DERR-2024-012389

IMPACT VALVE
LEAK DETECTOR
MONITOR CERTIFICATION
11000 N. MoPac Expressway, Suite 500
Austin, Texas 78759
Phone: [phone]
Fax: [phone] Date Printed and Mailed: 11/19/2024
UTAH DEPARTMENT OF ENV. QUALITY
UST
PO Box 144840
SALT LAKE CITY, UT 84114
Test Date: 11/8/2024
Order Number: 2373638
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-Eleven 41191
2291 North University Parkway
State ID 1000962
Provo, UT 84605
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
7-Eleven 41191
2291 North University Parkway State ID 1000962
Provo UT 84605
41191
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
11/08/2024
RUL PUL
Vaporless LD-
2000
Vaporless LD-
2000
Vaporless LD-
2000
30
30
100
2
20
3
30
30
100
2
20
3
30
30
100
2
20
3
UT151
David Mathie
NW1-2373638
Low Sulfur Diesel
TTNK1:1 TTNK2:1 TTNK3:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2373638 Date:11/8/2024
Site Name/ID:7-Eleven 41191
Address:2291 North University Parkway State ID 1000962
City:Provo State:UT Zip:84605
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 41191 7-ELEVEN, INC.
2291 North University Parkway State ID 1000962
Provo UT 84605
1000962
Tanknology, Inc.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
800-964-1250 11/08/2024
1 2 3
RUL PUL DSL
19782 7901 11904
VR350 VR350 VR350
118.33 118.33 118.33
UT151
David Mathie
2291 North University Parkway State ID 1000962
7-Eleven 41191
2291 North University Parkway State ID 1000962, Provo, UT 84605
41191
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
11/08/2024
ANNULAR ANNULAR SB FILL STP SBFILL STP SB FILL
RUL PUL/DSL RUL RUL PUL PU DSL
UT151
David Mathie