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:
7026515
Status:
Closed
Facility Name:
Memorial Hospital of Carbondale
Address:
405 W. Jackson Street Carbondale, IL 62901
County:
Jackson
Property Parcel:
Facility Type:
Hospital
Owner Type:
Private
Green Tag Decal:
V005030
Green Tag Issue Date:
12/10/2020
Green Tag Expire Date:
12/31/2022
MFD Type:
N/A
Owner Details
Owner Name:
Southern Illinois Hospital Services
Owner Address:
1239 East Main Street Carbondale, IL 62901
Owner Status:
Current Owner
Purchase Date:
6/8/1993
Type of Financial Responsibility:
Commercial Insurance
Financial Responsibility Reporting Due Date:
8/23/2023
Owner Summary
Click for Facility/Tank Ownership history
Owner Number
Owner Name
Owner Status
Purchase Date
U0014187
Southern Illinois Hospital Services
Current Owner
6/8/1993
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
IEMA Number
Inspection Date
Inspection Type
Permit Number
22-0879
11/9/2022
Removal Log
01101-2022REM
LUST
Fund Eligibility and Deductibility Determinations
No Applications Found
Pay Tank Fees Online
Tank Information
Tank Number 1
Capacity:
15000
Petroleum Use:
Consumptive Use on Premises for Heating
Product:
Heating Oil
CERCLA Substance:
Status:
Abandoned in place
CAS Code:
Regulated Status:
State
Removed Date:
OSFM
First Notify Date:
11/27/1990
Abandoned Material:
Inert material mixed with portland cement
Current Age:
23
Abandoned Date:
12/13/1993
Install Date:
Red Tag Issue Date:
Last Used Date:
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:
3000
Petroleum Use:
Consumptive Use on Premises for Heating
Product:
Heating Oil
CERCLA Substance:
Status:
Abandoned in place
CAS Code:
Regulated Status:
Exempt
Removed Date:
OSFM
First Notify Date:
2/19/1992
Abandoned Material:
Inert material mixed with portland cement
Current Age:
Abandoned Date:
2/7/1992
Install Date:
Red Tag Issue Date:
Last Used Date:
12/1/1969
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 3
Capacity:
8000
Petroleum Use:
Back-up Generator
Product:
Heating Oil
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
11/9/2022
OSFM
First Notify Date:
7/7/1993
Abandoned Material:
Current Age:
29
Abandoned Date:
Install Date:
6/8/1993
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
6/8/1993
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 Incon TS 550 EVO
2/14/2022
2/14/2023
Leak Detect - Tank
Non-Discriminating Interstitial Monitoring Sensors
2/14/2022
2/14/2023
Overfill Prev Device
Overfill Drop Tube Valve
2/14/2022
2/14/2025
Piping
Flexible Double Wall
N/A
N/A
Piping
Single Wall STP/Tanktop Sump
3/26/2021
3/26/2024
Leak Detect - Piping
Sump Sensor
2/14/2022
2/14/2023
Spill Contain Device
Single Wall Spill Bucket
7/28/2022
7/28/2025
Tank
Fiberglass Double Wall
N/A
N/A
Additional Tests
Equipment Type
Equipment
Test Type
Test Result
Test Date
Tank
Fiberglass Double Wall
Precision Test (Tank)
Pass
2/22/2021
Dispenser Information
MFD
Motorfuel Dispensing Forms
No Forms Found
