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:
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
Click for Facility/Tank Ownership history
Owner Number
Owner Name
Owner Status
Purchase Date
U0010087
Memorial Hospital
Current 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
IEMA Number
Status
OSFM Received Date
OSFM Response Date
Deductible
Letter
15-1278
Eligible
2/3/2016
3/7/2016
$5,000
Pay Tank Fees Online
Tank Information
Tank Number 1
Capacity:
1000
Petroleum Use:
Product:
Diesel Fuel
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
12/7/1998
OSFM
First Notify Date:
11/7/1990
Abandoned Material:
Current Age:
38
Abandoned Date:
Install Date:
6/21/1960
Red Tag Issue Date:
Last Used Date:
12/7/1998
Fee Due:
$0.00
Product Date:
7/21/1960
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:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
11/24/2015
OSFM
First Notify Date:
11/7/1990
Abandoned Material:
Current Age:
45
Abandoned Date:
Install Date:
1/1/1970
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
2/1/1970
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Impressed Current Cathodic Protection
7/7/2014
7/7/2015
Corrosion Prot - Tank
Impressed Current Cathodic Protection
7/7/2014
7/7/2015
Leak Detect - Piping
European with No Test Req Suction
N/A
N/A
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 300c
Overfill Prev Device
Overfill Drop Tube Valve
Piping
Steel Single Wall Piping
N/A
N/A
Spill Contain Device
Single Wall Spill Bucket
Tank
Steel Single Wall
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank Number 3
Capacity:
6000
Petroleum Use:
Consumptive Use on Premises for Heating
Product:
Heating Oil
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Exempt
Removed Date:
11/17/1995
OSFM
First Notify Date:
11/7/1990
Abandoned Material:
Current Age:
48
Abandoned Date:
Install Date:
Red Tag Issue Date:
Last Used Date:
1/1/1969
Fee Due:
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:
6000
Petroleum Use:
Consumptive Use on Premises for Heating
Product:
Heating Oil
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Exempt
Removed Date:
11/17/1995
OSFM
First Notify Date:
11/7/1990
Abandoned Material:
Current Age:
48
Abandoned Date:
Install Date:
Red Tag Issue Date:
Last Used Date:
1/1/1969
Fee Due:
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:
600
Petroleum Use:
Back-up Generator
Product:
Diesel Fuel
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
11/24/2015
OSFM
First Notify Date:
2/17/1999
Abandoned Material:
Current Age:
16
Abandoned Date:
Install Date:
12/8/1998
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
12/8/1998
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 - Piping
Sump Sensor
7/7/2014
7/7/2015
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 300c
Overfill Prev Device
Overfill Drop Tube Valve
Piping
Flexible Double Wall Environ Geo Flex
N/A
N/A
Spill Contain Device
Single Wall Spill Bucket
Tank
Fiberglass Double Wall
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Dispenser Information
MFD
Motorfuel Dispensing Forms
No Forms Found
