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:	5031556
Status:	Active
Facility Name:	Memorial Medical Center
Address:	701 North 1st Street Springfield, IL 62781
County:	Sangamon
Property Parcel:	14-28.0-281-010
Facility Type:	Private Institution
Owner Type:	Private
Green Tag Decal:	Z003521
Green Tag Issue Date:	5/14/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Memorial Medical Center
Owner Address:	701 North 1st Street Springfield, IL 62781
Owner Status:	Current Owner
Purchase Date:	1/1/1970
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	3/29/2026

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0020933	Memorial Medical Center	Current Owner	1/1/1970

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
04-1654	11/29/2004	Removal Log	05429-2004REM

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
04-1654	Eligible	5/20/2005	6/23/2005	$15,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	20000		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/29/2004
OSFM First Notify Date:	10/22/1992		Abandoned Material:
Current Age:	34		Abandoned Date:
Install Date:	1/1/1970		Red Tag Issue Date:
Last Used Date:	6/1/2004		Fee Due:	$0.00
Product Date:	1/1/1970

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:	20000		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	Federal		Removed Date:	11/29/2004
OSFM First Notify Date:	10/22/1992		Abandoned Material:
Current Age:	34		Abandoned Date:
Install Date:	1/1/1970		Red Tag Issue Date:
Last Used Date:	6/1/2004		Fee Due:	$0.00
Product Date:	1/1/1970

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:	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:	1/24/2005		Abandoned Material:
Current Age:	20		Abandoned Date:
Install Date:	12/2/2004		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/2/2004

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 350	10/2/2024	10/2/2025
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	10/2/2024	10/2/2025
Overfill Prev Device	Overfill Alarm	10/2/2024	10/2/2027
Overfill Prev Device	Overfill Drop Tube Valve	10/2/2024	10/2/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Double Wall STP/Tanktop Sump	10/2/2024	10/2/2027
Leak Detect - Piping	Sump Sensor	10/2/2024	10/2/2025
Piping	Single Wall Transition Sump	10/2/2024	10/2/2027
Leak Detect - Piping	Sump Sensor	10/2/2024	10/2/2025
Spill Contain Device	Single Wall Spill Bucket	10/2/2024	10/2/2027
Tank	Fiberglass Brine Filled Double Wall Containment Solutions	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	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	10/2/2024

Tank Number 4

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:	1/24/2005		Abandoned Material:
Current Age:	20		Abandoned Date:
Install Date:	12/2/2004		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	12/2/2004

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 350	10/2/2024	10/2/2025
Leak Detect - Tank	Hydrostatic Reservoir Interstitial Monitoring Sensors	10/2/2024	10/2/2025
Overfill Prev Device	Overfill Alarm	10/2/2024	10/2/2027
Overfill Prev Device	Overfill Drop Tube Valve	10/2/2024	10/2/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/2/2024	10/2/2027
Leak Detect - Piping	Sump Sensor	10/2/2024	10/2/2025
Spill Contain Device	Single Wall Spill Bucket	10/2/2024	10/2/2027
Tank	Fiberglass Brine Filled Double Wall Containment Solutions	N/A	N/A
Vent, Riser, Fill Piping	Steel risers	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	10/2/2024

Tank Number 5

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:	5/8/2014		Abandoned Material:
Current Age:	11		Abandoned Date:
Install Date:	3/21/2014		Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:	3/21/2014

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 350	10/2/2024	10/2/2025
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	10/2/2024	10/2/2025
Overfill Prev Device	Overfill Alarm	10/2/2024	10/2/2027
Overfill Prev Device	Overfill Drop Tube Valve	10/2/2024	10/2/2027
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/2/2024	10/2/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	10/2/2024	10/2/2025
Spill Contain Device	Single Wall Spill Bucket	10/2/2024	10/2/2027
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	10/2/2024

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found