DERR-2024-012298

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: 11/8/2024
UTAH DEPARTMENT OF ENV. QUALITY
UST
PO Box 144840
SALT LAKE CITY, UT 84114
Test Date: 10/31/2024
Order Number: 2373639
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-ELEVEN 47154/9419
2112 EAST 2100 SOUTH
State ID 4001439
SALT LAKE CITY, UT 84109
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
Product Line Tightness Test Page 1 of 1
Work Order: 2373639 Date: 10/31/2024
Site Name/ID: 7-ELEVEN 47154/9419 / 47154/9419
Address: 2112 EAST 2100 SOUTH State ID 4001439
City: SALT LAKE CITY State: UT Zip: 84109
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
Regular
RUL
Pressure
50
09:56
10:26
0.00
Pass
Yes
Tank # 2
Line # 1
TLD-1
Premium
PUL
Pressure
50
09:56
10:26
0.00
Pass
Yes
Tank # 3
Line # 1
TLD-1
Diesel
Low Sulfur
Diesel
Pressure
50
09:56
10:26
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 47154/9419
2112 EAST 2100 SOUTH State ID 4001439
SALT LAKE CITY UT 84109
47154/9419
Tanknology, Inc.
SPEEDWAY Legacy
500 SPEEDWAY DRIVE
ENON OH 45323
937-863-6513
10/31/2024
RUL PUL
Veeder Root
PLLD
Veeder Root
PLLD
Veeder Root
PLLD
30
2
30
2 2
30
UT151
David Mathie
NW1-2373639
Low Sulfur Diesel
TRegular:1 TPremium:1 TDiesel:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2373639 Date:10/31/2024
Site Name/ID:7-ELEVEN 47154/9419
Address:2112 EAST 2100 SOUTH State ID 4001439
City:SALT LAKE CITY State:UT Zip:84109
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
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 47154/9419 SPEEDWAY Legacy
2112 EAST 2100 SOUTH State ID 4001439
SALT LAKE CITY UT 84109
4001439
Tanknology, Inc.
500 SPEEDWAY DRIVE
ENON OH 45323
937-863-6513
800-964-1250 10/31/2024
1 2 3
RUL PREM DSL
VR350 VR350 VR350
15041 8050 7099
118.4 118.4 118.4
UT151
David Mathie
2112 EAST 2100 SOUTH State ID 4001439
7-ELEVEN 47154/9419
2112 EAST 2100 SOUTH State ID 4001439, SALT LAKE CITY, UT
8410947154/9419
Tanknology, Inc.
SPEEDWAY Legacy
500 SPEEDWAY DRIVE
ENON, OH 45323
937-863-6513
10/31/2024
ANNULAR ANNULAR STP STP STP
RUL PREM/DSL RUL PREM DSL
UT151
David Mathie
Site Diagram
(This site diagram is for reference only and is not drawn to scale)

Work Order:2373639
Site ID / Name:47154/9419 / 7-ELEVEN 47154/9419
Address:2112 EAST 2100 SOUTH State ID 4001439
City:SALT LAKE CITY State:UT Zip:84109
W.O.# NW1-2373639
ALARMS SETUP
W.O.# NW1-2373639