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