DERR-2024-010211

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: 8/22/2024
UTAH DEPARTMENT OF ENV. QUALITY
UST
PO Box 144840
SALT LAKE CITY, UT 84114
Test Date: 8/16/2024
Order Number: 2370467
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-ELEVEN #23844, MKT 1606
4800 W 6200 SOUTH
State ID 4000987
TAYLORSVILLE, UT 84118
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
Product Line Tightness Test Page 1 of 1
Work Order: 2370467 Date: 8/16/2024
Site Name/ID: 7-ELEVEN #23844, MKT 1606 / 23844
Address: 4800 W 6200 SOUTH State ID 4000987
City: TAYLORSVILLE State: UT Zip: 84118
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 RUL
RUL 2
Pressure
50
09:41
10:11
0.00
Pass
Yes
Tank # 2
Line # 1
TLD-1
TNK2 RUL
RUL
Pressure
50
09:41
10:11
0.00
Pass
Yes
Tank # 3
Line # 1
TLD-1
TNK3 PREM
PUL
Pressure
50
09:41
10:11
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 #23844, MKT 1606
4800 W 6200 SOUTH State ID 4000987
TAYLORSVILLE UT 84118
23844
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
08/16/2024
RUL 2 RUL PUL
Vaporless LD-
2000
Vaporless LD-
2000
Vaporless LD-
2000
Vaporless LD-
2000
30
30
110
2
20
3
30
30
120
2
20
3
30
30
130
0
30
0
30
30
130
2
20
3
UT151 PUL LD REPLACED
David Mathie
NW1-2370467
PUL
TTNK1 RUL:1 TTNK2 RUL:1 TTNK3 PREM:1 TTNK3 PREM:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2370467 Date:8/16/2024
Site Name/ID:7-ELEVEN #23844, MKT 1606
Address:4800 W 6200 SOUTH State ID 4000987
City:TAYLORSVILLE State:UT Zip:84118
How Inspected: Line Test NFPA 30A PEI RP1200 Other
Dispenser
Number Grade
Secure
Mount?
Valve
Lock?Pass/ Fail Comments
1/3 85 Pass Fail Not Tested
1/3 91 Pass Fail Not Tested
2/4 85 Pass Fail Not Tested
2/4 91 Pass Fail Not Tested
5/7 85 Pass Fail Not Tested
5/7 91 Pass Fail Not Tested
6/8 85 Pass Fail Not Tested
6/8 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 #23844, MKT 1606 7-ELEVEN, INC.
4800 W 6200 SOUTH State ID 4000987
TAYLORSVILLE UT 84118
4000987
Tanknology, Inc.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
800-964-1250 08/16/2024
1 2 3
RU2 RUL PUL
VR350 VR350 VR350
10152 10152 10152
97.9 96 96
82.75 81.75 81.75
1 1 1
UT151
David Mathie
Site Diagram
(This site diagram is for reference only and is not drawn to scale)

Work Order:2370467
Site ID / Name:23844 / 7-ELEVEN #23844, MKT 1606
Address:4800 W 6200 SOUTH State ID 4000987
City:TAYLORSVILLE State:UT Zip:84118
W.O.# NW1-2370467
+AAE-
I10100
AUG 16, 2024 10:44 AM
166584 7-11 23844
6200 SO 4800 W
TAYLORSVILLE
UT84118
90558300105001
SYSTEM STATUS REPORT
ALL FUNCTIONS NORMAL
+AAMAAQ-
I90200
AUG 16, 2024 10:44 AM
SOFTWARE REVISION LEVEL
VERSION 333.04
SOFTWARE+ACM-
346333-100-E
CREATED - 13.06.07.08.25
S-MODULE+ACM- 330160-102-A
SYSTEM FEATURES:

PERIODIC IN-TANK TESTS
ANNUAL IN-TANK TESTS
CSLD
BIR
+AAMAAQ-
I11B00
AUG 16, 2024
10:44 AM
166584 7-11 23844
6200 SO 4800 W
TAYLORSVILLE UT84118
90558300105001
SERVICE NOTICE SESSION REPORT
START TIME END TIME
AUG 16, 2024 9:18 AM
AUG 16, 2024 10:40 AM
AUG 16, 2023 9:12 AM AUG 16, 2023 12:12 PM
AUG 17, 2022 9:06 AM
AUG 17, 2022 10:57 AM
AUG 27, 2021 8:59 AM AUG 27, 2021 9:38 AM
AUG 25, 2020 12:30 PM
AUG 25, 2020 3:10 PM
AUG 27, 2019 9:23 AM AUG 27, 2019 11:39 AM
SEP 5, 2018 11:31 AM
SEP 5, 2018 1:22 PM
OCT 25, 2017 9:36 AM OCT 25, 2017 12:20 PM
NOV 14, 2016 9:14 AM
NOV 14, 2016 11:06 AM
AUG 31, 2016 9:31 AM AUG 31, 2016 11:27 AM
+AAMAAQ-
I20100
AUG
16, 2024 10:44 AM
166584 7-11 23844
6200 SO 4800 W
TAYLORSVILLE
UT84118
90558300105001
IN-TANK INVENTORY
TANK PRODUCT VOLUME TC
VOLUME ULLAGE HEIGHT WATER TEMP
1 RU2 SOUTH 6481 6395 3671
59.73 0.00 79.03
2 RUL CENTER 7492 7393 2303 69.21 0.00
79.23
3 PUL 2906 2871 7246 31.64 0.00
77.47
+AAMAAQ-
I20600
AUG 16, 2024 10:44 AM
166584 7-11 23844
6200 SO 4800 W
TAYLORSVILLE UT84118
90558300105001
TANK ALARM HISTORY
TANK 1 RU2 SOUTH
HIGH WATER ALARM AUG 16, 2024 9:24 AM
AUG 16, 2023
10:37 AM
AUG 17, 2022 9:20 AM
OVERFILL ALARM AUG
16, 2024 9:31 AM
AUG 16, 2023 10:42 AM

OCT 1, 2022 11:57 PM
LOW PRODUCT ALARM AUG 16, 2024 9:39 AM

AUG 16, 2023 10:45 AM
AUG 16, 2023 10:34 AM
HIGH
PRODUCT ALARM SEP 10, 2021 10:22 PM
AUG 27, 2021 9:23 AM

AUG 25, 2020 1:39 PM
INVALID FUEL LEVEL AUG 16, 2024 9:38
AM
AUG 16, 2024 9:21 AM
AUG 16, 2023
10:46 AM
PROBE OUT MAY 14, 2021 9:17 AM
MAY
13, 2021 11:21 AM
AUG 27, 2019 10:06 AM
HIGH WATER WARNING
AUG 16, 2024 9:24 AM
AUG 16, 2023 10:37 AM

AUG 17, 2022 9:20 AM
DELIVERY NEEDED AUG 16, 2024 9:39 AM

AUG 16, 2024 9:21 AM
AUG 16, 2023 10:45 AM

LOW TEMP WARNING AUG 16, 2023 10:49 AM
AUG 27, 2021 9:26
AM
AUG 27, 2019 11:02 AM
TANK 2 RUL CENTER

HIGH WATER ALARM AUG 16, 2024 9:26 AM
AUG 16, 2023 10:38
AM
AUG 17, 2022 9:20 AM
OVERFILL ALARM AUG 16,
2024 9:32 AM
AUG 16, 2023 10:42 AM

OCT 2, 2022 12:06 AM
LOW PRODUCT ALARM AUG 16, 2024 9:36 AM

AUG 16, 2024 9:23 AM
AUG 16, 2023 10:45 AM
HIGH
PRODUCT ALARM AUG 27, 2021 9:23 AM
AUG 25, 2020 1:39 PM

AUG 27, 2019 10:31 AM
INVALID FUEL LEVEL AUG 16, 2024 9:41
AM
AUG 16, 2024 9:23 AM
AUG 16, 2023
10:45 AM
PROBE OUT JUL 14, 2021 12:45 PM
JUL
14, 2021 12:34 PM
JUL 14, 2021 12:24 PM
HIGH WATER WARNING
AUG 16, 2024 9:26 AM
AUG 16, 2023 10:38 AM

AUG 17, 2022 9:20 AM
DELIVERY NEEDED AUG 16, 2024 9:36 AM

AUG 16, 2024 9:23 AM
MAY 10, 2024 5:05 PM

LOW TEMP WARNING AUG 16, 2023 10:48 AM
AUG 17, 2022 9:44
AM
AUG 27, 2021 9:28 AM
TANK 3 PUL

HIGH WATER ALARM AUG 16, 2024 9:28 AM
AUG 16, 2023 10:39
AM
AUG 17, 2022 9:21 AM
OVERFILL ALARM AUG 16,
2024 9:35 AM
AUG 16, 2023 10:43 AM

AUG 17, 2022 9:41 AM
LOW PRODUCT ALARM AUG 16, 2024 9:37 AM

AUG 16, 2024 9:25 AM
AUG 16, 2023 10:45 AM
HIGH
PRODUCT ALARM AUG 27, 2021 9:23 AM
AUG 25, 2020 1:39 PM

AUG 27, 2019 10:31 AM
INVALID FUEL LEVEL AUG 16, 2024 9:37
AM
AUG 16, 2024 9:24 AM
AUG 16, 2023
10:45 AM
PROBE OUT SEP 27, 2021 11:16 AM
MAY
14, 2021 9:27 AM
MAY 13, 2021 1:19 PM
HIGH WATER WARNING
AUG 16, 2024 9:28 AM
AUG 16, 2023 10:39 AM

AUG 17, 2022 9:21 AM
DELIVERY NEEDED AUG 16, 2024 9:37 AM

AUG 16, 2024 9:25 AM
AUG 16, 2023 10:45 AM

MAX PRODUCT ALARM AUG 27, 2021 9:23 AM
AUG 25, 2020 1:39
PM
SEP 5, 2018 12:33 PM
LOW TEMP WARNING AUG 27,
2019 10:52 AM
NOV 14, 2016 9:42 AM
TANK 5
TANK 6
TANK 7
TANK 8
TANK 9
TANK 10
TANK 11
TANK 12
TANK 13
TANK 14
TANK 15
TANK 16
+AAMAAQ-
I20700
AUG 16,
2024 10:45 AM
166584 7-11 23844
6200 SO 4800 W
TAYLORSVILLE UT84118
90558300105001

TANK LEAK TEST HISTORY
T 1:RU2 SOUTH
LAST GROSS TEST PASSED:
TEST START
TIME HOURS VOLUME +ACU- VOLUME TEST TYPE
MAR 2, 2024 10:53 PM
5004 49.3 STANDARD
LAST ANNUAL TEST PASSED:
NO TEST PASSED
FULLEST ANNUAL TEST
PASS
NO TEST PASSED
LAST PERIODIC TEST PASS:
TEST START TIME HOURS VOLUME
+ACU- VOLUME TEST TYPE
AUG 16, 2024 8:00 AM 25 5271 51.9
CSLD
FULLEST PERIODIC TEST
PASSED EACH MONTH:
TEST START TIME HOURS VOLUME
+ACU- VOLUME TEST TYPE
JAN 17, 2024 9:35 PM 28 5557 54.7 CSLD
FEB 8,
2024 11:51 AM 28 6017 59.3 CSLD
MAR 24, 2024 9:28 AM 25 6328
62.3 CSLD
APR 2, 2024 2:57 PM 30 5866 57.8 CSLD
MAY 6, 2024
4:02 AM 28 5872 57.8 CSLD
JUN 6, 2024 10:33 AM 25 5587
55.0 CSLD
JUL 31, 2024 4:21 PM 24 5117 50.4 CSLD
AUG 6, 2024 5:10
AM 26 5696 56.1 CSLD
SEP 29, 2023 10:39 AM 25 6294 62.0
CSLD
OCT 26, 2023 1:26 AM 24 7372 72.6 CSLD
NOV 1, 2023 4:13 AM
25 6702 66.0 CSLD
DEC 12, 2023 12:21 AM 26 5879 57.9
CSLD
TANK LEAK TEST HISTORY
T 2:RUL CENTER
LAST GROSS TEST PASSED:
TEST
START TIME HOURS VOLUME +ACU- VOLUME TEST TYPE
MAR 2, 2024 10:53 PM
6758 66.6 STANDARD
LAST ANNUAL TEST PASSED:
NO TEST PASSED
FULLEST ANNUAL TEST
PASS
NO TEST PASSED
LAST PERIODIC TEST PASS:
TEST START TIME HOURS VOLUME
+ACU- VOLUME TEST TYPE
AUG 16, 2024 8:32 AM 30 6683 65.8
CSLD
FULLEST PERIODIC TEST
PASSED EACH MONTH:
TEST START TIME HOURS VOLUME
+ACU- VOLUME TEST TYPE
JAN 4, 2024 11:22 AM 33 7032 69.3 CSLD
FEB 15,
2024 2:12 AM 31 6818 67.2 CSLD
MAR 4, 2024 1:12 AM 30 6797
67.0 CSLD
APR 14, 2024 1:51 AM 31 4939 48.7 CSLD
MAY 21, 2024
6:58 AM 38 7994 78.7 CSLD
JUN 8, 2024 6:58 PM 51 6720
66.2 CSLD
JUL 12, 2024 9:09 PM 46 8066 79.5 CSLD
AUG 1, 2024 5:12
PM 35 6945 68.4 CSLD
SEP 29, 2023 12:49 PM 27 7629 75.2
CSLD
OCT 1, 2023 12:14 AM 26 7341 72.3 CSLD
NOV 25, 2023 9:15 PM
31 7265 71.6 CSLD
DEC 16, 2023 5:27 AM 28 7237 71.3
CSLD
TANK LEAK TEST HISTORY
T 3:PUL
LAST GROSS TEST PASSED:
TEST
START TIME HOURS VOLUME +ACU- VOLUME TEST TYPE
MAR 2, 2024 10:53 PM
3475 34.2 STANDARD
LAST ANNUAL TEST PASSED:
NO TEST PASSED
FULLEST ANNUAL TEST
PASS
NO TEST PASSED
LAST PERIODIC TEST PASS:
TEST START TIME HOURS VOLUME
+ACU- VOLUME TEST TYPE
AUG 16, 2024 6:38 AM 29 3724 36.7
CSLD
FULLEST PERIODIC TEST
PASSED EACH MONTH:
TEST START TIME HOURS VOLUME
+ACU- VOLUME TEST TYPE
JAN 31, 2024 11:57 PM 34 8285 81.6 CSLD
FEB 1,
2024 9:59 AM 32 8268 81.4 CSLD
MAR 1, 2024 12:52 AM 32 4502
44.4 CSLD
APR 19, 2024 4:59 AM 30 5405 53.2 CSLD
MAY 9, 2024
12:34 PM 28 5105 50.3 CSLD
JUN 11, 2024 6:15 PM 26 4984
49.1 CSLD
JUL 24, 2024 11:42 AM 26 4367 43.0 CSLD
AUG 7, 2024 1:48
AM 31 4436 43.7 CSLD
SEP 1, 2023 12:01 AM 28 5187 51.1
CSLD
OCT 1, 2023 12:05 AM 31 4160 41.0 CSLD
NOV 30, 2023 9:36 PM
30 6188 61.0 CSLD
DEC 22, 2023 6:13 AM 31 7463 73.5
CSLD
+AAMAAQ-
IA0100
AUG 16, 2024 10:45 AM
TYPE CODE
LENGTH SERIAL NO. D/CODE
TANK 1 RU2 SOUTH MAG C000 96.00 433083
2294
TANK 2 RUL CENTER MAG C000 96.00 433082 2294
TANK 3 PUL
MAG C000 96.00 433081 2294
+AAMAAQ-
931
TANK 1 SETUP
CONDITIONS
PRODUCT: RU2 SOUTH
PRODUCT CODE 1
HIGH WATER LIMIT
1.0
OVERFILL LIMIT: 9136
HIGH PRODUCT LIMIT: 9644
LOW PRODUCT:
900
SUDDEN LOSS LIMIT: 25
LEAK LIMIT: 15
THERMAL COEFF:
0.000690
DELIVERY DELAY: 3
TANK FULL CAPACITY: 10152 9949 9608 9181
8691
3/4 HEIGHT CAPACITY: 8153 7578 6976 6354 5718
1/2 HEIGHT CAPACITY: 5076
4434 3799 3176 2574
1/4 HEIGHT CAPACITY: 1999 1462 973 545 203
TANK
DIAMETER: 97.90
TANK TILT ADDER: 0.25
MANIFOLDED TANKS: NONE
TANK CONFIGURED:
NO
+AAMAAQ-
932
TANK 2 SETUP CONDITIONS
PRODUCT: RUL CENTER
PRODUCT CODE 2
HIGH WATER LIMIT 1.0
OVERFILL LIMIT: 9136
HIGH PRODUCT
LIMIT: 9644
LOW PRODUCT: 900
SUDDEN LOSS LIMIT: 25
LEAK LIMIT:
15
THERMAL COEFF: 0.000690
DELIVERY DELAY: 3
TANK FULL CAPACITY: 10152
0 0 0 0
3/4 HEIGHT CAPACITY: 0 0 0 0 0
1/2
HEIGHT CAPACITY: 0 0 0 0 0
1/4 HEIGHT CAPACITY: 0 0
0 0 0
TANK DIAMETER: 96.00
TANK TILT ADDER: 0.00
MANIFOLDED TANKS:
NONE
TANK CONFIGURED: NO
+AAMAAQ-
933
TANK 3 SETUP CONDITIONS
PRODUCT:
PUL
PRODUCT CODE 3
HIGH WATER LIMIT 1.0
OVERFILL LIMIT:
9136
HIGH PRODUCT LIMIT: 9644
LOW PRODUCT: 900
SUDDEN LOSS LIMIT:
25
LEAK LIMIT: 15
THERMAL COEFF: 0.000690
DELIVERY DELAY: 3
TANK
FULL CAPACITY: 10152 9920 9570 9139 8647
3/4 HEIGHT CAPACITY: 8109 7535
6934 6314 5681
1/2 HEIGHT CAPACITY: 5042 4404 3772 3154 2555
1/4 HEIGHT
CAPACITY: 1985 1451 965 541 202
TANK DIAMETER: 96.00
TANK TILT ADDER:
0.00
MANIFOLDED TANKS: NONE
TANK CONFIGURED: NO
+AAMAAQ-
I62A00
AUG 16, 2024
10:45 AM
ANNUAL LEAK TEST MIN VOLUME
TANK PRODUCT LABEL GALLONS
1 RU2
SOUTH 5076
2 RUL CENTER 5076
3 PUL
5076
4 0
+AAMAAQ-
I63600
AUG 16, 2024 10:45
AM
PERIODIC LEAK TEST MIN VOLUME
TANK PRODUCT LABEL GALLONS
1 RU2 SOUTH
2538
2 RUL CENTER 2538
3 PUL
2538
4 0
+AAMAAQ-
I61100
AUG 16, 2024 10:45 AM
LEAK TEST
METHOD
- - - - - - - - - - - -
TEST CSLD : ALL TANK
Pd +AD0- 95+ACU-
CLIMATE
FACTOR:MODERATE
REPORT ONLY:
DISABLED
TST EARLY STOP:DISABLED
+AAMAAQ-
I10200
AUG 16,
2024 10:45 AM
166584 7-11 23844
6200 SO 4800 W
TAYLORSVILLE UT84118
90558300105001

SYSTEM CONFIGURATION
SLOT BOARD TYPE POWER ON RESET CURRENT
1
4 PROBE / G.T. 164653 163634
2 UNUSED
15000000 15000000
3 UNUSED 15000000 15000000
4
UNUSED 15000000 15000000
5 UNUSED
15000000 15000000
6 UNUSED 15000000 15000000
7
UNUSED 15000000 15000000
8 UNUSED
15000000 15000000
9 UNUSED 15000000 15000000
10
UNUSED 15000000 15000000
11 UNUSED
15000000 15000000
12 UNUSED 15000000 15000000
13
UNUSED 15000000 15000000
14 UNUSED
15000000 15000000
15 UNUSED 15000000 15000000
16
UNUSED 15000000 15000000
COMM 1 UNUSED
101579 15000000
COMM 2 ELEC DISP INT. 101305 101366
COMM
3 SERIAL SAT BD 483394 483215
COMM 4 UNUSED 15000000
15000000
COMM 5 RS485 SERIAL BD 69014 68978
COMM 6 MT
COMM BOARD 412300 412290
+AAM-