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fQIFIED PROGRAM CONSOLIDATED F M UNDERGROUND STORAGE TANK'w 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 lI,III,I V,and IX below) 430 ® 1.NEW PERMIT El3.RENEWAL PERMIT ❑ 5.CHANGE OF INFORMATION ❑ 6.TEMPORARY UST CLOSURE ❑ 7.UST PERMANENT CLOSURE ON SITE El S.UST REMOVAL >��-�j�J - DATE UST PERMANENTLY CLOSED: 4101 1 DATE EXISTING UST DISCOVERED: P7'�D D_25 D&.5- 4306 I. FACILITY INFORMATION - p FACILITY ID N(Agency Use Only) BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business Al) 3 FedEx Ground packs e S stem Inc. BUSINESS SITE ADDRESS 103 CITY 1M 120 S.Hansen Road Tra IL TANK DESCRIP!TATK N TANK ID# 3 431 TANK MANUFACTURER 433 CONFIGURATION: THIS TANK IS 434 Xeres Corporation ❑1.A STAND-ALONE TANK ®2.ONE DI A COMPARTMENTED UNIT. DATE UST SYSTEM'INSTALLED os om leu one n e I. mch wen.tao.nt in ua wit TANK CAPACITY 1N GALLONS 434 NUMBER OF COMPARTMENTS IN THE UNIT o0 20,000 2 Total Com ari hent Tank Ca aci =30,000 els) III.TANK USE AND CONTENTS TANK USE IN la.MOTOR VEHICLE FUELING ❑ lb.MARINA FUELING ❑ I..AVIATION FUELING 439 ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE OMlud.Und Gip ❑ 5.EMERGENCY GENERATOR FUEL[HSC§25281.5(c)] ❑ 6.OTHER GENERATOR FUEL ❑ 95.UNKNOWN ❑ 99.OTHER (Specify): 43% CONTENTS PETROLEUM: ❑ is.REGULAR UNLEADED ❑ Ic.MIDGRADE UNLEADED ❑ lb.PREMIUM UNLEADED 440 ❑ 3.DIESEL ❑ 5.JET FUEL ❑ 6.AVIATION GAS ❑ 8.PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM (specify): B-99 Bio-fuel 4W. NON-PETROLEUM:❑ 7.USED OIL ❑ 10.ETHANOL ❑ 11.OTHER NON-PETROLEUMS i : 0.106 IV. TANK CONSTRUCTION TYPE OF TANK ❑ 1.SINGLE WALL ® 2.DOUBLE WALL ❑ 95.UNKNOWN 443 PRIMARY CONTAINMENT ❑ 1.STEEL ® 3.FIBERGLASS ❑ 6.INTERNAL BLADDER 444 ❑ 7.STEEL+INTERNAL LINING ❑ 95.UNKNOWN 1199.OTHER (S ei : a44. SECONDARY CONTAINMENT ❑ 1.STEEL ®3.FIBERGLASS ❑ b.EXTERIOR MEMBRANE LINER ❑ 7.JACKETED 445 ❑ 90.NONE ❑ 95.UNKNOWN ❑99.OTHERS i ): M5. OVERFILL PREVENTION 1.AUDIBLE ffi 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.DOUBLE-WALLED ❑99.OTHER 460 SYSTEM TYPE ❑ 1.PRESSURE ❑ 2.GRAVITY ❑ 3.CONVENTIONAL SUCTION ® 4.SAFE SUCTION[z3 CCR§2636(.X3) 459 PRIMARY CONTAINMENT ❑ 1.STEEL ® 4.FIBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGID PLASTIC 464 EI 90.NONE ❑ 95.UNKNOWN C] 99.OTHER(S ify): 464. SECONDARY CONTAINMENT ❑ 1.STEEL ® 4.FIBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGID PLASTIC 4646 ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 464c PIPINGf URBINE CONTAINMENT SUMP TYPE ❑ I.SINGLE WALL [9 2.DOUBLE WALL ❑ 90.NONE 4Md VL VENT,VAPOR RECOVERY(VR)AND RISER/FILL PIPE PIPING CONSTRUCTION VENT PRIMARY CUNTARJMEN7 ❑ 1.STEEL P9 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE El 99.OTHER(Specify) Owe VENT SECONDARY CONTAINMENT 0 1.STEEL ® 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify) 44wr Iwn VR PRIMARY CONTADMIENT 0 1.STEEL ❑ 4.FIBERGLASS 11 10.RIGID PLASTIC N 90.NONE ❑ 99.OTHER(Specify) 4Mg VR SECONDARY CONTAINMENT 0 1.STEEL 4.FIBERGLASS ❑ 10.RIGID PLASTIC ® 90.NONE 99.OTHER(Specify) 44wh Uhl VENT PIPING TRANSITION SUMP TYPE 1.SINGLE WALL N 2.DOUBLE WALL ❑ 90.NONE 4&1i. RISER PRIMARY CONTAINMENT R9 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGIDPLASTIC ❑ 90.NONE ❑ 919.OTHER(Specify) 4" RISER SECONDARY CONTAINMENT IM'I 1.STEEL ® 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify) 4Mk 4Mk1 FILL COMPONENTS INSTALLED ® 1.SPILL BUCKET 3.STRIKER PLATE/BOTTOM PROTECTOR 0 4.CONTAINMENT SUMP 451. VII.UNDER DISPENSER CONTAINMENT(UDC) CONSTRUCTION TYPE ❑ 1.SINGLE WALL ® 2.DOUBLE WALL ❑ 3.NO DISPENSERS ❑ 90.NONE 469• CONSTRUCTION MATERIAL ❑ 1.STEEL N 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 99.OTHERS ci 4696-c VIII. CORROSION PROTECTION STEEL COMPONENT PROTECTION ❑ 2.SACRIFICIAL ANODE(S) ❑ 4.HAPRESSED CURRENT ® 6.ISOLATION 448. 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 I at r uire ts. APPLICANT SIGNATURE DATE 1 a 1 ►s 490. APPLICANT NAME(print) Anthony Spa 1 d91' APPLICANT TITLE Assistant Secretary 472 UPCF UST-B-12 Rev.(122007)