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:	6017875
Status:	Active
Facility Name:	St. Mary's Hospital
Address:	400 N. Pleasant Centralia, IL 62801
County:	Marion
Property Parcel:
Facility Type:	Hospital
Owner Type:	Private
Green Tag Decal:	Z004280
Green Tag Issue Date:	9/6/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	St. Mary's Good Samaritan, Inc.
Owner Address:	400 N. Pleasant Centralia, IL 62801
Owner Status:	Current Owner
Purchase Date:	6/1/1989
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	6/3/2026

Motor Fuel Dispensing Permits

MFD Permit Type	Issue Date	Expiration Date
Fleet	9/6/2024	12/31/2026

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0014383	St. Mary's Good Samaritan, Inc.	Current Owner	6/1/1989

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:	12000		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Fuel Oil		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	State		Removed Date:
OSFM First Notify Date:	4/16/1986		Abandoned Material:
Current Age:	44		Abandoned Date:
Install Date:	1/1/1981		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1981

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Impressed Current Cathodic Protection	6/12/2025	6/12/2026
Corrosion Prot - Tank	Impressed Current Cathodic Protection	6/12/2025	6/12/2026
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Incon TS 550	6/2/2025	6/2/2026
Overfill Prev Device	Overfill Alarm	6/5/2023	6/5/2026
Piping	Steel Single Wall Piping	N/A	N/A
Piping	Not Installed STP/Tanktop Sump	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	6/5/2023	6/5/2026
Tank	Steel 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

Tank Number 2

Capacity:	8000		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:	4/16/1986		Abandoned Material:
Current Age:	44		Abandoned Date:
Install Date:	1/1/1981		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1981

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Impressed Current Cathodic Protection	6/12/2025	6/12/2026
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	6/2/2025	6/2/2026
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Incon TS 550	6/2/2025	6/2/2026
Overfill Prev Device	Overfill Drop Tube Valve	6/5/2023	6/5/2026
Piping	Flexible Double Wall A.P.T. Poly Tech	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated	N/A	N/A
Piping	Single Wall Transition Sump	6/5/2023	6/5/2026
Leak Detect - Piping	Sump Sensor	6/2/2025	6/2/2026
Piping	Single Wall Transition Sump	6/5/2023	6/5/2026
Leak Detect - Piping	Non-Discriminating Sump Sensor with positive shutdown	8/19/2022	8/19/2023
Leak Detect - Piping	Sump Sensor	6/2/2025	6/2/2026
Spill Contain Device	Single Wall Spill Bucket	6/5/2023	6/5/2026
Tank	Steel 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

Tank Number 3

Capacity:	10000		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Heating Oil		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	6/1/1989
OSFM First Notify Date:	4/16/1986		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	6/1/1989		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:	300		Petroleum Use:
Product:	Gasoline		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	10/1/1986
OSFM First Notify Date:	4/16/1986		Abandoned Material:
Current Age:	26		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:			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:	300		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	10/1/1986
OSFM First Notify Date:	4/16/1986		Abandoned Material:
Current Age:	42		Abandoned Date:
Install Date:			Red Tag Issue Date:
Last Used Date:	1/1/1983		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 6

Capacity:	550		Petroleum Use:
Product:	Gasoline - Regular		CERCLA Substance:
Status:	Currently in use		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	12/1/1986		Abandoned Material:
Current Age:	38		Abandoned Date:
Install Date:	10/1/1986		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass 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 Incon TS 1000	6/2/2025	6/2/2026
Overfill Prev Device	Overfill Alarm	6/5/2023	6/5/2026
Overfill Prev Device	Overfill Drop Tube Valve	6/5/2023	6/5/2026
Piping	Fiberglass Single Wall Piping	N/A	N/A
Piping	Not Installed STP/Tanktop Sump	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	6/5/2023	6/5/2026
Tank	Fiberglass 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
Tank	Fiberglass Single Wall	Precision Test (Tank)	Pass	9/6/2022

Tank Number 7

Capacity:	6000		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:	7/17/1989		Abandoned Material:
Current Age:	36		Abandoned Date:
Install Date:	6/1/1989		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	8/10/2023	8/10/2026
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating	8/10/2023	8/10/2026
Leak Detect - Piping	European with No Test Req Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Incon TS 550	6/2/2025	6/2/2026
Overfill Prev Device	Overfill Alarm	6/5/2023	6/5/2026
Piping	Steel Single Wall Piping	N/A	N/A
Piping	Not Installed STP/Tanktop Sump	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	6/5/2023	6/5/2026
Tank	Steel 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

Name\ID 1

Status:	Active

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Dispenser	Not Installed UDC Sump	N/A	N/A

MFD Motorfuel Dispensing Forms

No Forms Found