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
Facility Details
Facility Number:
2021290
Status:
Active
Facility Name:
LaGrange Memorial Hospital
Address:
5101 South Willow Springs Road
La Grange, IL 60525
County:
Cook
Property Parcel:
Facility Type:
Private Institution
Owner Type:
Private
Green Tag Decal:
Z003448
Green Tag Issue Date:
1/31/2024
Green Tag Expiration Date:
12/31/2026
Owner Details
Owner Name:
LaGrange Memorial Hospital
Owner Address:
5101 South Willow Springs Road
La Grange, IL 60525
Owner Status:
Current Owner
Purchase Date:
1/1/1987
Type of Financial Responsibility:
Commercial Insurance
Financial Responsibility Reporting Due Date:
1/31/2025
Motor Fuel Dispensing Permits
No MFD Permits Found
Owner Summary
Click for Facility/Tank Ownership history
Owner Number
Owner Name
Owner Status
Purchase Date
U0008740
LaGrange Memorial Hospital
Current Owner
1/1/1987
Permits (Unexpired)
Click for permit history
No Active Permits Found
Notice of Violations (Current)
No Notice of Violations Found
IEMA Numbers Associated with the Facility
IEMA Number
Inspection Date
Inspection Type
Permit Number
04-0084
2/25/2004
Removal Log
04162-2004REM
04-0178
8/5/2004
Removal Log
04246-2004REM
LUST
Fund Eligibility and Deductibility Determinations
IEMA Number
Status
OSFM Received Date
OSFM Response Date
Deductible
Letter
90-2391
Eligible
12/1/1993
12/20/1993
$10,000
04-0084
Eligible
1/27/2004
2/11/2004
$10,000
04-0178
Eligible
2/17/2004
2/26/2004
$10,000
Pay Tank Fees Online
Tank Information
Tank Number 1
Capacity:
15000
Petroleum Use:
Back-up Generator
Product:
Diesel Fuel
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
2/24/2004
OSFM
First Notify Date:
4/15/1986
Abandoned Material:
Current Age:
24
Abandoned Date:
Install Date:
10/10/1979
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:
15000
Petroleum Use:
Back-up Generator
Product:
Diesel Fuel
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
2/24/2004
OSFM
First Notify Date:
4/15/1986
Abandoned Material:
Current Age:
24
Abandoned Date:
Install Date:
10/10/1979
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 3
Capacity:
15000
Petroleum Use:
Back-up Generator
Product:
Diesel Fuel
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
2/24/2004
OSFM
First Notify Date:
4/15/1986
Abandoned Material:
Current Age:
24
Abandoned Date:
Install Date:
10/10/1979
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 4
Capacity:
12000
Petroleum Use:
Back-up Generator
Product:
Diesel Fuel
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
8/5/2004
OSFM
First Notify Date:
11/19/1987
Abandoned Material:
Current Age:
16
Abandoned Date:
Install Date:
1/1/1987
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
9/18/1987
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:
12000
Petroleum Use:
Back-up Generator
Product:
Diesel Fuel
CERCLA Substance:
Status:
Removed
CAS Code:
Regulated Status:
Federal
Removed Date:
8/5/2004
OSFM
First Notify Date:
11/19/1987
Abandoned Material:
Current Age:
16
Abandoned Date:
Install Date:
1/1/1987
Red Tag Issue Date:
Last Used Date:
3/1/2000
Fee Due:
$0.00
Product Date:
9/18/1987
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:
12000
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:
4/23/2004
Abandoned Material:
Current Age:
21
Abandoned Date:
Install Date:
1/27/2004
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
1/28/2004
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Composite Secondary Containment
N/A
N/A
Corrosion Prot - Tank
Fiberglass Non-Corrosive
N/A
N/A
Leak Detect - Piping
Mechanical Pressurized Line Leak Detection
9/4/2024
9/4/2025
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 350 Plus
9/4/2024
9/4/2025
Leak Detect - Tank
Non-Discriminating Interstitial Monitoring Sensors
9/4/2024
9/4/2025
Overfill Prev Device
Overfill Drop Tube Valve
10/24/2022
10/24/2025
Piping
Composite Chase
N/A
N/A
Piping
Steel Single Wall Piping
N/A
N/A
Piping
Single Wall STP/Tanktop Sump
10/24/2022
10/24/2025
Leak Detect - Piping
Sump Sensor
9/4/2024
9/4/2025
Spill Contain Device
Single Wall Spill Bucket
10/24/2022
10/24/2025
Tank
Fiberglass Double Wall XERXES
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
Piping
Steel Single Wall Piping
Precision Test (Piping)
Pass
9/4/2024
Leak Detect - Tank
Non-Discriminating Interstitial Monitoring Sensors
Sensor Functional
Pass
5/7/2006
Leak Detect - Piping
Non-Discriminating Sump Sensor
Sensor Functional
Pass
5/7/2006
Tank Number 7
Capacity:
12000
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:
4/23/2004
Abandoned Material:
Current Age:
21
Abandoned Date:
Install Date:
1/27/2004
Red Tag Issue Date:
Last Used Date:
Fee Due:
$0.00
Product Date:
1/28/2004
Equipment
Equipment Type
Equipment
Last Passing Date
Test Expire Date
Corrosion Prot - Piping
Composite Secondary Containment
N/A
N/A
Corrosion Prot - Tank
Fiberglass Non-Corrosive
N/A
N/A
Leak Detect - Piping
Mechanical Pressurized Line Leak Detection
9/4/2024
9/4/2025
Leak Detect - Tank
Automatic Tank Gauging Veeder Root TLS 350 Plus
9/4/2024
9/4/2025
Leak Detect - Tank
Non-Discriminating Interstitial Monitoring Sensors
9/4/2024
9/4/2025
Overfill Prev Device
Overfill Drop Tube Valve
10/24/2022
10/24/2025
Piping
Composite Chase
N/A
N/A
Piping
Steel Single Wall Piping
N/A
N/A
Piping
Single Wall STP/Tanktop Sump
10/24/2022
10/24/2025
Leak Detect - Piping
Sump Sensor
9/4/2024
9/4/2025
Spill Contain Device
Single Wall Spill Bucket
10/24/2022
10/24/2025
Tank
Fiberglass Double Wall XERXES
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
Piping
Steel Single Wall Piping
Precision Test (Piping)
Pass
9/4/2024
Leak Detect - Tank
Non-Discriminating Interstitial Monitoring Sensors
Sensor Functional
Pass
5/7/2006
Leak Detect - Piping
Non-Discriminating Sump Sensor
Sensor Functional
Pass
5/7/2006
Dispenser Information
MFD
Motorfuel Dispensing Forms
No Forms Found