DERR-2024-011224

IMPACT VALVE
LEAK DETECTOR
MONITOR CERTIFICATION
11000 N. MoPac Expressway, Suite 500
Austin, Texas 78759
Phone: [phone]
Fax: [phone] Date Printed and Mailed: 10/4/2024
UTAH DEPARTMENT OF ENV. QUALITY
UST
PO Box 144840
SALT LAKE CITY, UT 84114
Test Date: 10/1/2024
Order Number: 2371339
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-ELEVEN 38848
7269 UNION PARK AVE
State ID 4002578
COTTONWOOD HEIGHTS, UT 84047
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
7-ELEVEN 38848
7269 UNION PARK AVE State ID 4002578
COTTONWOOD
HEIGHTS
UT 84047
38848
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
10/01/2024
RUL PUL Low Sulfur
DieselVaporless LD-
2000
Vaporless LD-
2000
Vaporless LD-
2000
Vaporless LD-
2000
30
30
150
3
20
4
30
30
150
280
20
280
30
30
150
3
20
4
30
30
125
2
20
3
UT151
REPLACED PUL STAYED IN TEST MODE TO LONG TO OPERATING PRESSURE
David Mathie
NW1-2371339
PUL
TRegular:1 TPremium:1 TPremium:1 TDiesel:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2371339 Date:10/1/2024
Site Name/ID:7-ELEVEN 38848
Address:7269 UNION PARK AVE State ID 4002578
City:COTTONWOOD HEIGHTS State:UT Zip:84047
How Inspected: Line Test NFPA 30A PEI RP1200 Other STP PRESSURE
Dispenser
Number Grade
Secure
Mount?
Valve
Lock?Pass/ Fail Comments
1/2 40 Pass Fail Not Tested
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 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 38848 7-ELEVEN, INC.
7269 UNION PARK AVE State ID 4002578
COTTONWOOD
HEIGHTS
UT 84047
4002578
Tanknology, Inc.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
800-964-1250 10/01/2024
1 2 3
RUL PUL DSL
VR350 VR350 VR350
19782 7901 11904
118.38 118.38 118.38
UT151
David Mathie
7269 UNION PARK AVE State ID 4002578
7-ELEVEN 38848
7269 UNION PARK AVE State ID 4002578, COTTONWOOD
HEIGHTS, UT 8404738848
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
10/01/2024
ANNULAR ANNULAR SB FILL STP SB FILL STP SB FILL
RUL PUL/DSL RUL RUL PUL PUL DSL
UT151
David Mathie
7269 UNION PARK AVE State ID 4002578
7-ELEVEN 38848
7269 UNION PARK AVE State ID 4002578, COTTONWOOD
HEIGHTS, UT 8404738848
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
10/01/2024
STP UDC UDC UDC UDC
DSL 1/2 3/4 5/6 7/8
UT151
David Mathie
Site Diagram
(This site diagram is for reference only and is not drawn to scale)

Work Order:2371339
Site ID / Name:38848 / 7-ELEVEN 38848
Address:7269 UNION PARK AVE State ID 4002578
City:COTTONWOOD HEIGHTS State:UT Zip:84047
W.O.# NW1-2371339
+AAE-
I10100
OCT 1, 2024 11:17 AM
866531 7-11 38848
7269 S UNION PARK
COTTONWOOD
HEIGHTS
V04271477905001
SYSTEM STATUS REPORT
ALL FUNCTIONS NORMAL
+AAMAAQ-
I90200
OCT 1, 2024 11:17 AM
SOFTWARE REVISION LEVEL
VERSION 336.00
SOFTWARE+ACM-
346336-100-A
CREATED - 19.12.13.15.19
S-MODULE+ACM- 330160-100-a
SYSTEM FEATURES:

PERIODIC IN-TANK TESTS
ANNUAL IN-TANK TESTS
BIR
+AAMAAQ-
I11B00
OCT 1, 2024 11:17
AM
866531 7-11 38848
7269 S UNION PARK
COTTONWOOD HEIGHTS
V04271477905001
SERVICE NOTICE SESSION REPORT
START TIME END TIME
OCT 1, 2024 9:53 AM
OCT 1, 2024 11:14 AM
SEP 27, 2023 9:32 AM SEP 27, 2023 11:36 AM
SEP 27, 2022 1:08 PM
SEP 27, 2022 2:57 PM
OCT 1, 2021 8:52 AM OCT 1, 2021 10:22 AM
+AAMAAQ-
I20100
OCT
1, 2024 11:17 AM
866531 7-11 38848
7269 S UNION PARK
COTTONWOOD HEIGHTS
V04271477905001
IN-TANK INVENTORY
TANK PRODUCT VOLUME TC VOLUME
ULLAGE HEIGHT WATER TEMP
1 REGULAR 16280 16126 3201 90.66
0.00 73.46
2 PREMIUM 4461 4421 3440 65.07 0.00 72.77
3
DIESEL 3477 3456 8427 40.48 0.00 73.51
+AAMAAQ-
I30100
OCT
1, 2024 11:17 AM
866531 7-11 38848
7269 S UNION PARK
COTTONWOOD HEIGHTS
V04271477905001
LIQUID STATUS REPORT
SENSOR LOCATION STATUS
1
RUL ANNULAR SENSOR NORMAL
2 DSL-PUL ANNULAR SENSOR NORMAL
3 RUL
SPILL SENSOR NORMAL
4 RUL STP SENSOR NORMAL
5 PUL SPILL
SENSOR NORMAL
6 PUL STP SENSOR NORMAL
7 DSL SPILL
SENSOR NORMAL
8 DSL STP SENSOR NORMAL
9 DISP 1-2
SENSOR NORMAL
10 DISP 3-4 SENSOR NORMAL
11 DISP 5-6 SENSOR
NORMAL
12 DISP 7-8 SENSOR NORMAL
+AAMAAQ-
I30200
OCT 1, 2024 11:18
AM
866531 7-11 38848
7269 S UNION PARK
COTTONWOOD HEIGHTS
V04271477905001
LIQUID ALARM HISTORY REPORT
SENSOR LOCATION
1 RUL ANNULAR
OCT 1,
2024 10:55 AM FUEL ALARM
SEP 27, 2023 10:14 AM FUEL ALARM
SEP 27,
2022 2:05 PM FUEL ALARM
2 DSL-PUL ANNULAR
OCT 1, 2024 10:53 AM
FUEL ALARM
SEP 27, 2023 10:15 AM FUEL ALARM
SEP 27, 2022 2:10 PM
FUEL ALARM
3 RUL SPILL
OCT 1, 2024 10:15 AM FUEL ALARM

SEP 27, 2023 10:30 AM FUEL ALARM
SEP 27, 2022 2:20 PM FUEL ALARM

4 RUL STP
OCT 1, 2024 11:04 AM FUEL ALARM
SEP 27, 2023
10:38 AM FUEL ALARM
SEP 27, 2022 1:48 PM FUEL ALARM
5 PUL SPILL

OCT 1, 2024 10:26 AM FUEL ALARM
SEP 27, 2023 10:53 AM
FUEL ALARM
SEP 27, 2022 2:23 PM FUEL ALARM
6 PUL STP

OCT 1, 2024 10:51 AM FUEL ALARM
MAR 26, 2024 8:10 AM FUEL ALARM

SEP 27, 2023 10:56 AM FUEL ALARM
7 DSL SPILL
OCT 1, 2024
10:32 AM FUEL ALARM
SEP 27, 2023 11:07 AM FUEL ALARM
SEP 27, 2022
2:26 PM FUEL ALARM
8 DSL STP
OCT 1, 2024 11:05 AM
FUEL ALARM
SEP 27, 2023 11:12 AM FUEL ALARM
SEP 27, 2022 1:52 PM
FUEL ALARM
9 DISP 1-2
OCT 1, 2024 10:34 AM FUEL ALARM

SEP 27, 2023 10:06 AM FUEL ALARM
SEP 27, 2022 1:21 PM FUEL ALARM
10
DISP 3-4
OCT 1, 2024 10:33 AM FUEL ALARM
SEP 27, 2023
10:06 AM FUEL ALARM
SEP 27, 2022 1:22 PM FUEL ALARM
11 DISP 5-6

OCT 1, 2024 10:33 AM FUEL ALARM
SEP 27, 2023 10:06 AM
FUEL ALARM
SEP 27, 2022 1:44 PM FUEL ALARM
12 DISP 7-8

OCT 1, 2024 10:33 AM FUEL ALARM
SEP 27, 2023 10:07 AM FUEL ALARM

SEP 27, 2022 1:23 PM FUEL ALARM
+AAMAAQ-
IA0100
OCT 1, 2024 11:18 AM

TYPE CODE LENGTH SERIAL NO. D/CODE
TANK 1 REGULAR MAG
D004 126.00 302430 3894
TANK 2 PREMIUM MAG D004 126.00 348491
1104
TANK 3 DIESEL MAG D004 126.00 348490
1104
+AAMAAQ-
931
TANK 1 SETUP CONDITIONS
PRODUCT: REGULAR
PRODUCT CODE 1
HIGH WATER LIMIT 1.0
OVERFILL LIMIT: 17803
HIGH PRODUCT
LIMIT: 18792
LOW PRODUCT: 1792
SUDDEN LOSS LIMIT: 99
LEAK LIMIT:
99
THERMAL COEFF: 0.000700
DELIVERY DELAY: 3
TANK FULL CAPACITY: 19782
0 0 0 0
3/4 HEIGHT CAPACITY: 16171 0 0 0 0
1/2
HEIGHT CAPACITY: 10006 0 0 0 0
1/4 HEIGHT CAPACITY: 3787 0
0 0 0
TANK DIAMETER: 118.38
TANK TILT ADDER: 0.00
MANIFOLDED TANKS:
NONE
TANK CONFIGURED: NO
+AAMAAQ-
932
TANK 2 SETUP CONDITIONS
PRODUCT:
PREMIUM
PRODUCT CODE 2
HIGH WATER LIMIT 1.0
OVERFILL LIMIT:
7110
HIGH PRODUCT LIMIT: 7505
LOW PRODUCT: 770
SUDDEN LOSS LIMIT:
99
LEAK LIMIT: 99
THERMAL COEFF: 0.000700
DELIVERY DELAY: 3
TANK
FULL CAPACITY: 7901 0 0 0 0
3/4 HEIGHT CAPACITY: 6365 0
0 0 0
1/2 HEIGHT CAPACITY: 3964 0 0 0 0
1/4 HEIGHT
CAPACITY: 1560 0 0 0 0
TANK DIAMETER: 118.38
TANK TILT ADDER:
0.00
MANIFOLDED TANKS: NONE
TANK CONFIGURED: NO
+AAMAAQ-
933
TANK 3 SETUP
CONDITIONS
PRODUCT: DIESEL
PRODUCT CODE 3
HIGH WATER LIMIT
1.0
OVERFILL LIMIT: 10713
HIGH PRODUCT LIMIT: 11308
LOW PRODUCT:
1024
SUDDEN LOSS LIMIT: 99
LEAK LIMIT: 99
THERMAL COEFF:
0.000450
DELIVERY DELAY: 3
TANK FULL CAPACITY: 11904 0 0 0
0
3/4 HEIGHT CAPACITY: 9710 0 0 0 0
1/2 HEIGHT CAPACITY: 5944
0 0 0 0
1/4 HEIGHT CAPACITY: 2186 0 0 0 0
TANK
DIAMETER: 118.38
TANK TILT ADDER: 0.00
MANIFOLDED TANKS: NONE
TANK CONFIGURED:
NO
+AAMAAQ-
I61100
OCT 1, 2024 11:18 AM
LEAK TEST METHOD
- - - - - - - - - - -
-
TEST ON DATE : ALL TANK
DEC 13, 2019
START TIME : DISABLED
TEST RATE :0.20 GAL/HR
DURATION
: 2 HOURS
TST EARLY STOP:DISABLED
+AAMAAQ-
I70300
OCT 1, 2024 11:18 AM
LIQUID
TYPE
SENSOR LOCATION TYPE
1 RUL ANNULAR TRI-STATE (SINGLE
FLOAT)
2 DSL-PUL ANNULAR TRI-STATE (SINGLE FLOAT)
3 RUL SPILL
NORMALLY CLOSED
4 RUL STP TRI-STATE (SINGLE FLOAT)
5 PUL SPILL
NORMALLY CLOSED
6 PUL STP TRI-STATE (SINGLE FLOAT)
7 DSL SPILL
NORMALLY CLOSED
8 DSL STP TRI-STATE (SINGLE FLOAT)
9 DISP
1-2 TRI-STATE (SINGLE FLOAT)
10 DISP 3-4 TRI-STATE (SINGLE
FLOAT)
11 DISP 5-6 TRI-STATE (SINGLE FLOAT)
12 DISP 7-8
TRI-STATE (SINGLE FLOAT)
13 TRI-STATE (SINGLE FLOAT)
14
TRI-STATE (SINGLE FLOAT)
15 TRI-STATE (SINGLE FLOAT)

16 TRI-STATE (SINGLE FLOAT)
+AAMAAQ-
I10200
OCT 1, 2024 11:18
AM
866531 7-11 38848
7269 S UNION PARK
COTTONWOOD HEIGHTS
V04271477905001
SYSTEM CONFIGURATION
SLOT BOARD TYPE POWER ON RESET CURRENT
1 4
PROBE / G.T. 161453 161755
2 INTERSTITIAL BD
199549 199669
3 INTERSTITIAL BD 199753 200007
4
UNUSED 9264280 9270201
5 UNUSED
9248237 9243875
6 UNUSED 9250213 9240250
7
UNUSED 9246978 9241113
8 UNUSED
9241421 9233453
9 RELAY BOARD 14919 14913
10
UNUSED 9251973 9234518
11 UNUSED
9242616 9242804
12 UNUSED 9243203 9233978
13
UNUSED 9244896 9231130
14 UNUSED
9241292 9235057
15 UNUSED 9252212 9235726
16
UNUSED 9242378 9239200
COMM 1 ELEC DISP INT.
100976 100911
COMM 2 SERIAL SAT BD 477178 476735
COMM
3 ELEC DISP INT. 100798 100779
COMM 4 UNUSED 9250367
9245523
COMM 5 RS485 SERIAL BD 68499 68431
COMM 6 MT
COMM BOARD 405692 406217
+AAMAAQ-
I80800
OCT 1, 2024 11:18 AM
RELAY
SETUP REPORT
R 1:
TYPE:
STANDARD
NORMALLY OPEN
- NO ALARM
ASSIGNMENTS -
R 2:
TYPE:
STANDARD
NORMALLY OPEN
- NO ALARM
ASSIGNMENTS -
R 3:
TYPE:
STANDARD
NORMALLY OPEN
- NO ALARM
ASSIGNMENTS -
R 4:
TYPE:
STANDARD
NORMALLY OPEN
- NO ALARM
ASSIGNMENTS -
+AAM-