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: 2029564
Status: Active
Facility Name: Good Samaritan Hospital
Address: 3815 Highland Ave Downers Grove, IL 60515
County: Du Page
Property Parcel:
Facility Type: Hospital
Owner Type: Private
Green Tag Decal: Z004323
Green Tag Issue Date: 9/19/2024
Green Tag Expire Date: 12/31/2026
MFD Type: N/A

Owner Details

Owner Name: Advocate Healthcare
Owner Address: 2025 Windsor Drive Oak Brook, IL 605231586
Owner Status: Current Owner
Purchase Date:
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 7/31/2026

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0018941 Advocate Healthcare 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

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information



Tank Number 1

Capacity: 20000 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: 3/9/1992 Abandoned Material:
Current Age: 49 Abandoned Date:
Install Date: 1/1/1975 Red Tag Issue Date:
Last Used Date: Fee Due:
Product Date: 9/1/1976

Equipment Information

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive Not applicable Not applicable
Corrosion Prot - Tank Fiberglass Non-Corrosive Not applicable Not applicable
Leak Detect - Piping European with No Test Req Suction Not applicable Not applicable
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 300 with CSLD 5/20/2026 5/20/2027
Overfill Prev Device Overfill Alarm 7/1/2025 7/1/2028
Piping Flexible Double Wall Environ Geo Flex Not applicable Not applicable
Piping Single Wall STP/Tanktop Sump Not applicable Not applicable
Leak Detect - Piping Piping Sump Sensors Not Regulated Not applicable Not applicable
Spill Contain Device Single Wall Spill Bucket 7/1/2025 7/1/2028
Tank Fiberglass Single Wall Not applicable Not applicable

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Flexible Double Wall Environ Geo Flex Precision Test (Piping) Pass 6/1/2022
Tank Fiberglass Single Wall Precision Test (Tank) Pass 6/1/2022



Tank Number 2

Capacity: 4000 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: 3/9/1992 Abandoned Material:
Current Age: 49 Abandoned Date:
Install Date: 1/1/1975 Red Tag Issue Date:
Last Used Date: Fee Due:
Product Date: 9/1/1976

Equipment Information

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Flexible Non-Corrosive Not applicable Not applicable
Corrosion Prot - Tank Fiberglass Non-Corrosive Not applicable Not applicable
Leak Detect - Piping European with No Test Req Suction Not applicable Not applicable
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 300 with CSLD 5/20/2026 5/20/2027
Overfill Prev Device Overfill Alarm 7/1/2025 7/1/2028
Overfill Prev Device Overfill Drop Tube Valve 7/1/2025 7/1/2028
Piping Polyethylene Chase Not applicable Not applicable
Piping Flexible Double Wall A.P.T. Poly Tech P200SC Not applicable Not applicable
Piping Single Wall STP/Tanktop Sump Not applicable Not applicable
Leak Detect - Piping Piping Sump Sensors Not Regulated Not applicable Not applicable
Spill Contain Device Single Wall Spill Bucket 7/1/2025 7/1/2028
Tank Fiberglass Single Wall Not applicable Not applicable

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Chase Secondary Containment A.P.T. Poly Tech DCT-400 Precision Test (Piping) Pass 7/6/2020
Piping Flexible Double Wall A.P.T. Poly Tech P200SC Precision Test (Piping) Pass 6/1/2022
Piping Polyethylene Chase Precision Test (Piping) Pass 6/1/2022
Tank Fiberglass Single Wall Precision Test (Tank) Pass 6/1/2022
Leak Detect - Piping Non-Discriminating Sump Sensor Sensor Functional Pass 1/1/2009

Failed test = the latest test has failed.

Not applicable = a test does not apply to this equipment type or configuration.

No passing test found = a passing test is expected but was not found from the source data.


Dispenser Information




Failed test = the latest test has failed.

Not applicable = a test does not apply to this equipment type or configuration.

No passing test found = a passing test is expected but was not found from the source data.


MFD Motorfuel Dispensing Forms

No Forms Found

Office of the Illinois State Fire Marshal
1035 Stevenson Dr. Springfield, IL 62704 | (217) 785-0969 | Contact Us