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\..,IIFIED PROGRAM CONSOLIDATED F M <br /> UNDERGROUND STORAGE TANK <br /> OPERATING PERMIT APPLICATION-TANK INFORMATION(One form per UST) <br /> TYPE OF ACTION (Check one item only. For an UST permanent closure or removal,complete only this section and Sections L II,III,IV,and IX below) 430 <br /> ® 1.NEW PERMIT ❑ 3.RENEWAL PERMIT ❑ 5.CHANGE OF INFORMATIO <br /> ❑ 6.TEMPORARY UST CLOSURE [17.UST PERMANENT CLOSURE ON SITE ❑ 8.UST REMOVAL' <br /> DATE UST PERMANENTLY CLOSED: 6301 I DATE EXISTING UST DISCOVERED: DD;i.3 D 6' 430, <br /> I. FACILITY INFORMATION Tk yp-7$ <br /> FACILITY ID#(Agency Use 0*) 1. <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> FedEx Ground Package System,Inc. <br /> BUSINESS SITE ADDRESS 103 CITY Ia <br /> 120 S.Hansen Road Trac <br /> II.TANK DESCRIPTION <br /> TANK ID# 2 433 TANK MANUFACTURER 433 TANK CONFIGURATION: THIS TANK IS 434 <br /> Xerxes Corporation ®1.A STAND-ALONE TANK <br /> ❑2.ONE IN A COMPARTMENTED UNIT. <br /> Cam lel.one Put,for e•ch wm ent in as unit <br /> DATE UST SYSTEM INSTALLED 435 TANK CAPACITY M GALLONS 436 NUMBER OF COMPARTMENTS IN THE UNIT 433 <br /> 30,000 1 1 <br /> III.TANK USE AND CONTENTS <br /> TANK USE ® Ia MOTORVEHICLEFUELING ❑ Ib.MARINA FUELING ❑ 1c.AVIATION FUELING 439 <br /> ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(Include•Uvea Oil) ❑ 5.EMERGENCY GENERATOR FUEL[HSC§25291.5(c)] <br /> ❑ 6.OTHER GENERATOR FUEL ❑ 95.UNKNOWN ❑ 99.OTHER (Specify): 43% <br /> CONTENTS PETROLEUM: ❑ la.REGULAR UNLEADED ❑ le.MIDGRADE UNLEADED ❑ Ib.PREMUM UNLEADED 440 <br /> ® 3.DIESEL ❑ 5.JET FUEL ❑ 6.AVIATION GAS <br /> ❑ S.PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM (Specify): 440• <br /> NON-PETROLEUM:❑ 7.USED OIL ❑ ]0.ETHANOL <br /> ❑ 11.OTHER NON-PETROLEUM(Specify): <br /> 44ab <br /> IV. TANK CONSTRUCTION <br /> TYPE OF TANK ❑ 1.SINGLE WALL 29 2.DOUBLE WALL ❑ 95.UNKNOWN 443 <br /> PRIMARY CONTAINMENT 0 L STEEL ® 3.FIBERGLASS ❑ 6.INTERNAL BLADDER 444 <br /> ❑ 7.STEEL+INTERNAL LINING ❑ 95.UNKNOWN ❑ 99.OTHER (Specify): 444• <br /> SECONDARY CONTAINMENT ❑ 1.STEEL N 3.FIBERGLASS ❑ 6.EXTERIOR MEMBRANE LINER ❑ 7.JACKETED as <br /> ❑ 90.NONE ❑ 95.UNKNOWN ❑99.OTHER(Specify): N5. <br /> OVERFILL PREVENTION ® 1.AUDIBLE&VISUAL ALARMS ❑ 2.BALL FLOAT ® 3.FILL TUBE SHUT-OFF VALVE 452. <br /> ❑ 4.TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT <br /> V. PRODUCT/WASTE PIPING CONSTRUCTION <br /> PIPING CONSTRUCTION ❑1.SINGLE-WALLED ®2.DOABLE-WALLED ❑99.OTHER 460 <br /> SYSTEM TYPE N 1.PRESSURE ❑ 2.GRAVITY ❑ 3.CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION III CCA§2636(.X3) 459 <br /> PRIMARY CONTAINMENT ❑ 1.STEEL ® 4.FIBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGID PLASTIC 464 <br /> ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 464a <br /> SECONDARY CONTAINMENT ❑ 1.STEEL ® 4.FIBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGIDPLASTIC 464b <br /> ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 464. <br /> PIPING/TURBINE CONTAINMENT SUMP TYPE ❑ 1.SINGLE WALL ® 2.DOUBLE WALL ❑ 90.NONE 4644 <br /> VL VENT,VAPOR RECOVERY(VR)AND RISER/FILL PIPE PIPING CONSTRUCTION <br /> VENT PRIMARY CONTAINMENT 0 1.STEEL 9 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify) 464e <br /> 464ei <br /> VENT SECONDARY CONTAINMENT ❑ 1.STEEL ® 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE 99.OTHER(Specify) 46If <br /> 464n <br /> VR PRIMARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC 90.NONE ❑ 99.OTHER(Specify) 4648 <br /> 460 I <br /> VR SECONDARY CONTAINMENT 0 1.STEEL 0 4.FIBERGLASS ❑ 10.RIGID PLASTIC ® 90.NONE ❑ 99.OTHER(Specify) 469h <br /> 460h1 <br /> VENT PIPING TRANSITION SUMP TYPE L1 1.SINGLE WALL ® 2.DOUBLE WALL D 90.NONE 4641. <br /> RISER PRIMARY CONTAINMENT N 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify) 464j <br /> 46,10 <br /> RISER SECONDARY CONTAINMENT ❑ 1.STEEL ® 4.FIBERGLASS ® 10.RIGID PLASTIC ❑ 90.NONE 0 99.OTHER(Specify) 464k <br /> 464kl <br /> FILL COMPONENTS INSTALLED 0 1.SPILL BUCKET Eg 3.STRIKER PLATEIBOTTOM PROTECTOR 9 4.CONTAINMENT SUMP 451. <br /> VIL UNDER DISPENSER CONTAINMENT(UDC) <br /> CONSTRUCTION TYPE ❑ 1.SINGLE WALL ® 2.DOUBLE WALL ❑ 3.NO DISPENSERS ❑ 90.NONE 0% <br /> CONSTRUCTION MATERIAL ❑ I.STEEL ® 4.FIBERGLASS ❑ 10.RIGIDPLASTIC ❑ 99.OTHER(S i ) 469,.. <br /> VIII. CORROSION PROTECTION <br /> STEEL COMPONENT PROTECTION ❑ 2.SACRIFICIAL ANODE(S) ❑ 4.IMPRESSED CURRENT ® 6.ISOLATION 444 <br /> IX. APPLICANT SIGNATURE <br /> CERTIFICATION: I certify that this UST system Is compatible with the hazardous substance stored and that the information provided herein is true,accurate, <br /> and in full compliance with kigal requirements. <br /> APPLICANT SIGNATURE e DATE 470 <br /> APPLICANT NAME(print) thong Spaly d71' APPLICANT TITL ASsiStan[Secretary 473. <br /> UPCF UST-B-1/2 <br /> Rev.(12/2007) <br />