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

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Facility Details

Facility Number:	6005955
Status:	Active
Facility Name:	Memorial Hospital
Address:	4500 Memorial Drive Belleville, IL 62226
County:	St. Clair
Property Parcel:	08-07.0-209-012
Facility Type:	Private Institution
Owner Type:	Private
Green Tag Decal:	Z004119
Green Tag Issue Date:	9/27/2024
Green Tag Expiration Date:	12/31/2026

Owner Details

Owner Name:	Memorial Hospital East
Owner Address:	4500 Memorial Drive Belleville, IL 62226
Owner Status:	Current Owner
Purchase Date:	1/1/1969
Type of Financial Responsibility:	Self-Insurance
Financial Responsibility Reporting Due Date:	6/28/2025

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

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Owner Number	Owner Name	Owner Status	Purchase Date
U0012200	Memorial Hospital East	Current Owner	1/1/1969

Permits (Unexpired)

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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
93-3258	8/29/1995	Removal Log

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
93-3258	Eligible	3/25/1994	6/10/1994	$10,000

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Tank Information

Tank Number	Capacity	Product	Status	Regulated Status	Red Tag Issued	Fee Due	Abandon/Removal Date
1	20000	Diesel Fuel	Removed	State		$0.00	08/29/1995 - REM
2	20000	Diesel Fuel	Abandoned in place	State		$0.00	08/29/1995 - ABN
3	5000	Diesel Fuel	Abandoned in place	Federal		$0.00	10/03/1995 - ABN
4	15000	Diesel Fuel	Currently in use	Federal		$0.00
5	15000	Diesel Fuel	Currently in use	Federal		$0.00

Dispenser Information

Name\ID	Status

MFD Motorfuel Dispensing Forms

No Forms Found