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:	2031759
Status:	Active
Facility Name:	Provident Hospital
Address:	500 East 51st Street Chicago, IL 60615
County:	Cook
Property Parcel:
Facility Type:	Hospital
Owner Type:	County
Green Tag Decal:	Y003543
Green Tag Issue Date:	9/15/2023
Green Tag Expiration Date:	12/31/2025

Owner Details

Owner Name:	Cook County Provident Hospital
Owner Address:	500 East 51st Street Chicago, IL 60610
Owner Status:	Current Owner / Operator
Purchase Date:
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	5/28/2025

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0021171	Cook County Provident Hospital	Current Owner / Operator

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:	15000		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	8/2/1993
OSFM First Notify Date:	2/1/1993		Abandoned Material:
Current Age:	14		Abandoned Date:	7/1/1993
Install Date:	1/1/1979		Red Tag Issue Date:
Last Used Date:	7/1/1993		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:	Consumptive Use on Premises for Heating
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	8/2/1993
OSFM First Notify Date:	2/1/1993		Abandoned Material:
Current Age:	14		Abandoned Date:	7/1/1993
Install Date:	1/1/1979		Red Tag Issue Date:
Last Used Date:	7/1/1993		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:	Consumptive Use on Premises for Heating
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	8/15/2012
OSFM First Notify Date:	2/16/1994		Abandoned Material:
Current Age:	19		Abandoned Date:
Install Date:	7/1/1993		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	8/1/1993

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:	5000		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	8/15/2012
OSFM First Notify Date:	2/16/1994		Abandoned Material:
Current Age:	19		Abandoned Date:
Install Date:	7/1/1993		Red Tag Issue Date:
Last Used Date:	7/28/2008		Fee Due:	$0.00
Product Date:	8/1/1993

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:	10000		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:	4/24/2013		Abandoned Material:
Current Age:	12		Abandoned Date:
Install Date:	8/28/2012		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/21/2012

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	American with Annual Prec Line Testing Suction	10/27/2016	10/27/2017
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	10/31/2024	10/31/2025
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	10/31/2024	10/31/2025
Overfill Prev Device	Overfill Drop Tube Valve	2/6/2023	2/6/2026
Piping	Fiberglass Double Wall Ameron	N/A	N/A
Piping	Not Installed STP/Tanktop Sump	N/A	N/A
Leak Detect - Piping	Non-Discriminating Sump Sensor with positive shutdown	9/5/2023	9/5/2024
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	2/6/2023	2/6/2026
Tank	Composite Double Wall Permatank	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	American with Annual Prec Line Testing Suction	Functional	Pass	10/31/2024
Piping	Fiberglass Double Wall Ameron	Precision Test (Piping)	Pass	10/31/2024

Tank Number 6

Capacity:	10000		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:	4/24/2013		Abandoned Material:
Current Age:	12		Abandoned Date:
Install Date:	8/28/2012		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	11/21/2012

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive	N/A	N/A
Leak Detect - Piping	American with Annual Prec Line Testing Suction	10/27/2016	10/27/2017
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	10/31/2024	10/31/2025
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	10/31/2024	10/31/2025
Overfill Prev Device	Overfill Drop Tube Valve	2/6/2023	2/6/2026
Piping	Fiberglass Double Wall Ameron	N/A	N/A
Piping	Not Installed STP/Tanktop Sump	N/A	N/A
Leak Detect - Piping	Non-Discriminating Sump Sensor with positive shutdown	9/5/2023	9/5/2024
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	2/6/2023	2/6/2026
Tank	Composite Double Wall Permatank	N/A	N/A

Additional Tests

Equipment Type	Equipment	Test Type	Test Result	Test Date
Leak Detect - Piping	American with Annual Prec Line Testing Suction	Functional	Pass	10/31/2024
Piping	Fiberglass Double Wall Ameron	Precision Test (Piping)	Pass	10/31/2024

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found