Division of Petroleum & Chemical Safety

 

Facility Details

Facility Number: 7026515
Status: Closed
Facility Name: Memorial Hospital of Carbondale
Address: 405 W. Jackson Street
Carbondale, IL 62901
County: Jackson
Property Parcel:
Facility Type: Hospital
Owner Type: Private
Green Tag Decal: V005030
Green Tag Issue Date: 12/10/2020
Green Tag Expiration Date: 12/31/2022

Owner Details

Owner Name: Southern Illinois Hospital Services
Owner Address: 1239 East Main Street
Carbondale, IL 62901
Owner Status: Current Owner
Purchase Date: 6/8/1993
Type of Financial Responsibility: Commercial Insurance
Financial Responsibility Reporting Due Date: 8/23/2023

Motor Fuel Dispensing Permits

No MFD Permits Found

Owner Summary

Click for Facility/Tank Ownership history
Owner Number Owner Name Owner Status Purchase Date
U0014187 Southern Illinois Hospital Services Current Owner 6/8/1993

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
22-0879 11/9/2022 Removal Log 01101-2022REM

LUST Fund Eligibility and Deductibility Determinations

No Applications Found

Pay Tank Fees Online

Tank Information



Tank Number 1

Capacity: 15000 Petroleum Use: Consumptive Use on Premises for Heating
Product: Heating Oil CERCLA Substance:
Status: Abandoned in place CAS Code:
Regulated Status: State Removed Date:
OSFM First Notify Date: 11/27/1990 Abandoned Material: Inert material mixed with portland cement
Current Age: 23 Abandoned Date: 12/13/1993
Install Date: Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date:

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: 3000 Petroleum Use: Consumptive Use on Premises for Heating
Product: Heating Oil CERCLA Substance:
Status: Abandoned in place CAS Code:
Regulated Status: Exempt Removed Date:
OSFM First Notify Date: 2/19/1992 Abandoned Material: Inert material mixed with portland cement
Current Age: Abandoned Date: 2/7/1992
Install Date: Red Tag Issue Date:
Last Used Date: 12/1/1969 Fee Due:
Product Date:

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: 8000 Petroleum Use: Back-up Generator
Product: Heating Oil CERCLA Substance:
Status: Removed CAS Code:
Regulated Status: Federal Removed Date: 11/9/2022
OSFM First Notify Date: 7/7/1993 Abandoned Material:
Current Age: 29 Abandoned Date:
Install Date: 6/8/1993 Red Tag Issue Date:
Last Used Date: Fee Due: $0.00
Product Date: 6/8/1993

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 European with No Test Req Suction N/A N/A
Leak Detect - Tank Automatic Tank Gauging Incon TS 550 EVO 2/14/2022 2/14/2023
Leak Detect - Tank Non-Discriminating Interstitial Monitoring Sensors 2/14/2022 2/14/2023
Overfill Prev Device Overfill Drop Tube Valve 2/14/2022 2/14/2025
Piping Flexible Double Wall N/A N/A
Piping Single Wall STP/Tanktop Sump 3/26/2021 3/26/2024
Leak Detect - Piping Sump Sensor 2/14/2022 2/14/2023
Spill Contain Device Single Wall Spill Bucket 7/28/2022 7/28/2025
Tank Fiberglass Double Wall N/A N/A

Additional Tests

Equipment Type Equipment Test Type Test Result Test Date
Tank Fiberglass Double Wall Precision Test (Tank) Pass 2/22/2021

Dispenser Information



MFD Motorfuel Dispensing Forms

No Forms Found