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woarr.-QU1 V C1) <br /> NIFIED PROGRAM CONSOLIDATEDM /L. ) (6 AUG o <br /> UNDERGROUND STORAGE TANK°` ! „\ <br /> OPERATING PERMIT APPLICATION-TANK INFORMATION(one <br /> TYPE OF ACTION (Check one item only. For an UST permanent closure or removal,complete only this section and Sections 1,ll,111, <br /> ® L NEW PERMIT ❑ 3.RENEWAL PERMIT ❑ 5.CHANGE OF INFORMATION 70 ar4�cp, ' <br /> ❑ 6.TEMPORARY UST CLOSURE ❑ 7.UST PERMANENT CLOSURE ON SITE ❑ 8.UST REMOVAL <br /> DATE UST PERMANENTLY CLOSED: °J0° I DATE EXISTING UST DISCOVERED: 43% <br /> FACILITY ID q(Agency Use Only) I. FACILITY INFORMATION <br /> BUSINESS NAME(Same a9 FACILITY NAME or DBA-Doing Business As) 3 <br /> FedEx Ground Package System, Inc. <br /> BUSINESS SITE ADDRESS 101 CITY l64 <br /> 120 S.Hansen Road Trac <br /> IL TANK DESCRIPTION <br /> TANK ID d 3 432 TANK MANUFACTURER 433 TANK CONFIGURATION: THIS TANK IS 4N <br /> Xerxes Corporation ❑1.A STAND-ALONE TANK <br /> ®2.ONE IN A COMPARTMENTED UNIT. <br /> Com Ida e 110 each can Ma to as,mil. <br /> DATE UST SYSTEM INSTALLED 435 TANK CAPACITY IN GALLONS 43a NUMBER OF COMPARTMENT'S IN THE UNIT 417 <br /> 20,000 2 (Total Compartment Tank Capacity=30,000pals) <br /> III.TANK USE AND CONTENTS (10,000 gal compartment for DEF) <br /> TANK USE ® la.MOTOR VEHICLE FUELING ❑ Ib.MARINA FUELING ❑ Ic.AVIATION FUELING 419 <br /> ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(3atlud.taed oil) ❑ 5.EMERGENCY GENERATOR FUEL I4SC§252815(c)l <br /> ❑ 6.OTHER GENERATOR FUEL ❑ 95.UNKNOWN ❑ 99.OTHER (Specify) 43% <br /> CONTENTS PETROLEUM. ❑ la.REGULAR UNLEADED ❑ Ic.MIDGRADE UNLEADED ❑ Ib.PREMIUM UNLEADED 440 <br /> ❑ 3.DIESEL ❑ 5.JET FUEL ❑ 6.AVIATION GAS <br /> ❑ S.PETROLEUM BLEND FUEL. ❑ 9.OTHER PETROLEUM (S ay): B-99 Bio-fuel °40i <br /> NON-PETROLEUM:❑ 7.USED OIL 10.ETHANOL <br /> ❑ 11.OTHER NON-PETROLEUM(Specify): /406 <br /> IV. TANK CONSTRUCTION <br /> TYPE OF TANK ❑ I.SINGLE WALL ® 2.DOUBLE WALL ❑ 95.UNKNOWN 443 <br /> PRIMARY CONTAINMENT ❑ L STEEL N 3.FIBERGLASS ❑ 6.INTERNAL BLADDER 444 <br /> ❑ 7.STEEL+INTERNAL LINING ❑ 95.UNKNOWN ❑ 99,OTHER SIM if 4441 <br /> SECONDARY CONTAINMENT ❑ 1.STEEL ®3.FIBERGLASS ❑ 6.EXTERIOR MEMBRANE LINER ❑ 7.IACKETED 44s <br /> ❑ 90.NONE ❑ 95.UNKNOWN ❑99.OTHERS ci ): 445. <br /> OVERFILL PREVENTION ® I.AUDIBLE A 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.DOUBLE-WALLED [199.OTHER 460 <br /> SYSTEM TYPE ❑ 1.PRESSURE ❑ 2.GRAVITY ❑ 3.CONVENTIONAL SUCTION ® 4.SAFE SUCTION u CCR 126364X31 458 <br /> PRIMARY CONTAINMENT ❑ 1.STEEL 0 4.FIBERGLASS ❑ S.FLEXIBLE ❑ 10.RIGID PLASTIC 464 <br /> ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Spec' 464a <br /> SECONDARY CONTAINMENT ❑ 1.STEEL ® 4.FIBERGLASS ❑ S.FLEXIBLE ❑ 10.RIGID PLASTIC 4646 <br /> Q 90.NONE ❑ 95 UNKNOWN ❑ 99 OTHER(Specify): 4644 <br /> PIPING/IURBINE CONTAINMENT SUMP TYPE ❑ I.SINGLE.WALL ® 2.DOUBLE WALL ❑ 90.NONE 464d <br /> VI.VENT,VAPOR RECOVERY(VR)AND RISER/FILL PIPE PIPING CONSTRUCTION <br /> VENT PRIMARY CONTAINMENT 1.STEEL ® 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE 0 99.OTHER(Specify) 464• <br /> 464,11 <br /> VENT SECONDARY CONTAINMENT 1.STEEL ® 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90 NONE ❑ 99,OTHER(Specify) 4641' <br /> 464n <br /> VR PRIMARY CONTAINMENT 13 L STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ® 90.NONE ❑ 99.OTHER(Specify) 4648 <br /> VR SECONDARY CONTAINMENT I STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ® 90,NONE ❑ 99.OTHER(Specify) 464h <br /> a6ahl <br /> VENT PIPING TRANSITION SUMP TYPE El 1,SINGLE WALL ® 2.DOUBLE WALT. ❑ 90.NONE 464i <br /> RISER PRIMARY CONTAINMENT 19 L STEEL 0 4.FIBERGLASS 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify) 464i <br /> a6o 1 <br /> RISER SECONDARY CONTAINMENT I.STEEL 0 4.FIBERGLASS ❑ 10.RIGID PLASTIC 0 90.NONE ❑ 99.OTHER(Specify) 4 k <br /> 464k1 <br /> FILL COMPONENTS INSTALLED 1.SPILL BUCKET 0 3.STRIKER PLATE/BOTTOM PROTECTOR 0 4.CONTAINMENT SUMP 411., <br /> VII- UNDER DISPENSER CONTAINMENT(UDC) <br /> CONSTRUCTION TYPE ❑ 1.SINGLE WALL N 2.DOUBLE WALL ❑ 3.NO DISPENSERS ❑ 90,NONE 46% <br /> CONSTRUCTION MATERIAL 0 1_STEEL ® 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 99.OTHERS if) 46%h, <br /> VDI. CORROSION PROTECTION <br /> STEEL COMPONENT PROTECTION ❑ 2.SACRIFICIAL ANODE(S) ❑ 4.IMPRESSED CURRENT ® 6.ISOLATION i48 <br /> 1X. APPLICANT SIGNATURE <br /> CERTIFICATION: 1 certify that this LIST system is compatible with the baardous substance stored and that the information provided herein is true.accurate, <br /> and in full com liao a with legal re uirt ta. <br /> (AN' <br /> APPLICANT SIGNATU��APPLICANT SIGNATURE DATE 470 <br /> [� <br /> APPLICANT NAME(print) Anthony Spa aL APPLICANT TITLE Assistant Secretary °" <br /> UPCF UST-11-1/2 Rev.(122007) <br />