DERR-2024-011240

IMPACT VALVE
LEAK DETECTOR
MONITOR CERTIFICATION
11000 N. MoPac Expressway, Suite 500
Austin, Texas 78759
Phone: [phone]
Fax: [phone] Date Printed and Mailed: 8/23/2024
7-Eleven UST Report
P.O. Box 711
Dallas, TX 75221
Test Date: 8/21/2024
Order Number: 2370466
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-ELEVEN 16449, MKT 1606
3720 EAST 7000 SOUTH
State ID 4000998
SALT LAKE CITY, UT 84121
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
7-ELEVEN 16449, MKT 1606
3720 EAST 7000 SOUTH State ID 4000998
SALT LAKE CITY UT 84121
16449
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
08/21/2024
RUL Low Sulfur Diesel
Vaporless LD-
2000
Vaporless LD-
2000
Vaporless LD-
2000
30
30
130
4
20
5
30
30
130
2
20
3
30
30
70
2
20
3
UT151
David Mathie
NW1-2370466
PUL
TTNK4
REGULAR:1
TTNK5 DIESEL:1 TTNK6 PREMIUM:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2370466 Date:8/21/2024
Site Name/ID:7-ELEVEN 16449, MKT 1606
Address:3720 EAST 7000 SOUTH State ID 4000998
City:SALT LAKE CITY State:UT Zip:84121
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 40 Pass Fail Not Tested
5/6 85 Pass Fail Not Tested
5/6 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 16449, MKT 1606 7-ELEVEN, INC.
3720 EAST 7000 SOUTH State ID 4000998
SALT LAKE CITY UT 84121
4000998
Tanknology, Inc.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
800-964-1250 08/21/2024
4 5 6
RUL DSL PUL
VR350 VR350 VR350
19782 11904 7901
118.37 118.37 118.37
UT151
David Mathie
3720 EAST 7000 SOUTH State ID 4000998
7-ELEVEN 16449, MKT 1606
3720 EAST 7000 SOUTH State ID 4000998, SALT LAKE CITY, UT
8412116449
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
08/21/2024
ANNULAR ANNULAR FILL STP FILL STP FILL
RUL PUL/DSL RUL RUL PUL PUL DSL
UT151 RUL FILL SENSOR IN ALARM CLEARED AND RETESTED WAITING FOR MANTIANCE TO CLEAN OUT
David Mathie
3720 EAST 7000 SOUTH State ID 4000998
7-ELEVEN 16449, MKT 1606
3720 EAST 7000 SOUTH State ID 4000998, SALT LAKE CITY, UT
8412116449
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
08/21/2024
DSL UDC UDC UDC
STP 1/2 3/4 5/6
UT151
David Mathie
Site Diagram
(This site diagram is for reference only and is not drawn to scale)

Work Order:2370466
Site ID / Name:16449 / 7-ELEVEN 16449, MKT 1606
Address:3720 EAST 7000 SOUTH State ID 4000998
City:SALT LAKE CITY State:UT Zip:84121