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:	5010756
Status:	Active
Facility Name:	Illini Community Hospital
Address:	640 West Washington Pittsfield, IL 62363
County:	Pike
Property Parcel:
Facility Type:	Private Institution
Owner Type:	Private
Green Tag Decal:	Z003511
Green Tag Issue Date:	8/19/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Illini Community Hospital
Owner Address:	640 West Washington Pittsfield, IL 62363
Owner Status:	Current Owner
Purchase Date:	1/1/1976
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	3/6/2026

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0007462	Illini Community Hospital	Current Owner	1/1/1976

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

No Applications Found

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	5000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	9/13/1993
OSFM First Notify Date:	5/14/1986		Abandoned Material:
Current Age:	22		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	9/10/1993		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:	110		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/19/1992
OSFM First Notify Date:	5/14/1986		Abandoned Material:
Current Age:	42		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	6/1/1976		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 3

Capacity:	5000		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:	11/5/1993		Abandoned Material:
Current Age:	31		Abandoned Date:
Install Date:	9/13/1993		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/15/1993

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	9/5/2024	9/5/2027
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	9/22/2023	9/22/2026
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300c	9/5/2024	9/5/2025
Overfill Prev Device	Overfill Drop Tube Valve	3/18/2025	3/18/2028
Piping	Steel Single Wall Piping	N/A	N/A
Piping	Not Installed STP/Tanktop Sump	N/A	N/A
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	3/18/2025	3/18/2028
Tank	STIP3 Single Wall	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found