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'%.�IFIED PROGRAM CONSOLIDATED F,.M. UNDERGROUNDSTORAGETANK \P OPERATING PERMIT APPLICATION-TANK INFORMATION TYPE OF ACTION (Check one item only. For an UST permanent closure or rernoval,complete only�thswew.and Swurns 1,11,111,IV,and IX below) 43an 1.NEW PERMIT 0 3.RENEWAL PERMIT El 5.CHANGE OF INFORMATIO 6.TEMPORARY LIST CLOSURE 0 7.UST PERMANENT CLOSURE ON SITE 8.UST REM0.. Fp- DATE UST PERMANENTLY CLOSED: 011, ATE EXISTING UST DISCOVERED- FA-9 30 S- 43% FACILITY ID 4(Agency Use Only) 1. FACILITY INFORMATION o -7 V, BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) FedEx Ground Package System, Inc. BUSINESS SITE ADDRESS 103 1 CITY 120 S. Hansen Road T aCy 11.TANK DESCRIPTION TANK ID 4 2 432 TANK MANUFACTURER 411 KCONFIGURATION THISTANKIS 4,4 Xerxes Corporation A STAND-ALONE I ANK []2.ONE IN A COMPARTMENTED UNIT. Camnlete me Me am each wm,ann�ent in de unit DATE UST SYSTEM INSTALLED 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS IN THE UNIT 431 30,000 1 111.TANK USE AND CONTENTS TANK USE ED I.,MOTOR VEHICLE FUELING D lb MARINA FUELING 0 Ic.AVIATION FUELING 439 0 3.CHEMICAL PRODUCT STORAGE 4.HAZARDOUS WASTE(includes Used Oil) 0 5.EMERGENCY GENERATOR FUEL[HSC4.252815(c)] [1 6.OTHER GENERATOR FUEL 95.UNKNOWN [1 99.OTHER (Spencify: 439. CONTENTS PETROLEUM 0 Ia.REGULAR UNLEADED L] Ic.MEDGRADE UNLEADED 0 1 b.PREMRJMLJNLEADED "a 0 3.DEESEL [1 5.JET FUEL 0 6.AVIATION GAS 0 8.PETROLEUM BLEND FUEL 0 9.OTHER PETROLEUM (Spcs:4) K0. NON-PETROLEUM:[3 7.USED OIL 0 10.ETHANOL 0 11.OTHER NON-PETROLEUM ISpacily): 4401, IV. TANK CONSTRUCTION TYPE OF TANK 0 1.SINGLE WALL 0 2.DOUBLE WALL 0 95.UNKNOWN 443 PRIMARY CONTAINMENT 0 LSTEEL 0 3.FIBERGLASS 0 6.INTERNAL BLADDER 444 0 7.STEEL+INTERNAL LINING 0 95.UNKNOWN 0 99.OTHER (specify): 44,1. SECONDARY CONTAINMENT 0 LSTEEL 0 3.FIBERGLASS 0 6.EXTERIOR MEMBRANE LINER 0 7.JACKETED 4A5 D 90.NONE 0 95.UNKNOWN 0 99.OTHER(Specify): "5a OVERFILL PREVENTION 0 1.AUDIBLE&VISUAL ALARMS 0 2.BALL FLOAT 159 3 FILL TUBE SHUT-OFF VALVE 452 El 4 TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT V. PRODUCT/WASTE PIPING CONSTRUCTION PIPING CONSTRUCTION 0 1 SUNGLE-WALLED 0 2.DOUBLE-WALLED El 99.OTHER SYSTEM TYPE 0 1 PRESSURE El 2.GRAVITY 0 3.CONVENTIONAL SUCTION 0 4.SAFE SUCTION[23 CCR§2636daX3)] 4S8 PRWARYCONTAINMENT 0 1.STEEL 0 4,FIBERGLASS 0 8.FLEXIBLE 0 111 RIGID PLASTIC 45`1 Q 90.NONE 0 95.UNKNOWN [1 99.OTHER(Specify): SECONDARY CONTAINMENT 0 ESTEEL N 4.FIBERGLASS L1 8.FLEXIBLE 0 10.RIGID PLASTIC 0 9L NONE El 95 UNKNOWN 0 99 OTHER(Spcclfy) PIPING/TURBINE CONTAINMENT SUMP TYPE 0 1 SIN61.EWALL 19 2.DOUBLE WALL El 90,NONE 464d VI.VENT,VAPOR RECOVERY(VR)AND RISER/FILL PIPE PIPING CONSTRUCTION VENT PRIMARY CONTAINMENT 0 1 STEEL N 4 FIBERGLASS Lj 10 RIGID PLASFIC LJ 90 NONE Ej 99,01HER(Speeffy) 46ce �l VENT SECONDARY CONTAINMENT 0 LSTEEL 0 4.FIBERGLASS 0 M RIGID PLASTIC El 90,NONE 0 99.OTHER(Specify) 4&R wn Va PRIMARY CONTAINMENT LSTEEL 0 4.FIBERGLASS 0 HLRIGIDPLASTIC 0 90.NONE 099.OTHER(SPiFr) 464g 4M,I VR SECONDARY CONTAINMENT LSTEEL D 4.FIBERGLASS 0 1 L RIGID PLASTIC 19 90.NONE 0 99�OTHER(Specify) 4�h 4"ht VENT PIPING TRANSITION SUMP TYPE 0 1.SINGLE WALL P9 2.DOUBLE WALL Q 90.NONE 4�i RISER PRIMARY CONTAINMENT 0 1.STEEL 0 4.FIBERGLASS 0 10.RIGID PLASTIC 0 90.NONE 0 99.OTHER(Specify) _TMT 464it RISER SECONDARY CONTAINMENT 0 1 STEEL 0 4,FIBERGLASS [9 10 RIGID PLASTIC D 90.NONE [1 99 OTHER(Specify) 46sIk 4�k I FILL COMPONENTS INSTALLED 0 1 SPILL BUCKET 0 3.STRIKER PLA[E/BOTTOM PROTECTOR 1@ 4 CONTAINMEN I SUMP 45la-c VIL UNDER DISPENSER CONTAINMENT(UDC) CONSTRUCTION TYPE 0 1�SINGLE WALL 159 2 DOUBLE WALL 0 3,NO DISPENSERS 0 90 NONE 4b9. CONSTRUCT ION MATERIAL 0 1 STEEL 0 4.FIBERGLASS 0 10 RIGIDPLASTIC [1 99 OTHER(Spccffy) V11L CORROSION PROTECTION STEEL COMPONFN I PROTECTION D 2 SACRIFICIAL ANODE(S) [:1 4 IMPRESSEDCURRENT 0 6 ISOLATION IX. APPLICANT SIGNATURE CERTIFICATION: I certify that this UST System is compatible with the luccardous substance stored and that the information provided herein is true,accurate, and in full compliance with legal requirements. APPLICANT SIGNATUR!,,,�� DATE7&/JIS 4". APPLICANT NAME(print) Anthony SpalNeTi� 41L APPLICANt TITLt Assistant Secretary 472 IUPCF UST-111-1/2 Rev.(11=097)