DERR-2024-012176

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: 11/12/2024
UTAH DEPARTMENT OF ENV. QUALITY
UST
PO Box 144840
SALT LAKE CITY, UT 84114
Test Date: 11/7/2024
Order Number: 2373634
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-11 #35035
5687 S. HARRISON BLVD
State ID 1200561
SOUTH OGDEN, UT 84403
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
Product Line Tightness Test Page 1 of 1
Work Order: 2373634 Date: 11/7/2024
Site Name/ID: 7-11 #35035 / 35035
Address: 5687 S. HARRISON BLVD State ID 1200561
City: SOUTH OGDEN State: UT Zip: 84403
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
RUL
REG UNLEAD
Pressure
50
10:06
11:06
0.00
Pass
Yes
Tank # 2
Line # 1
TLD-1
PUL
PREMIUM
Pressure
50
10:06
11:06
0.00
Pass
Yes
Tank #
Line #

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
7-11 #35035
5687 S. HARRISON BLVD State ID 1200561
SOUTH OGDEN UT 84403
35035
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
11/07/2024
REG UNLEADPREMIUM
Vaporless LD-
2000
Red Jacket
FX1V
30
30
175
2
20
3
30
20
175
3
10
4
UT151
David Mathie
NW1-2373634
TRUL:1 TPUL:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2373634 Date:11/7/2024
Site Name/ID:7-11 #35035
Address:5687 S. HARRISON BLVD State ID 1200561
City:SOUTH OGDEN State:UT Zip:84403
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 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

Technician Comments:
Technician Name:David Mathie
Signature:
Environmental Compliance for Petroleum Systems
©2024 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com
7-11 #35035 7-ELEVEN, INC.
5687 S. HARRISON BLVD State ID 1200561
SOUTH OGDEN UT 84403
1200561
Tanknology, Inc.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
800-964-1250 11/07/2024
1 2
RUL PUL
VR350 VR350
14544 9695
91.6 91.6
UT151
David Mathie
5687 S. HARRISON BLVD State ID 1200561
7-11 #35035
5687 S. HARRISON BLVD State ID 1200561, SOUTH OGDEN, UT
8440335035
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
11/07/2024
ANNULAR WET ANNULAR WET STP STP
RUL PUL RUL PUL
UT151
David Mathie
5687 S. HARRISON BLVD State ID 1200561
7-11 #35035
5687 S. HARRISON BLVD State ID 1200561, SOUTH OGDEN, UT
8440335035
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
11/07/2024
UDC UDC UDC UDC
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:2373634
Site ID / Name:35035 / 7-11 #35035
Address:5687 S. HARRISON BLVD State ID 1200561
City:SOUTH OGDEN State:UT Zip:84403
W.O.# NW1-2373634
+AAE-
I10100
NOV 7, 2024 11:08 AM
859883 7-11 35035
5687 S HARRISON BLVD
SO. OGDEN,UT.
84403
C11121049305001
SYSTEM STATUS REPORT
ALL FUNCTIONS NORMAL
+AAMAAQ-
I90200
NOV 7, 2024 11:08 AM
SOFTWARE REVISION LEVEL
VERSION 334.01
SOFTWARE+ACM-
346334-100-B
CREATED - 17.01.09.16.10
S-MODULE+ACM- 330160-162-A
SYSTEM FEATURES:

PERIODIC IN-TANK TESTS
ANNUAL IN-TANK TESTS
CSLD
BIR
PLLD
0.10 AUTO
0.20
REPETITIV
WPLLD
0.10 AUTO
0.20 REPETITIV
+AAMAAQ-
I20100
NOV 7, 2024 11:08
AM
859883 7-11 35035
5687 S HARRISON BLVD
SO. OGDEN,UT. 84403
C11121049305001
IN-TANK INVENTORY
TANK PRODUCT VOLUME TC VOLUME ULLAGE HEIGHT
WATER TEMP
1 RUL 8606 8580 5938 52.29 0.00 64.31
2
PUL 7444 7343 2251 65.20 0.00 79.70
+AAMAAQ-
I30100
NOV
7, 2024 11:08 AM
859883 7-11 35035
5687 S HARRISON BLVD
SO. OGDEN,UT. 84403
C11121049305001
LIQUID STATUS REPORT
SENSOR LOCATION STATUS
1
DISP 1-2 SENSOR NORMAL
2 DISP 3-4 SENSOR NORMAL
3 DISP
5-6 SENSOR NORMAL
4 DISP 7-8 SENSOR NORMAL
5 TANK 2 PREM
SUMP SENSOR NORMAL
6 TANK 1 UNLD SUMP SENSOR NORMAL
7 TANK 2 PREM BRINE
SENSOR NORMAL
8 TANK 1 UNLD BRINE SENSOR NORMAL
+AAMAAQ-
I30200
NOV 7, 2024
11:08 AM
859883 7-11 35035
5687 S HARRISON BLVD
SO. OGDEN,UT. 84403
C11121049305001
LIQUID ALARM HISTORY REPORT
SENSOR LOCATION
1 DISP 1-2
NOV 7,
2024 9:33 AM FUEL ALARM
NOV 9, 2023 9:12 AM FUEL ALARM
MAR 20,
2023 5:08 AM FUEL ALARM
2 DISP 3-4
NOV 7, 2024 9:33 AM
FUEL ALARM
NOV 9, 2023 9:13 AM FUEL ALARM
NOV 17, 2022 9:17 AM
FUEL ALARM
3 DISP 5-6
NOV 7, 2024 9:32 AM FUEL ALARM

NOV 9, 2023 9:13 AM FUEL ALARM
NOV 17, 2022 9:18 AM FUEL ALARM

4 DISP 7-8
NOV 7, 2024 9:32 AM FUEL ALARM
NOV 9, 2023
9:14 AM FUEL ALARM
NOV 17, 2022 9:29 AM FUEL ALARM
5 TANK 2 PREM
SUMP
NOV 7, 2024 9:24 AM FUEL ALARM
NOV 9, 2023 9:27 AM
FUEL ALARM
NOV 17, 2022 9:28 AM FUEL ALARM
6 TANK 1 UNLD SUMP

NOV 7, 2024 9:24 AM FUEL ALARM
NOV 9, 2023 9:29 AM FUEL ALARM

NOV 17, 2022 9:26 AM FUEL ALARM
7 TANK 2 PREM BRINE
NOV 7, 2024
9:44 AM FUEL ALARM
NOV 9, 2023 9:34 AM FUEL ALARM
NOV 17, 2022
9:35 AM FUEL ALARM
8 TANK 1 UNLD BRINE
NOV 7, 2024 9:44 AM
FUEL ALARM
NOV 9, 2023 9:33 AM FUEL ALARM
NOV 17, 2022 9:34 AM
FUEL ALARM
+AAMAAQ-
IA0100
NOV 7, 2024 11:08 AM
TYPE CODE
LENGTH SERIAL NO. D/CODE
TANK 1 RUL MAG C000 96.00 449030
3594
TANK 2 PUL MAG C000 96.00 449029
3594
+AAMAAQ-
931
TANK 1 SETUP CONDITIONS
PRODUCT: RUL
PRODUCT CODE 1
HIGH WATER LIMIT 1.5
OVERFILL LIMIT: 12944
HIGH PRODUCT
LIMIT: 13816
LOW PRODUCT: 1000
SUDDEN LOSS LIMIT: 25
LEAK LIMIT:
15
THERMAL COEFF: 0.000690
DELIVERY DELAY: 5
TANK FULL CAPACITY: 14544
0 0 0 0
3/4 HEIGHT CAPACITY: 11747 0 0 0 0
1/2
HEIGHT CAPACITY: 7285 0 0 0 0
1/4 HEIGHT CAPACITY: 2819 0
0 0 0
TANK DIAMETER: 91.62
TANK TILT ADDER: 0.00
MANIFOLDED TANKS:
NONE
TANK CONFIGURED: NO
+AAMAAQ-
932
TANK 2 SETUP CONDITIONS
PRODUCT:
PUL
PRODUCT CODE 2
HIGH WATER LIMIT 1.5
OVERFILL LIMIT: 8628
HIGH
PRODUCT LIMIT: 9210
LOW PRODUCT: 1000
SUDDEN LOSS LIMIT: 25
LEAK LIMIT:
15
THERMAL COEFF: 0.000690
DELIVERY DELAY: 5
TANK FULL CAPACITY:
9695 0 0 0 0
3/4 HEIGHT CAPACITY: 7865 0 0 0
0
1/2 HEIGHT CAPACITY: 4874 0 0 0 0
1/4 HEIGHT CAPACITY: 1860
0 0 0 0
TANK DIAMETER: 91.61
TANK TILT ADDER: 0.00
MANIFOLDED
TANKS: NONE
TANK CONFIGURED: NO
+AAMAAQ-
I61100
NOV 7, 2024 11:09 AM
LEAK TEST
METHOD
- - - - - - - - - - - -
TEST ON DATE : ALL TANK
NOV 2, 2022
START TIME : 12:29
PM
TEST RATE :0.20 GAL/HR
DURATION : 2 HOURS
TST EARLY
STOP:DISABLED
+AAMAAQ-
I70300
NOV 7, 2024 11:09 AM
LIQUID TYPE
SENSOR LOCATION
TYPE
1 DISP 1-2 TRI-STATE (SINGLE FLOAT)
2 DISP 3-4
TRI-STATE (SINGLE FLOAT)
3 DISP 5-6 TRI-STATE (SINGLE FLOAT)
4 DISP 7-8
TRI-STATE (SINGLE FLOAT)
5 TANK 2 PREM SUMP TRI-STATE (SINGLE FLOAT)

6 TANK 1 UNLD SUMP TRI-STATE (SINGLE FLOAT)
7 TANK 2 PREM BRINE TRI-STATE
(SINGLE FLOAT)
8 TANK 1 UNLD BRINE TRI-STATE (SINGLE FLOAT)
+AAMAAQ-
I80800
NOV
7, 2024 11:09 AM
RELAY SETUP REPORT
R 1:OVERFILL
TYPE:
STANDARD
NORMALLY
OPEN
IN-TANK ALARMS
ALL:OVERFILL ALARM
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 -
+AAMAAQ-
I10200
NOV 7, 2024 11:09
AM
859883 7-11 35035
5687 S HARRISON BLVD
SO. OGDEN,UT. 84403
C11121049305001
SYSTEM CONFIGURATION
SLOT BOARD TYPE POWER ON RESET CURRENT
1 4
PROBE / G.T. 163691 163003
2 INTERSTITIAL BD
201430 200926
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 RELAY BOARD 14926 14906
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 ELEC DISP INT.
101119 100875
COMM 2 UNUSED 100833 15000000
COMM
3 SERIAL SAT BD 482134 480636
COMM 4 UNUSED 15000000
15000000
COMM 5 RS485 SERIAL BD 68464 68280
COMM 6 MT
COMM BOARD 406899 405554
+AAM-