DERR-2024-012919

IMPACT VALVE
LEAK DETECTOR
MONITOR CERTIFICATION
SPILL BUCKET TEST
11000 N. MoPac Expressway, Suite 500
Austin, Texas 78759
Phone: [phone]
Fax: [phone] Date Printed and Mailed: 12/16/2024
UTAH DEPARTMENT OF ENV. QUALITY
UST
PO Box 144840
SALT LAKE CITY, UT 84114
Test Date: 12/11/2024
Order Number: 2373782
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-Eleven 36430
1821 South State Street
State ID 1000920
Provo, UT 84606
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
7-Eleven 36430
1821 South State Street State ID 1000920
Provo UT 84606
36430
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
12/11/2024
RUL PUL
Vaporless LD-
2000
Vaporless LD-
2000
Vaporless LD-
2000
30
30
175
2
20
3
30
30
175
2
20
3
30
30
110
2
20
3
UT151
David Mathie
NW1-2373782
Low Sulfur Diesel
TTNK 1:1 TTNK 2:1 TTNK3:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2373782 Date:12/11/2024
Site Name/ID:7-Eleven 36430
Address:1821 South State Street State ID 1000920
City:Provo State:UT Zip:84606
How Inspected: Line Test NFPA 30A PEI RP1200 Other STP PRESSUSRE
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 40 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 85 Pass Fail Not Tested
9/10 91 Pass Fail Not Tested
11/12 40 Pass Fail Not Tested
11/12 85 Pass Fail Not Tested
11/12 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 36430 7-ELEVEN, INC.
1821 South State Street State ID 1000920
Provo UT 84606
1000920
Tanknology, Inc.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
800-964-1250 12/11/2024
1 2 3
RUL PUL DSL
VR350 VR350 VR350
19782 7901 11904
118.38 118.38 118.38
UT151
David Mathie
1821 South State Street State ID 1000920
7-Eleven 36430
1821 South State Street State ID 1000920, Provo, UT 84606
36430
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
12/11/2024
ANNULAR ANNULAR FILL STP FILL STP FILL
RUL PUL/DSL RUL RUL PUL PUL DSL
UT151
David Mathie
1821 South State Street State ID 1000920
7-Eleven 36430
1821 South State Street State ID 1000920, Provo, UT 84606
36430
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
12/11/2024
STP UDC UDC UDC UDC UDC UDC
DSL 12 3/4 5/6 7/8 9/10 11/12
UT151
David Mathie
7-Eleven 36430
1821 South State Street State ID
1000920Provo, UT 84606
1000920
Tanknology, Inc.
7-ELEVEN, INC.
972-828-7575
12/11/2024
P.O. BOX 711
DALLAS, TX 75221
1
RUL
5
OPW
2
PUL
5
OPW
3
DSL
5
OPW
12.5
812
12.5
912
1 HR
0
13.5
812
13.5
912
1 HR
0
12..5
812
12.5
912
1 HR
0
UT151
David Mathie
Site Diagram
(This site diagram is for reference only and is not drawn to scale)

Work Order:2373782
Site ID / Name:36430 / 7-Eleven 36430
Address:1821 South State Street State ID 1000920
City:Provo State:UT Zip:84606
W.O.# NW1-2373782
+AAE-
I10100
DEC 11, 2024 9:10
816877 7-11 036430
1821S STATE ST
PROVO UT
84606
N07226230105001
SYSTEM STATUS REPORT
ALL FUNCTIONS NORMAL
+AAMAAQ-
I90200
DEC
11, 2024 9:10
SOFTWARE REVISION LEVEL
VERSION 333.03
SOFTWARE+ACM- 346333-100-D
CREATED -
13.02.12.10.26
S-MODULE+ACM- 330160-100-a
SYSTEM FEATURES:
PERIODIC IN-TANK TESTS
ANNUAL
IN-TANK TESTS
BIR
+AAMAAQ-
I20100
DEC 11, 2024 9:10
816877 7-11 036430
1821S STATE
ST
PROVO UT 84606
N07226230105001
IN-TANK INVENTORY
TANK PRODUCT VOLUME
TC VOLUME ULLAGE HEIGHT WATER TEMP
1 RUL 10633 10695 9149
62.60 0.00 51.59
2 PUL 4495 4510 3406 65.51 0.00
54.88
3 DSL 2907 2908 8997 35.86 0.00
59.24
+AAMAAQ-
I30100
DEC 11, 2024 9:10
816877 7-11 036430
1821S STATE ST
PROVO UT
84606
N07226230105001
LIQUID STATUS REPORT
SENSOR LOCATION STATUS
1
DISP 1 SENSOR NORMAL
2 DISP 2 SENSOR NORMAL
3 DISP 3
SENSOR NORMAL
4 DISP 4 SENSOR NORMAL
5 DISP 5
SENSOR NORMAL
6 DISP 6 SENSOR NORMAL
7 UNL STP SUMP
SENSOR NORMAL
8 UNL ANNULAR SENSOR NORMAL
9 UNL FILL SENSOR
NORMAL
10 PREM FILL SENSOR NORMAL
11 PREM STP SENSOR
NORMAL
12 DSL STP SUMP SENSOR NORMAL
13 DSL FILL SENSOR
NORMAL
14 DSL PUL ANNULAR SENSOR NORMAL
+AAMAAQ-
I30200
DEC 11, 2024
9:10
816877 7-11 036430
1821S STATE ST
PROVO UT 84606
N07226230105001
LIQUID ALARM
HISTORY REPORT
SENSOR LOCATION
1 DISP 1
DEC 11, 2024 8:21
FUEL ALARM
DEC 14, 2023 9:17 FUEL ALARM
DEC 14, 2022 9:59
FUEL ALARM
2 DISP 2
DEC 11, 2024 8:21 FUEL ALARM

DEC 14, 2023 9:17 FUEL ALARM
DEC 14, 2022 9:59 FUEL ALARM

3 DISP 3
DEC 11, 2024 8:20 FUEL ALARM
DEC 14, 2023
9:18 FUEL ALARM
DEC 14, 2022 10:00 FUEL ALARM
4 DISP 4

DEC 11, 2024 8:20 FUEL ALARM
DEC 14, 2023 9:18
FUEL ALARM
DEC 14, 2022 10:00 FUEL ALARM
5 DISP 5

DEC 11, 2024 8:20 FUEL ALARM
DEC 14, 2023 9:18 FUEL ALARM

DEC 14, 2022 10:01 FUEL ALARM
6 DISP 6
DEC 11, 2024
8:20 FUEL ALARM
DEC 14, 2023 9:19 FUEL ALARM
DEC 14, 2022
10:01 FUEL ALARM
7 UNL STP SUMP
DEC 11, 2024 8:15
FUEL ALARM
DEC 14, 2023 10:08 FUEL ALARM
DEC 14, 2022 10:46
FUEL ALARM
8 UNL ANNULAR
DEC 11, 2024 8:28 FUEL ALARM

DEC 14, 2023 9:50 FUEL ALARM
DEC 14, 2023 9:37 FUEL ALARM
9
UNL FILL
DEC 11, 2024 8:45 FUEL ALARM
DEC 14, 2023
10:18 FUEL ALARM
DEC 14, 2022 10:51 FUEL ALARM
10 PREM FILL

DEC 11, 2024 8:46 FUEL ALARM
DEC 14, 2023 10:19
FUEL ALARM
JAN 2, 2023 15:19 FUEL ALARM
11 PREM STP

DEC 11, 2024 8:16 FUEL ALARM
DEC 14, 2023 10:09 FUEL ALARM

DEC 14, 2022 11:00 FUEL ALARM
12 DSL STP SUMP
DEC 11, 2024
8:16 FUEL ALARM
DEC 14, 2023 10:11 FUEL ALARM
DEC 14, 2022
11:09 FUEL ALARM
13 DSL FILL
DEC 11, 2024 8:48
FUEL ALARM
OCT 30, 2024 1:24 FUEL ALARM
APR 5, 2024 3:27
FUEL ALARM
14 DSL PUL ANNULAR
DEC 11, 2024 8:30 FUEL ALARM

DEC 14, 2023 9:43 FUEL ALARM
JAN 10, 2023 2:09 FUEL
ALARM
+AAMAAQ-
IA0100
DEC 11, 2024 9:10
TYPE CODE LENGTH
SERIAL NO. D/CODE
TANK 1 RUL MAG D004 126.00 750636 2634
TANK
2 PUL MAG D004 120.00 690595 3824
TANK 3 DSL
MAG D004 120.00 690610 3824
+AAMAAQ-
931
TANK 1 SETUP CONDITIONS
PRODUCT:
RUL
PRODUCT CODE 1
HIGH WATER LIMIT 1.5
OVERFILL LIMIT:
17803
HIGH PRODUCT LIMIT: 18792
LOW PRODUCT: 747
SUDDEN LOSS LIMIT:
25
LEAK LIMIT: 15
THERMAL COEFF: 0.000690
DELIVERY DELAY: 5
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: PUL
PRODUCT CODE 3
HIGH WATER LIMIT
1.5
OVERFILL LIMIT: 7110
HIGH PRODUCT LIMIT: 7505
LOW PRODUCT:
332
SUDDEN LOSS LIMIT: 25
LEAK LIMIT: 15
THERMAL COEFF:
0.000690
DELIVERY DELAY: 5
TANK FULL CAPACITY: 7901 0 0 0
0
3/4 HEIGHT CAPACITY: 6360 0 0 0 0
1/2 HEIGHT CAPACITY: 3960
0 0 0 0
1/4 HEIGHT CAPACITY: 1558 0 0 0 0
TANK
DIAMETER: 118.38
TANK TILT ADDER: 0.00
MANIFOLDED TANKS: NONE
TANK CONFIGURED:
NO
+AAMAAQ-
933
TANK 3 SETUP CONDITIONS
PRODUCT: DSL
PRODUCT CODE
4
HIGH WATER LIMIT 1.5
OVERFILL LIMIT: 10713
HIGH PRODUCT LIMIT: 11308
LOW
PRODUCT: 416
SUDDEN LOSS LIMIT: 25
LEAK LIMIT: 15
THERMAL
COEFF: 0.000450
DELIVERY DELAY: 5
TANK FULL CAPACITY: 11904 0 0
0 0
3/4 HEIGHT CAPACITY: 9700 0 0 0 0
1/2 HEIGHT CAPACITY:
5936 0 0 0 0
1/4 HEIGHT CAPACITY: 2183 0 0 0
0
TANK DIAMETER: 118.38
TANK TILT ADDER: 0.00
MANIFOLDED TANKS: NONE
TANK
CONFIGURED: NO
+AAMAAQ-
I61100
DEC 11, 2024 9:11
LEAK TEST METHOD
- - - - - - - - -
- - -
TEST ON DATE : ALL TANK
FEB 12, 2013
START TIME : DISABLED
TEST RATE :0.20
GAL/HR
DURATION : 2 HOURS
TST EARLY STOP:DISABLED
+AAMAAQ-
I70300
DEC 11, 2024
9:11
LIQUID TYPE
SENSOR LOCATION TYPE
1 DISP 1
TRI-STATE (SINGLE FLOAT)
2 DISP 2 TRI-STATE (SINGLE FLOAT)
3 DISP 3
TRI-STATE (SINGLE FLOAT)
4 DISP 4 TRI-STATE (SINGLE FLOAT)

5 DISP 5 TRI-STATE (SINGLE FLOAT)
6 DISP 6 TRI-STATE
(SINGLE FLOAT)
7 UNL STP SUMP TRI-STATE (SINGLE FLOAT)
8 UNL ANNULAR
TRI-STATE (SINGLE FLOAT)
9 UNL FILL TRI-STATE (SINGLE FLOAT)
10 PREM
FILL TRI-STATE (SINGLE FLOAT)
11 PREM STP TRI-STATE (SINGLE
FLOAT)
12 DSL STP SUMP TRI-STATE (SINGLE FLOAT)
13 DSL FILL
TRI-STATE (SINGLE FLOAT)
14 DSL PUL ANNULAR TRI-STATE (SINGLE FLOAT)
15
TRI-STATE (SINGLE FLOAT)
16 TRI-STATE (SINGLE
FLOAT)
+AAMAAQ-
I80800
DEC 11, 2024 9:11
RELAY SETUP REPORT
R 1:
TYPE:
STANDARD
NORMALLY OPEN
- NO ALARM ASSIGNMENTS -
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-
I11B00
DEC 11, 2024
9:11
816877 7-11 036430
1821S STATE ST
PROVO UT 84606
N07226230105001
SERVICE NOTICE
SESSION REPORT
START TIME END TIME
DEC 11, 2024 7:58 DEC 11, 2024
9:07
DEC 14, 2023 8:58 DEC 14, 2023 10:33
DEC 14, 2022 9:54 DEC 14, 2022 11:34
JAN 5,
2022 9:18 JAN 5, 2022 11:09
JAN 5, 2021 9:12 JAN 5, 2021 10:55
JAN 9, 2020 9:34
JAN 9, 2020 11:11
MAY 17, 2019 6:54 MAY 17, 2019 7:07
JAN 11, 2019 9:41 JAN 11, 2019
11:06
JAN 3, 2018 10:05 JAN 3, 2018 11:32
JAN 10, 2017 9:30 JAN 10, 2017
11:17
+AAMAAQ-
IB0700
DEC 11, 2024 9:11
+AAMAAQ-
IB0100
DEC 11, 2024 9:11
LIQUID
DIAGNOSTIC REPORT
SAMPLE HIGH LOW
SENSOR COUNTER REF REF
VALUE
1 5 934 156 101562
2 5 934 156
101827
3 5 934 156 101713
4 5 934 156
101664
5 5 931 156 101884
6 5 931 156
102062
7 5 931 156 100516
8 5 931 156
102806
9 5 937 157 100805
10 5 937 157
100111
11 5 937 157 101112
12 5 937 157
101406
13 5 936 157 100726
14 5 936 157
88469
15 5 936 157 999999680
16 5 936 157
999999680
+AAM-