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:	2022572
Status:	Active
Facility Name:	Illinois Masonic Medical Center
Address:	856 W. Nelson Chicago, IL 60657
County:	Cook
Property Parcel:
Facility Type:	Hospital
Owner Type:	Private
Green Tag Decal:	Y003570
Green Tag Issue Date:	10/6/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Illinois Masonic Medical Center
Owner Address:	836 W. Wellington Chicago, IL 60657
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	9/4/2025

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0007398	Illinois Masonic Medical Center	Current Owner

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
09-0628	6/10/2009	Removal Log	109921

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:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	6/10/2009
OSFM First Notify Date:	10/13/1986		Abandoned Material:
Current Age:	20		Abandoned Date:
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:	6000		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	6/10/2009
OSFM First Notify Date:	10/13/1986		Abandoned Material:
Current Age:	20		Abandoned Date:
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 3

Capacity:	2500		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	8/1/1986
OSFM First Notify Date:	5/2/1986		Abandoned Material:
Current Age:			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 4

Capacity:	2500		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Exempt		Removed Date:	8/1/1986
OSFM First Notify Date:	5/2/1986		Abandoned Material:
Current Age:			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:	15000		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:	9/21/2009		Abandoned Material:
Current Age:	15		Abandoned Date:
Install Date:	7/2/2009		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/19/2009

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	American with Sensors/No Test Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS - 4c	10/17/2024	10/17/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	10/17/2024	10/17/2025
Overfill Prev Device	Overfill Alarm	10/17/2024	10/17/2027
Overfill Prev Device	Overfill Drop Tube Valve	10/17/2024	10/17/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/17/2024	10/17/2027
Leak Detect - Piping	Sump Sensor	10/17/2024	10/17/2025
Spill Contain Device	Single Wall Spill Bucket	10/17/2024	10/17/2027
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	American with Sensors/No Test Suction	Functional	Pass	10/17/2024

Tank Number 6

Capacity:	15000		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:	9/21/2009		Abandoned Material:
Current Age:	15		Abandoned Date:
Install Date:	7/2/2009		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/19/2009

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	American with Sensors/No Test Suction	N/A	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS - 4c	10/17/2024	10/17/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	10/17/2024	10/17/2025
Overfill Prev Device	Overfill Alarm	10/17/2024	10/17/2027
Overfill Prev Device	Overfill Drop Tube Valve	10/17/2024	10/17/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/17/2024	10/17/2027
Leak Detect - Piping	Sump Sensor	10/17/2024	10/17/2025
Spill Contain Device	Single Wall Spill Bucket	10/17/2024	10/17/2027
Tank	Fiberglass Double Wall	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	American with Sensors/No Test Suction	Functional	Pass	10/17/2024

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found