DERR-2024-004657

IMPACT VALVE
LEAK DETECTOR
MONITOR CERTIFICATION
PV VENT CAP
11000 N. MoPac Expressway, Suite 500
Austin, Texas 78759
Phone: [phone]
Fax: [phone] Date Printed and Mailed: 2/28/2024
UTAH DEPARTMENT OF ENV. QUALITY
UST
PO Box 144840
SALT LAKE CITY, UT 84114
Test Date: 2/21/2024
Order Number: 2364636
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-Eleven 36754
2851 Clubhouse Drive
State ID 1000910
Lehi, UT 84043
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
7-Eleven 36754
2851 Clubhouse Drive State ID 1000910
Lehi UT 84043
36754
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
02/21/2024
RUL PUL
Vaporless LD-
2000
Vaporless LD-
2000
Vaporless LD-
2000LD2000LD2000LD2000
30
30
200
2
20
3
30
30
200
2
20
3
32
32
100
2
20
3
UT151
David Mathie
NW1-2364636
Low Sulfur Diesel
TTNK1 Regular:1 TTNK2 Premium:1 TTNK3 Diesel:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2364636 Date:2/21/2024
Site Name/ID:7-Eleven 36754
Address:2851 Clubhouse Drive State ID 1000910
City:Lehi State:UT Zip:84043
How Inspected: Line Test NFPA 30A PEI RP1200 Other STP PREESURE
Dispenser
Number Grade
Secure
Mount?
Valve
Lock?Pass/ Fail Comments
1/2 85 Pass Fail Not Tested
1/2 91 Pass Fail Not Tested
3/4 40 Pass Fail Not Tested
3/4 85 Pass Fail Not Tested
3/4 91 Pass Fail Not Tested
5/6 85 Pass Fail Not Tested
5/6 91 Pass Fail Not Tested
7/8 85 Pass Fail Not Tested
7/8 91 Pass Fail Not Tested
9/10 85 Pass Fail Not Tested
9/10 91 Pass Fail Not Tested
11/12 40 Pass Fail Not Tested
11/12 85 Pass Fail Not Tested
11/12 91 Pass Fail Not Tested

Technician Comments:
Technician Name:David Mathie
Signature:
Environmental Compliance for Petroleum Systems
©2024 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com
7-Eleven 36754 7-ELEVEN, INC.
2851 Clubhouse Drive State ID 1000910
Lehi UT 84043
1000910
Tanknology, Inc.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
800-964-1250 02/21/2024
1 2 3
RUL PUL DSL
VR350 VR350 VR350
19782 7901 11904
118.38 118.38 118.38
UT151
David Mathie
2851 Clubhouse Drive State ID 1000910
7-Eleven 36754
2851 Clubhouse Drive State ID 1000910, Lehi, UT 84043
36754
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
02/21/2024
ANNULAR ANNULAR FILL STP FILL STP FILL
RUL PUL/DS; RUL RUL PUL PUL DSL
UT151
David Mathie
2851 Clubhouse Drive State ID 1000910
7-Eleven 36754
2851 Clubhouse Drive State ID 1000910, Lehi, UT 84043
36754
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
02/21/2024
STP UDC UDC UDC UDC UDC UDC
DSL 1/2 3/4 5/6 7/8 9/10 11/12
UT151
David Mathie
PVVC tested ==>RUL Manifolded
Final Test Result (Pass / Fail) ==>Fail
PVVC Manuf. ==>OPW Model Number ==>623V-2203
Is this Original or
Replacement?
Original
If this cap is being
replaced, check here:
Manf Spec
(CFH)
Measured
Leak Rate
in ml/Min;
Cracking
(in H2O)
Calc CFH
(ml/min
x
.00212)
Result
(Pass /Fail)
Pos Leak Rate(CFH)0.05 25 0.0530 Fail
Low High Measured
Pos Cracking (in H2O)2.50 6.00 1.01 Fail
Neg Leak Rate (CFH)0.21 100 0.2120 Fail
Low High Measured
Neg Cracking (in H2O)-10.00 -6.00 -0.88 Fail
PVVC tested ==>RUL Manifolded
Final Test Result (Pass / Fail) ==>Pass
PVVC Manuf. ==>OPW Model Number ==>723V
Is this Original or
Replacement?
Replacement Manf Spec
(CFH)
Measured
Leak Rate
in ml/Min;
Cracking
(in H2O)
Calc CFH
(ml/min
x
.00212)
Result
(Pass /Fail)
Pos Leak Rate(CFH)0.05 6 0.0127 Pass
Low High Measured
Pos Cracking (in H2O)2.50 6.00 3.66 Pass
Neg Leak Rate (CFH)0.21 17 0.0360 Pass
Low High Measured
Neg Cracking (in H2O)-10.00 -6.00 -7.22 Pass
PVVC tested ==>PUL Manifolded
Final Test Result (Pass / Fail) ==>Fail
PVVC Manuf. ==>OPW Model Number ==>623V-2203
Is this Original or
Replacement?
Original
If this cap is being
replaced, check here:
Manf Spec
(CFH)
Measured
Leak Rate
in ml/Min;
Cracking
(in H2O)
Calc CFH
(ml/min
x
.00212)
Result
(Pass /Fail)
Pos Leak Rate(CFH)0.05 25 0.0530 Fail
Low High Measured
Pos Cracking (in H2O)2.50 6.00 0.78 Fail
Neg Leak Rate (CFH)0.21 100 0.2120 Fail
Low High Measured
Neg Cracking (in H2O)-10.00 -6.00 -0.42 Fail
PVVC tested ==>PUL Manifolded
Final Test Result (Pass / Fail) ==>Pass
PVVC Manuf. ==>OPW Model Number ==>723V
Is this Original or
Replacement?
Replacement Manf Spec
(CFH)
Measured
Leak Rate
in ml/Min;
Cracking
(in H2O)
Calc CFH
(ml/min
x
.00212)
Result
(Pass /Fail)
Pos Leak Rate(CFH)0.05 7 0.0148 Pass
Low High Measured
Pos Cracking (in H2O)2.50 6.00 3.70 Pass
Neg Leak Rate (CFH)0.21 19 0.0403 Pass
Low High Measured
Neg Cracking (in H2O)-10.00 -6.00 -7.17 Pass
PVVC tested ==> Manifolded
Final Test Result (Pass / Fail) ==>
PVVC Manuf. ==>Model Number ==>
Is this Original or
Replacement?
Manf Spec
(CFH)
Measured
Leak Rate
in ml/Min;
Cracking
(in H2O)
Calc CFH
(ml/min
x
.00212)
Result
(Pass /Fail)
Pos Leak Rate(CFH)
Low High Measured
Pos Cracking (in H2O)
Neg Leak Rate (CFH)
Low High Measured
Neg Cracking (in H2O)
PVVC tested ==> Manifolded
Final Test Result (Pass / Fail) ==>
PVVC Manuf. ==>Model Number ==>
Is this Original or
Replacement?
Manf Spec
(CFH)
Measured
Leak Rate
in ml/Min;
Cracking
(in H2O)
Calc CFH
(ml/min
x
.00212)
Result
(Pass /Fail)
Pos Leak Rate(CFH)
Low High Measured
Pos Cracking (in H2O)
Neg Leak Rate (CFH)
Low High Measured
Neg Cracking (in H2O)
11000 N. MOPAC EXPRESSWAY, SUITE 500, AUSTIN, TX 78759
[phone]
QP-08-03-FF-02 Pressure Vacuum Vent Cap TP-201.1E Field Form
Rev C 1/27/2011
Site Overall Test Results: Pass
Total +ve LR: 0.0275
Total -ve LR: 0.0763
Test Date 2/21/2024
Technician Name David Mathie
WO #2364636
Facility Name / Loc #7-Eleven 36754 36754
Street 2851 Clubhouse Drive State ID 1000910
City, St, Zip Lehi, UT 84043
Pressure Vacuum Vent Cap Test Form TP-201.1E
Site Diagram
(This site diagram is for reference only and is not drawn to scale)
Work Order:2364636
Site ID / Name:36754 / 7-Eleven 36754
Address:2851 Clubhouse Drive State ID 1000910
City:Lehi State:UT Zip:84043