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:	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