DERR-2024-012027

IMPACT VALVE
LEAK DETECTOR
MONITOR CERTIFICATION
PV VENT CAP
STAGE 1 PD
11000 N. MoPac Expressway, Suite 500
Austin, Texas 78759
Phone: [phone]
Fax: [phone] Date Printed and Mailed: 11/8/2024
UTAH DEPARTMENT OF ENV. QUALITY
UST
PO Box 144840
SALT LAKE CITY, UT 84114
Test Date: 10/30/2024
Order Number: 2373635
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-Eleven 35627
2475 S 7200 West
State ID 4002472
West Valley City, UT 84128
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
7-Eleven 35627
2475 S 7200 West State ID 4002472
West Valley City UT 84128
35627
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
10/30/2024
RUL PUL
Vaporless LD-
2000
Vaporless LD-
2000
Vaporless LD-
2000
30
30
200
2
20
3
30
30
200
2
20
3
30
30
125
2
20
3
UT151
David Mathie
NW1-2373635
Diesel
T1 Reg:1 TTNK2:1 TTNK3:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2373635 Date:10/30/2024
Site Name/ID:7-Eleven 35627
Address:2475 S 7200 West State ID 4002472
City:West Valley City State:UT Zip:84128
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 85 Pass Fail Not Tested
7/8 91 Pass Fail Not Tested
9/10 40 Pass Fail Not Tested
9/10 85 Pass Fail Not Tested
9/10 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 35627 7-ELEVEN, INC.
2475 S 7200 West State ID 4002472
West Valley City UT 84128
4002472
Tanknology, Inc.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
800-964-1250 10/30/2024
1 2 3
RUL PUL DSL
VR350 VR350 VR350
19782 7901 11904
118.3 118.3 118.3
UT151
David Mathie
2475 S 7200 West State ID 4002472
7-Eleven 35627
2475 S 7200 West State ID 4002472, West Valley City, UT 84128
35627
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
10/30/2024
ANNULAR ANNULAR FILL STP FILL STP FILL
RUL PUL//DSL RUL RUL PUL PUL DSL
UT151
David Mathie
2475 S 7200 West State ID 4002472
7-Eleven 35627
2475 S 7200 West State ID 4002472, West Valley City, UT 84128
35627
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
10/30/2024
STP udc UDC UDC UDC UDC
DSL 1//2 3/4 5/6 7/8 9/10
UT151
David Mathie
2 inch Pressure Decay Test
TP201.3

Store Information Testing Company
Site Name :7-Eleven 35627 Name :TANKNOLOGY INC.
Address :2475 S 7200 West State ID 4002472
West Valley City, UT 84128
Address :11000 N. MoPac Expressway Suite 500
Austin, TX 78759
Phone :[phone] Phone :[phone]

Stage I System?DUAL
Stage II System?NONE
Total # of Nozzles :10
Products per Nozzle :3
Tanks Manifolded ?No
Drop-Out tank present?NO
Total # of Tanks Tested :2

Tank Information :
Product Grade :
Tank Capacity, gallons :
Gasoline, gallons :
Ullage, gallons :
Testing Information :
Start Time :
Initial Pressure, wcg :
Pressure @ 1 minute(s) :
Pressure @ 2 minutes :
Pressure @ 3 minutes :
Pressure @ 4 minutes :
Pressure @ 5 minutes :
Allowable Final Pressure :
Pass/Fail (Enter "GF" Gross Failure)
1 Reg
RUL
19782
15123
4659

09:32
2.00
1.98
1.96
1.94
1.92
1.90
1.80
Pass
TNK2
PUL
7901
6126
1775

09:40
2.00
1.96
1.93
1.90
1.88
1.86
1.51
Pass

Total

27683
21249
6434
All

Comments:

Tester :David Mathie Test Date :10/30/2024
Signature :Work Order :2373635

WO: 2373635
PVVC tested ==>RUL Manifolded
Final Test Result (Pass / Fail) ==>Fail
PVVC Manuf. ==>OPW Model Number ==>723V
Is this Original or
Replacement?
Original
If this cap is being
replaced, check here:
Manf Spec
(CFH)
Measured
Leak Rate
in ml/Min;
Cracking
(in H2O)
Calc CFH
(ml/min
x
.00212)
Result
(Pass /Fail)
Pos Leak Rate(CFH)0.05 20 0.0424 Pass
Low High Measured
Pos Cracking (in H2O)2.50 6.00 2.11 Fail
Neg Leak Rate (CFH)0.21 100 0.2120 Fail
Low High Measured
Neg Cracking (in H2O)-10.00 -6.00 -5.20 Fail
PVVC tested ==>RUL Manifolded
Final Test Result (Pass / Fail) ==>Pass
PVVC Manuf. ==>OPW Model Number ==>723V
Is this Original or
Replacement?
Replacement Manf Spec
(CFH)
Measured
Leak Rate
in ml/Min;
Cracking
(in H2O)
Calc CFH
(ml/min
x
.00212)
Result
(Pass /Fail)
Pos Leak Rate(CFH)0.05 5 0.0106 Pass
Low High Measured
Pos Cracking (in H2O)2.50 6.00 3.60 Pass
Neg Leak Rate (CFH)0.21 16 0.0339 Pass
Low High Measured
Neg Cracking (in H2O)-10.00 -6.00 -8.08 Pass
PVVC tested ==>PUL Manifolded
Final Test Result (Pass / Fail) ==>Fail
PVVC Manuf. ==>OPW Model Number ==>723V
Is this Original or
Replacement?
Original
If this cap is being
replaced, check here:
Manf Spec
(CFH)
Measured
Leak Rate
in ml/Min;
Cracking
(in H2O)
Calc CFH
(ml/min
x
.00212)
Result
(Pass /Fail)
Pos Leak Rate(CFH)0.05 20 0.0424 Pass
Low High Measured
Pos Cracking (in H2O)2.50 6.00 2.16 Fail
Neg Leak Rate (CFH)0.21 100 0.2120 Fail
Low High Measured
Neg Cracking (in H2O)-10.00 -6.00 -5.32 Fail
PVVC tested ==>PUL Manifolded
Final Test Result (Pass / Fail) ==>Pass
PVVC Manuf. ==>OPW Model Number ==>723V
Is this Original or
Replacement?
Replacement Manf Spec
(CFH)
Measured
Leak Rate
in ml/Min;
Cracking
(in H2O)
Calc CFH
(ml/min
x
.00212)
Result
(Pass /Fail)
Pos Leak Rate(CFH)0.05 6 0.0127 Pass
Low High Measured
Pos Cracking (in H2O)2.50 6.00 3.57 Pass
Neg Leak Rate (CFH)0.21 18 0.0382 Pass
Low High Measured
Neg Cracking (in H2O)-10.00 -6.00 -7.88 Pass
PVVC tested ==> Manifolded
Final Test Result (Pass / Fail) ==>
PVVC Manuf. ==>Model Number ==>
Is this Original or
Replacement?
Manf Spec
(CFH)
Measured
Leak Rate
in ml/Min;
Cracking
(in H2O)
Calc CFH
(ml/min
x
.00212)
Result
(Pass /Fail)
Pos Leak Rate(CFH)
Low High Measured
Pos Cracking (in H2O)
Neg Leak Rate (CFH)
Low High Measured
Neg Cracking (in H2O)
PVVC tested ==> Manifolded
Final Test Result (Pass / Fail) ==>
PVVC Manuf. ==>Model Number ==>
Is this Original or
Replacement?
Manf Spec
(CFH)
Measured
Leak Rate
in ml/Min;
Cracking
(in H2O)
Calc CFH
(ml/min
x
.00212)
Result
(Pass /Fail)
Pos Leak Rate(CFH)
Low High Measured
Pos Cracking (in H2O)
Neg Leak Rate (CFH)
Low High Measured
Neg Cracking (in H2O)
11000 N. MOPAC EXPRESSWAY, SUITE 500, AUSTIN, TX 78759
[phone]
QP-08-03-FF-02 Pressure Vacuum Vent Cap TP-201.1E Field Form
Rev C 1/27/2011
Site Overall Test Results: Pass
Total +ve LR: 0.0233
Total -ve LR: 0.0721

Test Date 10/30/2024
Technician Name David Mathie
WO #2373635
Facility Name / Loc #7-Eleven 35627 35627
Street 2475 S 7200 West State ID 4002472
City, St, Zip West Valley City, UT 84128

Pressure Vacuum Vent Cap Test Form TP-201.1E

Site Diagram
(This site diagram is for reference only and is not drawn to scale)

Work Order:2373635
Site ID / Name:35627 / 7-Eleven 35627
Address:2475 S 7200 West State ID 4002472
City:West Valley City State:UT Zip:84128
W.O.# NW1-2373635
+AAE-
I10100
OCT 30, 2024 10:57 AM
300095 7-11 35627
2471 S 7200 W
WEST VALLEY
CITY
M12223062105001
SYSTEM STATUS REPORT
ALL FUNCTIONS NORMAL
+AAMAAQ-
I90200
OCT 30, 2024 10:57 AM
SOFTWARE REVISION LEVEL
VERSION 333.03
SOFTWARE+ACM-
346333-100-D
CREATED - 13.02.12.10.26
S-MODULE+ACM- 330160-102-A
SYSTEM FEATURES:

PERIODIC IN-TANK TESTS
ANNUAL IN-TANK TESTS
CSLD
BIR
+AAMAAQ-
I11B00
OCT 30, 2024
10:57 AM
300095 7-11 35627
2471 S 7200 W
WEST VALLEY CITY
M12223062105001
SERVICE NOTICE SESSION REPORT
START TIME END TIME
OCT 30, 2024 8:23 AM
OCT 30, 2024 10:52 AM
NOV 16, 2022 12:31 PM NOV 16, 2022 1:50 PM
NOV 16, 2021 9:19 AM
NOV 16, 2021 11:00 AM
NOV 17, 2020 9:16 AM NOV 17, 2020 11:16 AM
MAR 25, 2020 8:58 AM
MAR 25, 2020 12:18 PM
NOV 22, 2019 9:15 AM NOV 22, 2019 10:53 AM
MAY 14, 2019 9:46 AM
MAY 14, 2019 9:59 AM
DEC 10, 2018 9:30 AM DEC 10, 2018 11:30 AM
DEC 12, 2017 9:19 AM
DEC 12, 2017 11:04 AM
JAN 3, 2017 10:24 AM JAN 3, 2017 12:14 PM
+AAMAAQ-
I20100
OCT
30, 2024 10:57 AM
300095 7-11 35627
2471 S 7200 W
WEST VALLEY CITY
M12223062105001
IN-TANK INVENTORY
TANK PRODUCT VOLUME TC VOLUME
ULLAGE HEIGHT WATER TEMP
1 UNLEADED 15115 15018 4667 83.92
0.00 69.29
2 PREMIUM 6126 6086 1775 85.66 0.00 69.36
3
DIESEL 4774 4752 7026 49.90 0.00 70.04
+AAMAAQ-
I30100
OCT
30, 2024 10:57 AM
300095 7-11 35627
2471 S 7200 W
WEST VALLEY CITY
M12223062105001
LIQUID STATUS REPORT
SENSOR LOCATION STATUS
1
UNL SUMP SENSOR NORMAL
2 UNL FILL SENSOR NORMAL
3 PREM
SUMP SENSOR NORMAL
4 PREM FILL SENSOR NORMAL
5 DIESEL SUMP
SENSOR NORMAL
6 DIESEL FILL SENSOR NORMAL
7 UNL INTER
SENSOR NORMAL
8 DIESEL PRE INTER SENSOR NORMAL
9 DISP 1-2
SENSOR NORMAL
10 DIS 3-4 SENSOR NORMAL
11 DIS 5-6 SENSOR
NORMAL
12 DIS 7-8 SENSOR NORMAL
13 DIS 9-10 SENSOR
NORMAL
+AAMAAQ-
I30200
OCT 30, 2024 10:57 AM
300095 7-11 35627
2471 S 7200 W
WEST VALLEY CITY
M12223062105001
LIQUID ALARM HISTORY REPORT
SENSOR LOCATION

1 UNL SUMP
OCT 30, 2024 10:25 AM FUEL ALARM
OCT 30, 2024
10:24 AM SENSOR OUT ALARM
OCT 30, 2024 10:20 AM FUEL ALARM
2 UNL
FILL
OCT 30, 2024 10:07 AM FUEL ALARM
NOV 30, 2023 12:00 PM
FUEL ALARM
NOV 16, 2022 1:15 PM FUEL ALARM
3 PREM SUMP
OCT 30, 2024 9:58 AM FUEL ALARM
NOV 30, 2023 11:58 AM FUEL
ALARM
NOV 16, 2022 1:11 PM FUEL ALARM
4 PREM FILL
OCT
30, 2024 10:07 AM FUEL ALARM
NOV 30, 2023 12:04 PM FUEL ALARM
NOV
16, 2022 1:19 PM FUEL ALARM
5 DIESEL SUMP
OCT 30, 2024 9:59 AM
FUEL ALARM
NOV 30, 2023 11:59 AM FUEL ALARM
NOV 16, 2022 1:13 PM
FUEL ALARM
6 DIESEL FILL
OCT 30, 2024 10:08 AM FUEL
ALARM
NOV 30, 2023 12:04 PM FUEL ALARM
NOV 16, 2022 1:20 PM FUEL
ALARM
7 UNL INTER
OCT 30, 2024 9:37 AM FUEL ALARM
NOV
30, 2023 12:05 PM FUEL ALARM
NOV 16, 2022 1:17 PM FUEL ALARM
8
DIESEL PRE INTER
OCT 30, 2024 9:38 AM FUEL ALARM
NOV 30, 2023 12:02
PM FUEL ALARM
NOV 16, 2022 1:21 PM FUEL ALARM
9 DISP 1-2

OCT 30, 2024 9:03 AM FUEL ALARM
NOV 30, 2023 11:45 AM FUEL
ALARM
NOV 16, 2022 12:44 PM FUEL ALARM
10 DIS 3-4
OCT
30, 2024 9:05 AM FUEL ALARM
NOV 30, 2023 11:46 AM FUEL ALARM
NOV
16, 2022 12:44 PM FUEL ALARM
11 DIS 5-6
OCT 30, 2024 9:05 AM
FUEL ALARM
NOV 30, 2023 11:46 AM FUEL ALARM
NOV 16, 2022 12:45 PM
FUEL ALARM
12 DIS 7-8
OCT 30, 2024 9:06 AM FUEL
ALARM
NOV 30, 2023 11:46 AM FUEL ALARM
NOV 16, 2022 12:45 PM FUEL
ALARM
13 DIS 9-10
OCT 30, 2024 9:06 AM FUEL ALARM
NOV
30, 2023 11:47 AM FUEL ALARM
NOV 16, 2022 12:45 PM FUEL
ALARM
+AAMAAQ-
IA0100
OCT 30, 2024 10:58 AM
TYPE CODE
LENGTH SERIAL NO. D/CODE
TANK 1 UNLEADED MAG D004 126.00 685250
3524
TANK 2 PREMIUM MAG D004 126.00 667384 2224
TANK 3 DIESEL
MAG D004 126.00 667386 2124
+AAMAAQ-
931
TANK 1 SETUP
CONDITIONS
PRODUCT: UNLEADED
PRODUCT CODE 1
HIGH WATER LIMIT
1.5
OVERFILL LIMIT: 17823
HIGH PRODUCT LIMIT: 18812
LOW PRODUCT:
1500
SUDDEN LOSS LIMIT: 99
LEAK LIMIT: 99
THERMAL COEFF:
0.000690
DELIVERY DELAY: 3
TANK FULL CAPACITY: 19782 0 0 0
0
3/4 HEIGHT CAPACITY: 16039 0 0 0 0
1/2 HEIGHT CAPACITY: 9883
0 0 0 0
1/4 HEIGHT CAPACITY: 3735 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 1.5
OVERFILL LIMIT: 7118
HIGH PRODUCT
LIMIT: 7513
LOW PRODUCT: 1000
SUDDEN LOSS LIMIT: 99
LEAK LIMIT:
99
THERMAL COEFF: 0.000690
DELIVERY DELAY: 3
TANK FULL CAPACITY: 7901
0 0 0 0
3/4 HEIGHT CAPACITY: 6356 0 0 0 0
1/2
HEIGHT CAPACITY: 3964 0 0 0 0
1/4 HEIGHT CAPACITY: 1560 0
0 0 0
TANK DIAMETER: 118.30
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 1.5
OVERFILL LIMIT:
10725
HIGH PRODUCT LIMIT: 11320
LOW PRODUCT: 800
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: 9696 0
0 0 0
1/2 HEIGHT CAPACITY: 5944 0 0 0 0
1/4 HEIGHT
CAPACITY: 2186 0 0 0 0
TANK DIAMETER: 118.30
TANK TILT ADDER:
0.00
MANIFOLDED TANKS: NONE
TANK CONFIGURED: NO
+AAMAAQ-
I61100
OCT 30, 2024
10:58 AM
LEAK TEST METHOD
- - - - - - - - - - - -
TEST ON DATE : ALL TANK
JUL 23,
2013
START TIME : DISABLED
TEST RATE :0.20 GAL/HR
DURATION : 2 HOURS
TST EARLY
STOP:DISABLED
+AAMAAQ-
I70300
OCT 30, 2024 10:58 AM
LIQUID TYPE
SENSOR LOCATION
TYPE
1 UNL SUMP TRI-STATE (SINGLE FLOAT)
2 UNL FILL
TRI-STATE (SINGLE FLOAT)
3 PREM SUMP TRI-STATE (SINGLE FLOAT)
4 PREM
FILL TRI-STATE (SINGLE FLOAT)
5 DIESEL SUMP TRI-STATE (SINGLE
FLOAT)
6 DIESEL FILL TRI-STATE (SINGLE FLOAT)
7 UNL INTER
TRI-STATE (SINGLE FLOAT)
8 DIESEL PRE INTER TRI-STATE (SINGLE FLOAT)
9 DISP 1-2
TRI-STATE (SINGLE FLOAT)
10 DIS 3-4 TRI-STATE (SINGLE FLOAT)

11 DIS 5-6 TRI-STATE (SINGLE FLOAT)
12 DIS 7-8 TRI-STATE
(SINGLE FLOAT)
13 DIS 9-10 TRI-STATE (SINGLE FLOAT)
14
TRI-STATE (SINGLE FLOAT)
15 TRI-STATE (SINGLE FLOAT)
16
TRI-STATE (SINGLE FLOAT)
+AAMAAQ-
I10200
OCT 30, 2024 10:58 AM
300095
7-11 35627
2471 S 7200 W
WEST VALLEY CITY
M12223062105001
SYSTEM
CONFIGURATION
SLOT BOARD TYPE POWER ON RESET CURRENT
1 4 PROBE /
G.T. 162962 164580
2 INTERSTITIAL BD 201949
202789
3 INTERSTITIAL BD 201903 202631
4 UNUSED
8994839 9767494
5 UNUSED 8981221
9727089
6 UNUSED 8985885 9720131
7 UNUSED
8982651 9717582
8 UNUSED 8979131
9718511
9 UNUSED 8981143 9709399
10 UNUSED
8979735 9710544
11 UNUSED 8982067
9710263
12 UNUSED 8980043 9706309
13 UNUSED
8978635 9703003
14 UNUSED 8979053
9705812
15 UNUSED 8978107 9708254
16 UNUSED
8977645 9708340
COMM 1 ELEC DISP INT. 101324
101496
COMM 2 UNUSED 101301 9711236
COMM 3 SERIAL SAT BD
484198 485011
COMM 4 UNUSED 8985565
9710371
COMM 5 RS485 SERIAL BD 68862 68801
COMM 6 MT COMM BOARD
412038 412575
+AAM-