DERR-2024-010931

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: 9/23/2024
UTAH DEPARTMENT OF ENV. QUALITY
UST
PO Box 144840
SALT LAKE CITY, UT 84114
Test Date: 9/19/2024
Order Number: 2371344
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-ELEVEN 47165/9444
874 EAST 1300 SOUTH
State ID 4000765
SALT LAKE CITY, UT 84105
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
Product Line Tightness Test Page 1 of 1
Work Order: 2371344 Date: 9/19/2024
Site Name/ID: 7-ELEVEN 47165/9444 / 47165/9444
Address: 874 EAST 1300 SOUTH State ID 4000765
City: SALT LAKE CITY State: UT Zip: 84105
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
T1 Regular
RUL
Pressure
50
10:52
11:22
0.00
Pass
Yes
Tank # 2
Line # 1
TLD-1
T2 Premium
PUL
Pressure
50
10:52
11:22
0.00
Pass
Yes
Tank # 3
Line # 1
TLD-1
T3 Diesel
Low Sulfur
Diesel
Pressure
50
10:52
11:22
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 47165/9444
874 EAST 1300 SOUTH State ID 4000765
SALT LAKE CITY UT 84105
47165/9444
Tanknology, Inc.
SPEEDWAY Legacy
500 SPEEDWAY DRIVE
ENON OH 45323
937-863-6513
09/19/2024
RUL PUL
Veeder Root
PLLD
Veeder Root
PLLD
Veeder Root
PLLD
30
2
30
2 2
30
UT151
David Mathie
NW1-2371344
Low Sulfur Diesel
TT1 Regular:1 TT2 Premium:1 TT3 Diesel:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2371344 Date:9/19/2024
Site Name/ID:7-ELEVEN 47165/9444
Address:874 EAST 1300 SOUTH State ID 4000765
City:SALT LAKE CITY State:UT Zip:84105
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 47165/9444 SPEEDWAY Legacy
874 EAST 1300 SOUTH State ID 4000765
SALT LAKE CITY UT 84105
4000765
Tanknology, Inc.
500 SPEEDWAY DRIVE
ENON OH 45323
937-863-6513
800-964-1250 09/19/2024
1 2 3
RUL PUL DSL
VR350 VR350 VR350
15041 8050 7099
118.4 118.4 118.4
UT151
David Mathie
874 EAST 1300 SOUTH State ID 4000765
7-ELEVEN 47165/9444
874 EAST 1300 SOUTH State ID 4000765, SALT LAKE CITY, UT
8410547165/9444
Tanknology, Inc.
SPEEDWAY Legacy
500 SPEEDWAY DRIVE
ENON, OH 45323
937-863-6513
09/19/2024
ANNULAR ANNULAR STP STP STP
RUL PUL/DSL RUL PUL DSL
UT151
David Mathie
Site Diagram
(This site diagram is for reference only and is not drawn to scale)

Work Order:2371344
Site ID / Name:47165/9444 / 7-ELEVEN 47165/9444
Address:874 EAST 1300 SOUTH State ID 4000765
City:SALT LAKE CITY State:UT Zip:84105
W.O.# NW1-2371344
SENSORS ALARMS SETUP
W.O.# NW1-2371344
PLLD ALARMS SETUP