DERR-2024-008037

IMPACT VALVE
LEAK DETECTOR
Line Tightness Test
MONITOR CERTIFICATION
11000 N. MoPac Expressway, Suite 500
Austin, Texas 78759
Phone: [phone]
Fax: [phone] Date Printed and Mailed: 6/13/2024
UTAH DEPARTMENT OF ENV. QUALITY
UST
PO Box 144840
SALT LAKE CITY, UT 84114
Test Date: 5/28/2024
Order Number: 2368653
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-ELEVEN 47159/9428
4018 WEST 4100 SOUTH
State ID 4001486
WEST VALLEY CITY, UT 84120
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
Product Line Tightness Test Page 1 of 1
Work Order: 2368653 Date: 5/28/2024
Site Name/ID: 7-ELEVEN 47159/9428 / 47159/9428
Address: 4018 WEST 4100 SOUTH State ID 4001486
City: WEST VALLEY CITY State: UT Zip: 84120
Tank Information
Test Method
Customer Tank ID
Product Name
Delivery Type
Test Pressure (psi)
Test Start Time
Test End Time
Final Leak Rate (gph)
Test Result(P/F/I)
Test was performed per
3rd party certifications as
specified in 40 CFR parts
280 and 281
Tank # 1
Line # 1
TLD-1
TNK1 Regular
RUL
Pressure
50
10:08
10:38
0.00
Pass
Yes
Tank # 2
Line # 1
TLD-1
TNK2 Premium

PUL
Pressure
50
10:08
10:38
0.00
Pass
Yes
Tank # 3
Line # 1
TLD-1
TNK3 Diesel
Low Sulfur
Diesel
Pressure
50
10:08
10:38
0.00
Pass
Yes
Tank #
Line #

Tank #
Line #

Tank #
Line #

Technician Comments: UT151
Technician Name:David Mathie Certification #:41442 exp:
10/20/2025
Technician Signature:

Environmental Compliance for Petroleum Systems
©2024 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com
7-ELEVEN 47159/9428
4018 WEST 4100 SOUTH State ID 4001486
WEST VALLEY CITY UT 84120
47159/9428
Tanknology, Inc.
SPEEDWAY Legacy
500 SPEEDWAY DRIVE
ENON OH 45323
937-863-6513
05/28/2024
RUL PUL
Veeder Root
PLLD
Veeder Root
PLLD
Veeder Root
PLLD
30
2
30
2 2
30
UT151
David Mathie
NW1-2368653
Low Sulfur Diesel
TTNK1 Regular:1 TTNK2 Premium:1 TTNK3 Diesel:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2368653 Date:5/28/2024
Site Name/ID:7-ELEVEN 47159/9428
Address:4018 WEST 4100 SOUTH State ID 4001486
City:WEST VALLEY CITY State:UT Zip:84120
How Inspected: Line Test NFPA 30A PEI RP1200 Other
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 85 Pass Fail Not Tested
3/4 91 Pass Fail Not Tested
5/6 40 Pass Fail Not Tested
5/6 85 Pass Fail Not Tested
5/6 91 Pass Fail Not Tested
7/8 40 Pass Fail Not Tested
7/8 85 Pass Fail Not Tested
7/8 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 47159/9428 SPEEDWAY Legacy
4018 WEST 4100 SOUTH State ID 4001486
WEST VALLEY CITY UT 84120
4001486
Tanknology, Inc.
500 SPEEDWAY DRIVE
ENON OH 45323
937-863-6513
800-964-1250 05/28/2024
1 2 3
RUL PREM DSL
VR350 VR350 VR350
15041 8055 7099
118.4 118.4 118.4
UT151
David Mathie
4018 WEST 4100 SOUTH State ID 4001486
7-ELEVEN 47159/9428
4018 WEST 4100 SOUTH State ID 4001486, WEST VALLEY CITY,
UT 8412047159/9428
Tanknology, Inc.
SPEEDWAY Legacy
500 SPEEDWAY DRIVE
ENON, OH 45323
937-863-6513
05/28/2024
ANNUALR ANNUALAR STP STP STP
RUL PREM/DSL RUL PREM DSL
UT151
STP RUL MAG SMART SENSORS SHOW INSTALL ALARM FALSE WHEN PUT IN FUEL SHOWS FUEL ALARM
David Mathie
Site Diagram
(This site diagram is for reference only and is not drawn to scale)

Work Order:2368653
Site ID / Name:47159/9428 / 7-ELEVEN 47159/9428
Address:4018 WEST 4100 SOUTH State ID 4001486
City:WEST VALLEY CITY State:UT Zip:84120
W.O.# NW1-2368653
STATUS
W.O.# NW1-2368653
SENSORS
W.O.# NW1-2368653
PLLD