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'--,/-///6 AOP �,i,ii,,c,IIFIED PROGRAM CONSOLIDATED F,,,,M 4j� pJ 23SZTIA // UNDERGROUND STORAGE TANK U �� ' \� b 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 1,II,III,IV,and IX below) 430 N 1.NEW PERMIT ❑ 3.RENEWAL PERMIT ❑ 5.CHANGE OF INFORMATION ❑ 6.TEMPORARY UST CLOSURE ❑ 7.UST PERMANENT CLOSURE ON SITE ❑ 8.UST REMOVAL rADO;2 3 DIe.S DATE UST PERMANENTLY CLOSED: 4308 DATE EXISTING UST DISCOVERED: ;?0-7& r 430b L FACILITY INFORMATION FACILITY ID#(Agency Use Only) ) BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 FedEx Ground Package System,Inc. BUSINESS SITE ADDRESS 103 CITY IN 120 S. Hansen Road I Trac U.TANK DESCRIPTION TANK ID# 1 432 TANK MANUFACTURER 433 TANK CONFIGURATION: THIS TANK IS 434 Xerxes Corporation ® 1.A STAND-ALONE TANK ❑2.ONE M A COMPARTMENTED UNIT. C-nide om kr e.ch com ment in the mit. DATE UST SYSTEM INSTALLED 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS M THE UNIT 437 30,000 1 1 Y+ _``- III. TANK USE AND CONTENTS TANK USE N la.MOTOR VEHICLE FUELING ❑ Ib.MARINA FUELING ❑ Ic.AVIATION FUELING 439 ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(Included Used Oil ❑ 5.EMERGENCY GENERATOR FUEL(HSC§25291.5(yI ❑ 6.OTHER GENERATOR FUEL ❑ 95.UNKNOWN ❑ 99.OTHER (Specify): 4t9a CONTENTS PETROLEUM: ❑ la.REGULAR UNLEADED ❑ Ic.MIDGRADE UNLEADED ❑ I b.PREMIUM UNLEADED 440 N 3.DIESEL ❑ 5.JET FUEL ❑ 6.AVIATION GAS ❑ 8.PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM (specify): 44oa NON-PETROLEUM:❑ 7.USED OIL ❑ 10.ETHANOL ❑ 11.OTHER NON-PETROLEUM is ecif): 440b IV. TANK CONSTRUCTION TYPE OF TANK ❑ I.SINGLE WALL ® 2.DOUBLE WALL ❑ 95.UNKNOWN 443 PRIMARY CONTAINMENT ❑ 1.STEEL ® 3.FIBERGLASS ❑ 6.INTERNAL BLADDER 444 ❑ 7.STEEL+INTERNAL LINING [195.UNKNOWN ❑ 99.OTHER (Specify): 444. SECONDARY CONTAINMENT ❑ 1.STEEL N 3.FIBERGLASS ❑ 6.EXTERIOR MEMBRANE LINER ❑ 7.JACKETED 445 ❑ 90.NONE ❑ 95.UNKNOWN [199.OTHERSpecify): 445a OVERFILL PREVENTION ® 1.AUDIBLE&VISUAL ALARMS ❑ 2.BALL FLOAT N 3.FILL TUBE SHUT-OFF VALVE 452. ❑ 4.TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT V. PRODUCT/WASTE PIPING CONSTRUCTION PIPING CONSTRUCTION ❑ I.SINGLE-WALLED N 2.DOUBLE-WALLED ❑99.OTHER 460 SYSTEM TYPE N I.PRESSURE ❑ 2.GRAVITY ❑ 3.CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION[23 CCR§2636WO)l 459 PRIMARY CONTAINMENT ❑ 1.STEEL N 4.FIBERGLASS ❑ &FLEXIBLE ❑ 10.RIGID PLASTIC 464 ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 4Ma SECONDARY CONTAINMENT ❑ E STEEL N 4.FIBERGLASS ❑ &FLEXIBLE ❑ 10.RIGID PLASTIC 464b ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 469c PIPING/TURBINE CONTAINMEN"F SUMP'I'YPE ❑ I.SINGLE WALT. N 2.DOUBLE.WALL ❑ 90,NONE 4Md VI.VENT,VAPOR RECOVERY(VR)AND RISER/FILL PIPE PIPING CONSTRUCTION VENT PRIMARY CONTAINMENT ❑ I.STEEL N 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify) 46x 4Mi,l VENT SECONDARY CONTAINMENT ❑ 1.STEEL N 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify) 464f 464n VR PRIMARY CONTAINMENT ❑ L STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC N 90.NONE ❑ 99.OTHER(Specify) 4649 461'1 VR SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC N 90.NONE ❑ 99.OTHER(Specify) 464h 464hl VENT PIPING TRANSITION SUMP TYPE 0 1.SINGLE WALL N 2.DOUBLE WALL ❑ 90.NONE 4Mi RISER PRIMARY CONTAINMENT N L STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify) 4641 464'1 RISER SECONDARY CONTAINMENT ❑ 1.STEEL N 4.FIBERGLASS ® 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify) 464k 4MIT FILL COMPONENTS INSTALLED N I.SPILL BUCKET N 3.STRIKER PLATE/BOTTOM PROTECTOR N 4.CONTAINMENT SUMP 451a< VII. UNDER DISPENSER CONTAINMENT(UDC) CONSTRUCTION TYPE ❑ I.SINGLE WALL N 2.DOUBLE.W AL1, ❑ 3.NO DISPENSERS ❑ 90.NONE 469' CONSTRUCTION MATERIAL ❑ L STEEI, N 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 99.OTHER(Specify) 4696c VIII. CORROSION PROTECTION s� STEEL.COMPONENT PROTECTION ❑ 2.SACRIFICIAL ANODE(S) ❑ 4.IMPRESSED CURRENT N 6.ISOLATION 9 �v IX. APPLICANT SIGNATURE CERTIFICATION: 1 certify that this LIST system is compatible with the hazardous substance stored and that the information provided herein is true,accurate, and in full c m lima itb legal re uiremem APPLICANT SIGNATURE I DATE 470. ate/ its APPLICANT NAME(print) Anthony Spa 471' APPLICANTTITLP Assistant Secretary 4n, UPCF UST-B-1/2 Rev.(122007)