Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 2047496
Status: Active
Facility Name: Mercy Health Hospital and Clinic
Address: 875 S. Rt 31
Crystal Lake, IL 60014
County: McHenry
Property Parcel: 19-100-400-010-1
Facility Type: Hospital
Owner Type: Private
Green Tag Decal: Y003962
Green Tag Issue Date: 6/1/2023
Green Tag Expiration Date: 12/31/2025

Owner Details

Owner Name: Mercy Health System Corporation
Owner Address: 1000 Mineral Point Ave
Janesville, WI 53548
Owner Status: Current Owner
Purchase Date:
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 5/29/2025

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0040686 Mercy Health System Corporation Current Owner

Permits (Unexpired)

Click for permit history

No Active Permits Found

Notice of Violations (Current)

NOV Number: E0020250836 (Pending)    Issue Date: 3/31/2025    Expiration Date: 5/30/2025    View NOV Form

Tanks Violation
Facility A/B operator retraining required as a result of issuance of the Notice of Violation - Primary A / B certified operator shall be retrained as a result of this NOV being issued.
Facility Facility Operation and Maintenance Plan not completed or available. - Adopt and implement a written operations and maintenance plan, signed by both the owner and either a Class A or Class B Operator designated for the UST facility An Operations & Maintenance template is available at www.sfm.illinois.gov to download and complete O & M template and maintain completed form on site.
Facility Missing copies of 30 day Walkthrough Inspection Report. - 30-day Walkthrough Inspection shall be completed, and 2 years of documentation maintained on site. 30-Day Walkthrough Inspection form available at www.sfm.illinois.gov. The form must be filled out by an A/B Operator, you must, initial each box that applies, date the form each month to ensure it is being done every 30 days, and the A/B operator must print and sign their name at the bottom. If more than one A/B operator fills out the form, then each must print and sign name at the bottom.
Facility Missing copy of emergency instructions or emergency procedures plan - Emergency Procedures plan shall be maintained on site for viewing and reference as necessary (See Operator Training Rules 176.645). The emergency plan template is available on the OSFM website.
1 Monthly line interstitial sensor records not available. - Maintain one NORMAL report per LINE, per month, from ATG. Must maintain 24 months’ worth.
1 Required monthly tank interstitial sensor records not available. - Maintain one NORMAL report per TANK, per month, from ATG. Must maintain 24 months’ worth.

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: 5/5/2023 Abandoned Material:
Current Age: 2 Abandoned Date:
Install Date: 10/5/2022 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 3/15/2023

Equipment

Equipment Type Equipment Last Passing Date Test Expire Date
Corrosion Prot - Piping Fiberglass Non-Corrosive N/A N/A
Corrosion Prot - Piping Flexible Non-Corrosive N/A N/A
Corrosion Prot - Tank Composite Non-Corrosive N/A N/A
Leak Detect - Piping Electronic Pressurized Line Leak Detection 5/9/2025 5/9/2026
Leak Detect - Tank Automatic Tank Gauging Veeder Root TLS 450 Plus 5/9/2025 5/9/2026
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors With Monitor 5/9/2025 5/9/2026
Overfill Prev Device Overfill Alarm 5/22/2023 5/22/2026
Overfill Prev Device Overfill Drop Tube Valve 5/22/2023 5/22/2026
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX N/A N/A
Piping Flexible Double Wall OmegaFlex DoubleTrac N/A N/A
Piping Single Wall STP/Tanktop Sump 4/13/2023 4/13/2026
Leak Detect - Piping Sump Sensor 5/9/2025 5/9/2026
Piping Single Wall Transition Sump 4/13/2023 4/13/2026
Leak Detect - Piping Sump Sensor 5/9/2025 5/9/2026
Piping Single Wall Transition Sump 4/13/2023 4/13/2026
Leak Detect - Piping Sump Sensor 5/9/2025 5/9/2026
Spill Contain Device Single Wall Spill Bucket 4/13/2023 4/13/2026
Tank Composite Double Wall Lannon N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Piping Fiberglass Double Wall Ameron Dualoy 3000/LCX Precision Test (Piping) Pass 5/30/2024
Piping Flexible Double Wall OmegaFlex DoubleTrac Precision Test (Piping) Pass 5/30/2024
Tank Composite Double Wall Lannon Precision Test (Tank) Pass 5/9/2023

Dispenser Information



MFD Motorfuel Dispensing Forms

No Forms Found