Information

JB Pritzker, Governor

James A. Rivera, 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:	2000401
Status:	Active
Facility Name:	Alexian Brothers Medical Center
Address:	850 Biesterfield Road Elk Grove Village, IL 60007
County:	Cook
Property Parcel:
Facility Type:	Private Institution
Owner Type:	Private
Green Tag Decal:	Z003416
Green Tag Issue Date:	5/31/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Alexian Brothers Hospital
Owner Address:	800 Biesterfield Road Elk Grove Village, IL 60007
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	2/27/2026

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0000356	Alexian Brothers Hospital	Current Owner

Permits (Unexpired)

Click for permit history

Permit Number	Type	Status	OSFM Receive Date	Issue Date	Expiration Date	Documents
01403-2024UPG	Upgrade	Approved / Issued	11/1/2024	11/1/2024	5/1/2025	Documents

Notice of Violations (Current)

No Notice of Violations Found

IEMA Numbers Associated with the Facility

IEMA Number	Inspection Date	Inspection Type	Permit Number
04-0405	3/25/2004	Removal Log	04126-2004REM
06-0287	3/4/2006	Removal Log	00155-2006REM
99-2308	12/15/1999	Removal Log	03395-1999REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
99-2308	Eligible	1/4/2000	1/7/2000	$10,000
06-0287	Eligible	7/24/2006	8/25/2006	$10,000

Pay Tank Fees Online

Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	20000	Diesel Fuel	Removed	Federal		$0.00	03/07/2006 - REM
2	6000	Diesel Fuel	Removed	Federal		$0.00	12/15/1999 - REM
3	2000	Gasoline	Removed	Federal		$0.00	03/25/2004 - REM
4	30000	Diesel Fuel	Currently in use	Federal		$0.00

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found