12/27/2024

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found