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:	3010336
Status:	Active
Facility Name:	Elms Nursing Home
Address:	1212 Madelyn Avenue Macomb, IL 61455
County:	McDonough
Property Parcel:
Facility Type:	Private Institution
Owner Type:	County
Green Tag Decal:	Y004204
Green Tag Issue Date:	10/2/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Elms Nursing Home
Owner Address:	1212 Madelyn Avenue Macomb, IL 61455
Owner Status:	Current Owner
Purchase Date:	12/29/1997
Type of Financial Responsibility:	Certificate of Deposit
Financial Responsibility Reporting Due Date:	1/24/2026

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0004721	Elms Nursing Home	Current Owner	12/29/1997

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:	4000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/26/1997
OSFM First Notify Date:	4/28/1986		Abandoned Material:
Current Age:	21		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	11/23/1997		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:	4000		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:	10/20/1998		Abandoned Material:
Current Age:	27		Abandoned Date:
Install Date:	12/29/1997		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/29/1997

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	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300c	4/28/2025	4/28/2026
Overfill Prev Device	Overfill Alarm	4/22/2024	4/22/2027
Overfill Prev Device	Overfill Drop Tube Valve	4/22/2024	4/22/2027
Piping	Flexible Double Wall Environ Geo Flex	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Sump Sensor	4/28/2025	4/28/2026
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Piping	Single Wall Transition Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	4/22/2024	4/22/2027
Tank	Fiberglass Single Wall XERXES	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found