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:	7002386
Status:	Closed
Facility Name:	Crossroads Comm Hospital
Address:	8 Doctors Park Rd Mount Vernon, IL 62864
County:	Jefferson
Property Parcel:
Facility Type:	Other
Owner Type:
Green Tag Decal:
Green Tag Issue Date:
Green Tag Expiration Date:

Owner Details

Owner Name:	Crossroads Comm Hospital
Owner Address:	8 Doctors Park Rd Mount Vernon, IL 62864
Owner Status:	Current Owner
Purchase Date:
Type of Financial Responsibility:
Financial Responsibility Reporting Due Date:

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history

Owner Number	Owner Name	Owner Status	Purchase Date
U0003603	Crossroads Comm Hospital	Current Owner

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

No IEMA Numbers Found

LUST Fund Eligibility and Deductibility Determinations

IEMA Number	Status	OSFM Received Date	OSFM Response Date	Deductible	Letter
95-2057	Eligible	12/1/1995	12/28/1995	$10,000

Pay Tank Fees Online

Tank Information

Tank Number 1

Capacity:	1000		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:	3/13/1986		Abandoned Material:	Inert material mixed with portland cement
Current Age:	44		Abandoned Date:	12/4/1995
Install Date:	1/1/1980		Red Tag Issue Date:
Last Used Date:			Fee Due:
Product Date:	1/1/1980

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