Information

JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
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Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	2034109
Status:	Active
Facility Name:	Health Care Service Corporation
Address:	3625 Amhurst Parkway Waukegan, IL 60085
County:	Lake
Property Parcel:
Facility Type:	Private Institution
Owner Type:	Private
Green Tag Decal:	Z003593
Green Tag Issue Date:	12/27/2023
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Health Care Service Corporation
Owner Address:	3625 Amhurst Parkway Waukegan, IL 60085
Owner Status:	Current Owner
Purchase Date:	10/17/1995
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	2/15/2026

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0024034	Health Care Service Corporation	Current Owner	10/17/1995

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

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	15000		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:	10/17/1995		Abandoned Material:
Current Age:	29		Abandoned Date:
Install Date:	8/21/1995		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/23/1995

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Jacketed Steel Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	8/7/2024	8/7/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	8/7/2024	8/7/2025
Overfill Prev Device	Overfill Alarm	4/11/2023	4/11/2026
Overfill Prev Device	Overfill Drop Tube Valve	4/11/2023	4/11/2026
Piping	Flexible Double Wall OmegaFlex DoubleTrac	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/11/2023	4/11/2026
Leak Detect - Piping	Sump Sensor	8/7/2024	8/7/2025
Piping	Single Wall STP/Tanktop Sump	4/11/2023	4/11/2026
Leak Detect - Piping	Sump Sensor	8/7/2024	8/7/2025
Piping	Single Wall Transition Sump	4/11/2023	4/11/2026
Leak Detect - Piping	Sump Sensor	8/7/2024	8/7/2025
Piping	Single Wall Transition Sump	4/11/2023	4/11/2026
Leak Detect - Piping	Sump Sensor	8/7/2024	8/7/2025
Spill Contain Device	Single Wall Spill Bucket	4/11/2023	4/11/2026
Tank	Jacketed Steel Double Wall Total Containment	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	8/7/2024

Tank Number 2

Capacity:	15000		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:	10/17/1995		Abandoned Material:
Current Age:	29		Abandoned Date:
Install Date:	8/21/1995		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/23/1995

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Jacketed Steel Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	8/7/2024	8/7/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	8/7/2024	8/7/2025
Overfill Prev Device	Overfill Alarm	4/11/2023	4/11/2026
Overfill Prev Device	Overfill Drop Tube Valve	4/11/2023	4/11/2026
Piping	Flexible Double Wall OmegaFlex DoubleTrac	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/11/2023	4/11/2026
Leak Detect - Piping	Sump Sensor	8/7/2024	8/7/2025
Piping	Single Wall STP/Tanktop Sump	4/11/2023	4/11/2026
Leak Detect - Piping	Sump Sensor	8/7/2024	8/7/2025
Piping	Single Wall Transition Sump	4/11/2023	4/11/2026
Leak Detect - Piping	Sump Sensor	8/7/2024	8/7/2025
Piping	Single Wall Transition Sump	4/11/2023	4/11/2026
Leak Detect - Piping	Sump Sensor	8/7/2024	8/7/2025
Spill Contain Device	Single Wall Spill Bucket	4/11/2023	4/11/2026
Tank	Jacketed Steel Double Wall Total Containment	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	8/7/2024

Tank Number 3

Capacity:	15000		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:	10/17/1995		Abandoned Material:
Current Age:	29		Abandoned Date:
Install Date:	8/21/1995		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/23/1995

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Jacketed Steel Non-Corrosive	N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	8/7/2024	8/7/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors With Monitor	8/7/2024	8/7/2025
Overfill Prev Device	Overfill Alarm	4/11/2023	4/11/2026
Overfill Prev Device	Overfill Drop Tube Valve	4/11/2023	4/11/2026
Piping	Flexible Double Wall OmegaFlex DoubleTrac	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	4/11/2023	4/11/2026
Leak Detect - Piping	Sump Sensor	8/7/2024	8/7/2025
Piping	Single Wall STP/Tanktop Sump	4/11/2023	4/11/2026
Leak Detect - Piping	Sump Sensor	8/7/2024	8/7/2025
Piping	Single Wall Transition Sump	4/11/2023	4/11/2026
Leak Detect - Piping	Sump Sensor	8/7/2024	8/7/2025
Piping	Single Wall Transition Sump	4/11/2023	4/11/2026
Leak Detect - Piping	Sump Sensor	8/7/2024	8/7/2025
Spill Contain Device	Single Wall Spill Bucket	4/11/2023	4/11/2026
Tank	Jacketed Steel Double Wall Total Containment	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	8/7/2024

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found