DERR-2024-012996

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: 12/13/2024
UTAH DEPARTMENT OF ENV. QUALITY
UST
PO Box 144840
SALT LAKE CITY, UT 84114
Test Date: 12/10/2024
Order Number: 2375412
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-ELEVEN #26838, MKT 1606
4807 WEST 3500 SOUTH
State ID 4000986
WEST VALLEY CITY, UT 84120
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
Product Line Tightness Test Page 1 of 1
Work Order: 2375412 Date: 12/10/2024
Site Name/ID: 7-ELEVEN #26838, MKT 1606 / 26838
Address: 4807 WEST 3500 SOUTH State ID 4000986
City: WEST VALLEY CITY State: UT Zip: 84120
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
TNK1
RUL 2
Pressure
50
11:40
12:10
0.00
Pass
Yes
Tank # 2
Line # 1
TLD-1
TNK2
RUL
Pressure
50
11:40
12:10
0.00
Pass
Yes
Tank # 3
Line # 1
TLD-1
TNK3
PUL
Pressure
50
11:40
12:10
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 #26838, MKT 1606
4807 WEST 3500 SOUTH State ID 4000986
WEST VALLEY CITY UT 84120
26838
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
12/10/2024
RUL 2 RUL
Vaporless LD-
2000
Vaporless LD-
2000
Vaporless LD-
2000
28
28
100
2
20
3
28
28
100
2
20
3
28
28
100
2
20
3
UT151
David Mathie
NW1-2375412
PUL
TRU2 NORTH:1 TRUL CENTER:1 TTNK3:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2375412 Date:12/10/2024
Site Name/ID:7-ELEVEN #26838, MKT 1606
Address:4807 WEST 3500 SOUTH State ID 4000986
City:WEST VALLEY CITY State:UT Zip:84120
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

Technician Comments:
Technician Name:David Mathie
Signature:
Environmental Compliance for Petroleum Systems
©2024 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com
7-ELEVEN #26838, MKT 1606 7-ELEVEN, INC.
4807 WEST 3500 SOUTH State ID 4000986
WEST VALLEY CITY UT 84120
4000986
Tanknology, Inc.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
800-964-1250 12/10/2024
1 2 3
RU2 RUL PUL
VR350 VR350 VR350
9842 9779 9644
96.39 95.88 94
80.25 79.5 78.5
1 1 1
UT151
David Mathie
Site Diagram
(This site diagram is for reference only and is not drawn to scale)

Work Order:2375412
Site ID / Name:26838 / 7-ELEVEN #26838, MKT 1606
Address:4807 WEST 3500 SOUTH State ID 4000986
City:WEST VALLEY CITY State:UT Zip:84120
W.O.# NW1-2375412
+AAE-
I10100
DEC 10, 2024 12:07 PM
859931 7-11 26838
4807W 3500S
W. VALLEY UT
84120
A036907000501
SYSTEM STATUS REPORT
ALL FUNCTIONS NORMAL
+AAMAAQ-9999FF1B+AAMAAQ-
I90200
DEC 10, 2024 12:08 PM
SOFTWARE REVISION LEVEL
VERSION
333.04
SOFTWARE+ACM- 346333-100-E
CREATED - 13.06.07.08.25
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-
IB1100
DEC 10, 2024 12:08 PM
+AAMAAQ-
I20100
DEC 10, 2024 12:08
PM
859931 7-11 26838
4807W 3500S
W. VALLEY UT 84120
A036907000501
IN-TANK INVENTORY
TANK PRODUCT VOLUME TC VOLUME ULLAGE HEIGHT
WATER TEMP
1 RU2 NORTH 7578 7631 2264 68.37 0.00 49.68
2
RUL MIDDLE 4903 4914 4876 46.59 0.00 56.37
3 PUL
3966 3985 5678 39.52 0.00 52.70
+AAMAAQ-
I30100
DEC 10, 2024 12:08
PM
+AAMAAQ-
I20600
DEC 10, 2024 12:08 PM
859931 7-11 26838
4807W 3500S
W.
VALLEY UT 84120
A036907000501
TANK ALARM HISTORY
TANK 1 RU2 NORTH
HIGH WATER ALARM DEC 10, 2024 11:48 AM
JAN 2, 2024
10:15 AM
JAN 3, 2023 10:29 AM
OVERFILL ALARM DEC
10, 2024 11:53 AM
JAN 2, 2024 10:21 AM

JAN 3, 2023 10:35 AM
LOW PRODUCT ALARM JAN 2, 2024 10:11 AM

JAN 3, 2023 10:38 AM
JAN 3, 2023 10:26 AM
HIGH
PRODUCT ALARM JAN 6, 2022 9:58 AM
JAN 6, 2021 1:59 PM

INVALID FUEL LEVEL JAN 2, 2024 10:11 AM
JAN 3, 2023 10:38
AM
JAN 3, 2023 10:25 AM
HIGH WATER WARNING DEC 10,
2024 11:48 AM
JAN 2, 2024 10:15 AM

JAN 3, 2023 10:29 AM
DELIVERY NEEDED DEC 10, 2024 11:45 AM

JUL 20, 2024 6:37 PM
JAN 2, 2024 10:11 AM
LOW TEMP
WARNING JAN 2, 2024 10:27 AM
JAN 3, 2023 10:40 AM

JAN 6, 2022 10:03 AM
TANK 2 RUL MIDDLE
HIGH WATER
ALARM DEC 10, 2024 11:49 AM
JAN 2, 2024 10:16 AM

JAN 3, 2023 10:30 AM
OVERFILL ALARM DEC 10, 2024 11:53 AM

JAN 2, 2024 10:21 AM
SEP 19, 2023 10:36
AM
LOW PRODUCT ALARM MAY 10, 2024 11:12 AM
JAN 2,
2024 10:24 AM
JAN 2, 2024 10:12 AM
HIGH PRODUCT ALARM
JAN 6, 2022 9:59 AM
JAN 6, 2021 2:00 PM
INVALID FUEL
LEVEL DEC 10, 2024 11:56 AM
JAN 2, 2024 10:13 AM

JAN 3, 2023 10:38 AM
PROBE OUT JUN 27, 2023 12:35 PM

JUN 27, 2023 11:48 AM
JUN 27, 2023 8:20
AM
HIGH WATER WARNING DEC 10, 2024 11:49 AM
JAN 2,
2024 10:16 AM
JAN 3, 2023 10:30 AM
DELIVERY NEEDED
MAY 10, 2024 7:34 AM
JAN 2, 2024 10:24 AM

JAN 2, 2024 10:12 AM
MAX PRODUCT ALARM JAN 6, 2022 9:59 AM

JAN 6, 2021 2:00 PM
LOW TEMP WARNING JAN 2, 2024 10:26 AM

JUN 30, 2023 8:44 AM
JUN 27, 2023 7:28
AM
TANK 3 PUL
HIGH WATER ALARM DEC 10, 2024 11:50 AM

JAN 2, 2024 10:17 AM
JAN 3, 2023 10:32 AM
OVERFILL ALARM DEC 10, 2024 11:53 AM
JAN 2, 2024
10:22 AM
JAN 3, 2023 10:37 AM
LOW PRODUCT ALARM JAN
2, 2024 10:14 AM
JUN 30, 2023 8:35 AM

JAN 3, 2023 10:38 AM
HIGH PRODUCT ALARM JAN 6, 2022 9:59 AM

JAN 6, 2021 1:59 PM
INVALID FUEL LEVEL JAN 2, 2024 10:14 AM

JAN 3, 2023 10:29 AM
JAN 6, 2022 10:02 AM

PROBE OUT AUG 20, 2024 11:23 AM
JUN 30, 2023 8:37
AM
HIGH WATER WARNING DEC 10, 2024 11:50 AM
JAN 2,
2024 10:17 AM
JAN 3, 2023 10:32 AM
DELIVERY NEEDED
JAN 2, 2024 10:14 AM
JUN 30, 2023 8:35 AM

FEB 3, 2023 9:43 PM
MAX PRODUCT ALARM JAN 6, 2022 9:59 AM

JAN 6, 2021 2:00 PM
LOW TEMP WARNING DEC 10, 2024 11:55 AM

JAN 2, 2024 10:25 AM
JAN 3, 2023 10:44
AM
TANK 5
TANK 6
TANK 7
TANK 8
TANK 9
TANK 10
TANK 11
TANK 12
TANK 13
TANK 14
TANK 15
TANK 16
+AAMAAQ-
I20700
DEC 10, 2024 12:09 PM
859931 7-11 26838
4807W 3500S
W.
VALLEY UT 84120
A036907000501
TANK LEAK TEST HISTORY
T 1:RU2 NORTH
LAST GROSS TEST PASSED:
NO TEST PASSED
LAST ANNUAL TEST PASSED:
NO TEST
PASSED
FULLEST ANNUAL TEST PASS
NO TEST PASSED
LAST PERIODIC TEST PASS:
TEST START TIME
HOURS VOLUME +ACU- VOLUME TEST TYPE
DEC 10, 2024 10:37 AM 27 4660
47.4 CSLD
FULLEST PERIODIC TEST
PASSED EACH MONTH:
TEST START TIME HOURS
VOLUME +ACU- VOLUME TEST TYPE
JAN 26, 2024 5:32 AM 24 7198 73.1
CSLD
FEB 8, 2024 6:24 AM 26 7214 73.3 CSLD
MAR 2, 2024 2:50 PM
25 5354 54.4 CSLD
APR 21, 2024 1:49 AM 24 4791 48.7
CSLD
MAY 28, 2024 4:56 AM 26 5367 54.5 CSLD
JUN 15, 2024 9:40 AM
24 6054 61.5 CSLD
JUL 2, 2024 5:24 AM 25 5109 51.9
CSLD
AUG 16, 2024 5:26 AM 25 5917 60.1 CSLD
SEP 29, 2024 3:40 AM
22 6113 62.1 CSLD
OCT 7, 2024 12:16 PM 27 6970 70.8
CSLD
NOV 1, 2024 12:04 AM 27 5082 51.6 CSLD
DEC 10, 2024 10:37 AM
27 4660 47.4 CSLD
TANK LEAK TEST HISTORY
T 2:RUL MIDDLE
LAST GROSS TEST PASSED:
NO TEST PASSED
LAST ANNUAL TEST PASSED:
NO TEST
PASSED
FULLEST ANNUAL TEST PASS
NO TEST PASSED
LAST PERIODIC TEST PASS:
TEST START TIME
HOURS VOLUME +ACU- VOLUME TEST TYPE
DEC 10, 2024 11:45 AM 30 5623
57.5 CSLD
FULLEST PERIODIC TEST
PASSED EACH MONTH:
TEST START TIME HOURS
VOLUME +ACU- VOLUME TEST TYPE
JAN 13, 2024 8:14 PM 34 7603 77.7
CSLD
FEB 16, 2024 2:56 PM 30 6170 63.1 CSLD
MAR 30, 2024 7:10 AM
30 5010 51.2 CSLD
APR 2, 2024 8:18 PM 30 5044 51.6
CSLD
MAY 30, 2024 1:40 PM 30 6883 70.4 CSLD
JUN 1, 2024 12:16 AM
30 6883 70.4 CSLD
JUL 30, 2024 11:25 PM 26 4735 48.4
CSLD
AUG 22, 2024 4:22 PM 28 7569 77.4 CSLD
SEP 1, 2024 12:19 PM
27 7593 77.7 CSLD
OCT 1, 2024 11:55 PM 34 6874 70.3
CSLD
NOV 21, 2024 2:17 PM 29 5809 59.4 CSLD
DEC 10, 2024 10:15 AM
30 5623 57.5 CSLD
TANK LEAK TEST HISTORY
T 3:PUL
LAST GROSS TEST PASSED:
NO TEST PASSED
LAST ANNUAL TEST PASSED:
NO TEST
PASSED
FULLEST ANNUAL TEST PASS
NO TEST PASSED
LAST PERIODIC TEST PASS:
TEST START TIME
HOURS VOLUME +ACU- VOLUME TEST TYPE
DEC 10, 2024 10:58 AM 29 2621
27.2 CSLD
FULLEST PERIODIC TEST
PASSED EACH MONTH:
TEST START TIME HOURS
VOLUME +ACU- VOLUME TEST TYPE
JAN 31, 2024 8:38 AM 31 5377 55.8
CSLD
FEB 5, 2024 8:59 AM 31 5785 60.0 CSLD
MAR 1, 2024 1:48 AM
34 4010 41.6 CSLD
APR 24, 2024 12:22 AM 25 4229 43.9
CSLD
MAY 8, 2024 9:36 PM 30 4008 41.6 CSLD
JUN 14, 2024 1:37 PM
28 4501 46.7 CSLD
JUL 23, 2024 11:04 AM 28 2638 27.4
CSLD
AUG 30, 2024 12:32 PM 27 3317 34.4 CSLD
SEP 1, 2024 2:21 AM
29 3303 34.2 CSLD
OCT 29, 2024 1:24 AM 28 3430 35.6
CSLD
NOV 3, 2024 2:03 PM 34 3209 33.3 CSLD
DEC 2, 2024 10:41 PM
29 3046 31.6 CSLD
+AAMAAQ-
IA0100
DEC 10, 2024 12:09 PM

TYPE CODE LENGTH SERIAL NO. D/CODE
TANK 1 RU2 NORTH MAG
C000 96.00 484252 1404
TANK 2 RUL MIDDLE MAG C000 96.00 484253
1404
TANK 3 PUL MAG C000 96.00 484254
1404
+AAMAAQ-
931
TANK 1 SETUP CONDITIONS
PRODUCT: RU2 NORTH
PRODUCT CODE 1
HIGH WATER LIMIT 1.0
OVERFILL LIMIT: 8857
HIGH PRODUCT
LIMIT: 9349
LOW PRODUCT: 900
SUDDEN LOSS LIMIT: 25
LEAK LIMIT:
15
THERMAL COEFF: 0.000690
DELIVERY DELAY: 3
TANK FULL CAPACITY: 9842
9709 9403 9004 8539
3/4 HEIGHT CAPACITY: 8025 7472 6890 6287 5670
1/2
HEIGHT CAPACITY: 5045 4419 3798 3188 2597
1/4 HEIGHT CAPACITY: 2032 1501
1015 588 240
TANK DIAMETER: 96.39
TANK TILT ADDER: 0.00
MANIFOLDED TANKS:
NONE
TANK CONFIGURED: NO
+AAMAAQ-
932
TANK 2 SETUP CONDITIONS
PRODUCT:
RUL MIDDLE
PRODUCT CODE 2
HIGH WATER LIMIT 1.0
OVERFILL LIMIT:
8801
HIGH PRODUCT LIMIT: 9290
LOW PRODUCT: 900
SUDDEN LOSS LIMIT:
25
LEAK LIMIT: 15
THERMAL COEFF: 0.000690
DELIVERY DELAY: 3
TANK
FULL CAPACITY: 9779 9672 9379 8991 8535
3/4 HEIGHT CAPACITY: 8029 7483
6908 6310 5698
1/2 HEIGHT CAPACITY: 5078 4456 3838 3231 2641
1/4 HEIGHT
CAPACITY: 2077 1545 1057 626 270
TANK DIAMETER: 95.88
TANK TILT ADDER:
0.00
MANIFOLDED TANKS: NONE
TANK CONFIGURED: NO
+AAMAAQ-
933
TANK 3 SETUP
CONDITIONS
PRODUCT: PUL
PRODUCT CODE 3
HIGH WATER LIMIT
1.0
OVERFILL LIMIT: 8679
HIGH PRODUCT LIMIT: 9161
LOW PRODUCT:
900
SUDDEN LOSS LIMIT: 25
LEAK LIMIT: 15
THERMAL COEFF:
0.000690
DELIVERY DELAY: 3
TANK FULL CAPACITY: 9644 9512 9211 8820
8364
3/4 HEIGHT CAPACITY: 7860 7318 6748 6157 5552
1/2 HEIGHT CAPACITY: 4939
4326 3718 3120 2541
1/4 HEIGHT CAPACITY: 1988 1468 992 574 234
TANK
DIAMETER: 94.00
TANK TILT ADDER: 0.00
MANIFOLDED TANKS: NONE
TANK CONFIGURED:
NO
+AAMAAQ-
I62A00
DEC 10, 2024 12:09 PM
ANNUAL LEAK TEST MIN VOLUME
TANK PRODUCT
LABEL GALLONS
1 RU2 NORTH 5076
2 RUL MIDDLE
5076
3 PUL 5076
4
0
+AAMAAQ-
I63600
DEC 10, 2024 12:09 PM
PERIODIC LEAK TEST MIN VOLUME
TANK PRODUCT LABEL
GALLONS
1 RU2 NORTH 2538
2 RUL MIDDLE
2538
3 PUL 2538
4
0
+AAMAAQ-
I61100
DEC 10, 2024 12:09 PM
LEAK TEST METHOD
- - - - - - - - - - - -
TEST CSLD
: ALL TANK
Pd +AD0- 95+ACU-
CLIMATE FACTOR:MODERATE
REPORT ONLY:
DISABLED
TST EARLY
STOP:DISABLED
+AAMAAQ-
I20100
DEC 10, 2024 12:09 PM
859931 7-11 26838
4807W 3500S

W. VALLEY UT 84120
A036907000501
IN-TANK INVENTORY
TANK PRODUCT
VOLUME TC VOLUME ULLAGE HEIGHT WATER TEMP
1 RU2 NORTH 7578 7631
2264 68.38 0.00 49.73
2 RUL MIDDLE 4903 4914 4876 46.59
0.00 56.44
3 PUL 3966 3985 5678 39.52 0.00
52.75
+AAMAAQ-
I10200
DEC 10, 2024 12:09 PM
859931 7-11 26838
4807W 3500S
W.
VALLEY UT 84120
A036907000501
SYSTEM CONFIGURATION
SLOT BOARD TYPE
POWER ON RESET CURRENT
1 4 PROBE / G.T. 162847 162775
2
UNUSED 15000000 15000000
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 PLLD POWER BD
100478 100414
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. 100869 100830
COMM 2 UNUSED
15000000 15000000
COMM 3 SERIAL SAT BD 483196 483270

COMM 4 UNUSED 15000000 15000000
COMM 5 RS485 SERIAL BD
68695 68635
COMM 6 MT COMM BOARD 409500
409279
+AAMAAQ-
I11B00
DEC 10, 2024 12:09 PM
859931 7-11 26838
4807W 3500S
W.
VALLEY UT 84120
A036907000501
SERVICE NOTICE SESSION REPORT
START TIME
END TIME
DEC 10, 2024 11:24 AM DEC 10, 2024 12:05 PM
JAN 2, 2024 9:29 AM JAN 2, 2024
11:26 AM
JAN 3, 2023 9:46 AM JAN 3, 2023 11:37 AM
JAN 6, 2022 9:05 AM JAN 6, 2022
10:34 AM
JAN 6, 2021 1:19 PM JAN 6, 2021 3:13 PM
+AAM-