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

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Facility Details

Facility Number:	3026495
Status:	Closed
Facility Name:	Memorial Hospital
Address:	South Adams Street, Po Box 160 Carthage, IL 62321
County:	Hancock
Property Parcel:
Facility Type:	Private Institution
Owner Type:	Private
Green Tag Decal:	P005314
Green Tag Issue Date:	7/25/2014
Green Tag Expire Date:	12/31/2016
MFD Type:	N/A

Owner Details

Owner Name:	Memorial Hospital
Owner Address:	South Adams Street, Po Box 160 Carthage, IL 62321
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Certificate of Deposit and Commercial Insurance
Financial Responsibility Reporting Due Date:	7/16/2015

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0010087	Memorial Hospital	Current Owner

Permits (Unexpired)

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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

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
15-1278	Eligible	2/3/2016	3/7/2016	$5,000

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Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	1000	Diesel Fuel	Removed	Federal		$0.00	12/07/1998 - REM
2	4000	Diesel Fuel	Removed	Federal		$0.00	11/24/2015 - REM
3	6000	Heating Oil	Removed	Exempt			11/17/1995 - REM
4	6000	Heating Oil	Removed	Exempt			11/17/1995 - REM
5	600	Diesel Fuel	Removed	Federal		$0.00	11/24/2015 - REM

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found