Information

JB Pritzker, Governor

James A. Rivera, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
Employment Opportunities
Ready Illinois
Find us on Facebook

Division of Petroleum & Chemical Safety

Facility Details

Facility Number:	2045418
Status:	Active
Facility Name:	AMITA Outpatient Pavilion
Address:	331 W. Surf St. Chicago, IL 60657
County:	Cook
Property Parcel:	14-28-206-006-0000
Facility Type:	Private Institution
Owner Type:	Private
Green Tag Decal:	Z003976
Green Tag Issue Date:	9/10/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Chicago 331 APL RKC, LLC
Owner Address:	800 W. Madison Street Suite 400 Chicago, IL 60607
Owner Status:	Current Owner
Purchase Date:	12/30/2020
Type of Financial Responsibility:	Commercial Insurance
Financial Responsibility Reporting Due Date:	6/17/2025

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0040329	Chicago 331 APL RKC, LLC	Current Owner	12/30/2020
U0038728	HP Saint Joseph ACC, LLC	Former Owner	8/15/2016
U0036944	Robert Bearlund / Hammes Company	Former 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:	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:	12/13/2016		Abandoned Material:
Current Age:	9		Abandoned Date:
Install Date:	5/28/2015		Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:

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 300c	12/10/2024	12/10/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	12/10/2024	12/10/2025
Overfill Prev Device	Overfill Drop Tube Valve	5/17/2024	5/17/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	5/17/2024	5/17/2027
Leak Detect - Piping	Sump Sensor	12/10/2024	12/10/2025
Piping	Single Wall STP/Tanktop Sump	5/17/2024	5/17/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	12/15/2023	12/15/2024
Leak Detect - Piping	Sump Sensor	12/10/2024	12/10/2025
Piping	Single Wall Transition Sump	5/17/2024	5/17/2027
Leak Detect - Piping	Sump Sensor	12/10/2024	12/10/2025
Spill Contain Device	Single Wall Spill Bucket	5/17/2024	5/17/2027
Tank	Fiberglass Double Wall XERXES	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	12/10/2024

Tank Number 2

Capacity:	4000		Petroleum Use:
Product:	Diesel Fuel		CERCLA Substance:
Status:	Entered in error		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:			Abandoned Material:
Current Age:			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

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found