Information

JB Pritzker, Governor

Michele L Pankow, State Fire Marshal

Division of Petroleum & Chemical Safety

State of Illinois
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Division of Petroleum & Chemical Safety

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:	10/1/2026

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

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

Permits (Unexpired)

Click for permit history

No Active Permits Found

Notice of Violatlions (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

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	20000		Petroleum Use:	Consumptive Use on Premises for Heating
Product:	Diesel Fuel		CERCLA Substance:
Status:	Removed		CAS Code:
Regulated Status:	State		Removed Date:	8/29/1995
OSFM First Notify Date:	3/26/1986		Abandoned Material:
Current Age:	31		Abandoned Date:
Install Date:	1/1/1964		Red Tag Issue Date:
Last Used Date:	8/15/1995		Fee Due:	$0.00
Product Date:	1/1/1964

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:	Consumptive Use on Premises for Heating
Product:	Diesel Fuel		CERCLA Substance:
Status:	Abandoned in place		CAS Code:
Regulated Status:	State		Removed Date:
OSFM First Notify Date:	3/26/1986		Abandoned Material:	Inert material mixed with portland cement
Current Age:	61		Abandoned Date:	8/29/1995
Install Date:	1/1/1964		Red Tag Issue Date:
Last Used Date:	1/1/1993		Fee Due:	$0.00
Product Date:	1/1/1964

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:	5000		Petroleum Use:	Back-up Generator
Product:	Diesel Fuel		CERCLA Substance:
Status:	Abandoned in place		CAS Code:
Regulated Status:	Federal		Removed Date:
OSFM First Notify Date:	3/26/1986		Abandoned Material:	Inert material mixed with portland cement
Current Age:	59		Abandoned Date:	10/3/1995
Install Date:	1/1/1966		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	1/1/1966

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:	15000		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:	11/20/1995		Abandoned Material:
Current Age:	29		Abandoned Date:
Install Date:	9/7/1995		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/28/1995

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible 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	8/5/2025	8/5/2026
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	8/5/2025	8/5/2026
Overfill Prev Device	Overfill Alarm	8/23/2023	8/23/2026
Overfill Prev Device	Overfill Drop Tube Valve	8/23/2023	8/23/2026
Piping	Flexible Double Wall Environ Geo Flex	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/8/2024	8/8/2027
Leak Detect - Piping	Sump Sensor	8/5/2025	8/5/2026
Piping	Single Wall Transition Sump	8/8/2024	8/8/2027
Leak Detect - Piping	Sump Sensor	8/5/2025	8/5/2026
Spill Contain Device	Single Wall Spill Bucket	8/8/2024	8/8/2027
Tank	Fiberglass Double Wall	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	8/5/2025
Tank	Fiberglass Double Wall	Precision Test (Tank)	Pass	8/28/2020

Tank Number 5

Capacity:	15000		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:	11/20/1995		Abandoned Material:
Current Age:	29		Abandoned Date:
Install Date:	9/7/1995		Red Tag Issue Date:
Last Used Date:			Fee Due:	$0.00
Product Date:	9/28/1995

Equipment

Equipment Type	Equipment	Last Passing Date	Test Expire Date
Corrosion Prot - Piping	Flexible 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	8/5/2025	8/5/2026
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	8/5/2025	8/5/2026
Overfill Prev Device	Overfill Alarm	8/23/2023	8/23/2026
Overfill Prev Device	Overfill Drop Tube Valve	8/23/2023	8/23/2026
Piping	Flexible Double Wall Environ Geo Flex	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	8/8/2024	8/8/2027
Leak Detect - Piping	Sump Sensor	8/5/2025	8/5/2026
Piping	Single Wall Transition Sump	8/8/2024	8/8/2027
Leak Detect - Piping	Sump Sensor	8/5/2025	8/5/2026
Spill Contain Device	Single Wall Spill Bucket	8/8/2024	8/8/2027
Tank	Fiberglass Double Wall	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	8/5/2025
Tank	Fiberglass Double Wall	Precision Test (Tank)	Pass	8/28/2020

Dispenser Information

MFD Motorfuel Dispensing Forms

No Forms Found