DERR-2025-000441

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: 1/13/2025
UTAH DEPARTMENT OF ENV. QUALITY
UST
PO Box 144840
SALT LAKE CITY, UT 84114
Test Date: 1/8/2025
Order Number: 2375410
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-ELEVEN 35318
1181 West 12th Street
State ID 1200530
Ogden, UT 84404
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
7-ELEVEN 35318
1181 West 12th Street State ID 1200530
Ogden UT 84404
35318
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
01/08/2025
RUL PUL
Vaporless LD-
2000
Vaporless LD-
2000
Vaporless LD-
2000
30
30
160
2
20
3
30
30
160
2
20
3
32
32
125
3
20
4
UT151
David Mathie
NW1-2375410
Diesel
TT1:1 TT2:1 TT3:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2375410 Date:1/8/2025
Site Name/ID:7-ELEVEN 35318
Address:1181 West 12th Street State ID 1200530
City:Ogden State:UT Zip:84404
How Inspected: Line Test NFPA 30A PEI RP1200 Other STP PRESSURE
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
©2025 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com
7-ELEVEN 35318 7-ELEVEN, INC.
1181 West 12th Street State ID 1200530
Ogden UT 84404
1200530
Tanknology, Inc.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
800-964-1250 01/08/2025
1 2 3
RUL PUL DSL
VR350 VR350 VR350
19782 7901 11904
118.37 118.37 118.37
UT151
David Mathie
1181 West 12th Street State ID 1200530
7-ELEVEN 35318
1181 West 12th Street State ID 1200530, Ogden, UT 84404
35318
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
01/08/2025
ANNULAR ANNULAR FILL STP FILL STP FILL
RUL PUL/DSL RUL RUL PUL PUL DSL
UT151
David Mathie
1181 West 12th Street State ID 1200530
7-ELEVEN 35318
1181 West 12th Street State ID 1200530, Ogden, UT 84404
35318
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
01/08/2025
STP UDC UDC UDC UDC UDC UDC
DSL 1/2 3/4 5/6 7/8 9/10 11/12
UT151
David Mathie
7-ELEVEN 35318
1181 West 12th Street State ID 1200530
Ogden, UT 84404
1200530
Tanknology, Inc.
7-ELEVEN, INC.
972-828-7575
01/08/2025
P.O. BOX 711
DALLAS, TX 75221
1
RUL
5
OPW
2
PUL
5
OPW
3
DSL
5
OPW
13.5
1055
13.5
1155
1 HR
0
14.5
1055
14.5
1155
1 HR
0
12.5
1055
12.5
1155
1 HR
0
UT151
David Mathie
Site Diagram
(This site diagram is for reference only and is not drawn to scale)

Work Order:2375410
Site ID / Name:35318 / 7-ELEVEN 35318
Address:1181 West 12th Street State ID 1200530
City:Ogden State:UT Zip:84404
W.O.# NW1-2375410
+AAE-
I10100
JAN 8, 2025 11:45 AM
296544 7-11 35318
1181 W. 12TH STREET
SLATERVILLE,
UTAH
L11215900905001
SYSTEM STATUS REPORT
ALL FUNCTIONS NORMAL
+AAMAAQ-
I90200
JAN
8, 2025 11:45 AM
SOFTWARE REVISION LEVEL
VERSION 332.00
SOFTWARE+ACM- 346332-100-A
CREATED -
11.05.27.16.12
S-MODULE+ACM- 330160-100-a
SYSTEM FEATURES:
PERIODIC IN-TANK TESTS
ANNUAL
IN-TANK TESTS
BIR
+AAMAAQ-9999FF1B+AAMAAQ-
I11B00
JAN 8, 2025 11:46 AM
296544 7-11
35318
1181 W. 12TH STREET
SLATERVILLE, UTAH
L11215900905001
SERVICE NOTICE SESSION
REPORT
START TIME END TIME
JAN 8, 2025 10:36 AM JAN 8, 2025 11:40 AM
JAN
9, 2024 11:13 AM JAN 9, 2024 12:55 PM
JAN 11, 2023 9:25 AM JAN 11, 2023 10:55 AM
JAN
12, 2022 12:07 PM JAN 12, 2022 1:42 PM
JAN 28, 2021 9:42 AM JAN 28, 2021 11:17 AM
JAN
28, 2020 10:03 AM JAN 28, 2020 11:10 AM
MAY 29, 2019 8:34 AM MAY 29, 2019 8:46 AM
JAN
28, 2019 11:15 AM JAN 28, 2019 12:22 PM
JAN 31, 2018 11:24 AM JAN 31, 2018 12:29 PM
FEB
17, 2017 9:36 AM FEB 17, 2017 11:36 AM
+AAMAAQ-
I20100
JAN 8, 2025 11:46
AM
296544 7-11 35318
1181 W. 12TH STREET
SLATERVILLE, UTAH
L11215900905001
IN-TANK
INVENTORY
TANK PRODUCT VOLUME TC VOLUME ULLAGE HEIGHT WATER TEMP
1 RUL 13781 13961 6001 77.28 0.00 41.01
2 PUL
5169 5236 2732 73.60 0.00 40.87
3 DSL 1948 1965
9956 27.44 0.00 40.95
+AAMAAQ-
I30100
JAN 8, 2025 11:46 AM
296544 7-11 35318

1181 W. 12TH STREET
SLATERVILLE, UTAH
L11215900905001
LIQUID STATUS REPORT
SENSOR
LOCATION STATUS
1 UNLD STP SUMP SENSOR NORMAL
2 PREM STP SUMP
SENSOR NORMAL
3 DSL STP SUMP SENSOR NORMAL
4 PUL DSL INTERSTITIAL
SENSOR NORMAL
5 UNLD INTERSTITIAL SENSOR NORMAL
6 SW DISPENSER PAN SENSOR
NORMAL
7 NW DISPENSER PAN SENSOR NORMAL
8 SC DISPENSER PAN SENSOR
NORMAL
9 NC DISPENSER PAN SENSOR NORMAL
10 SE DISPENSER PAN SENSOR
NORMAL
11 NE DISPENSER PAN SENSOR NORMAL
12 UNLD FILL SUMP SENSOR
NORMAL
13 PUL FILL SUMP SENSOR NORMAL
14 DSL FILL SUMP SENSOR
NORMAL
+AAMAAQ-
I30200
JAN 8, 2025 11:46 AM
296544 7-11 35318
1181 W. 12TH
STREET
SLATERVILLE, UTAH
L11215900905001
LIQUID ALARM HISTORY REPORT
SENSOR LOCATION

1 UNLD STP SUMP
JAN 8, 2025 11:03 AM FUEL ALARM
JAN 9, 2024
11:25 AM FUEL ALARM
JUL 16, 2023 6:35 AM FUEL ALARM
2 PREM STP
SUMP
JAN 8, 2025 11:04 AM FUEL ALARM
JAN 9, 2024 11:26 AM
FUEL ALARM
JAN 11, 2023 10:19 AM FUEL ALARM
3 DSL STP SUMP

JAN 8, 2025 11:05 AM FUEL ALARM
JAN 9, 2024 11:28 AM FUEL ALARM

JAN 11, 2023 10:24 AM FUEL ALARM
4 PUL DSL INTERSTITIAL
JAN 8, 2025
11:02 AM FUEL ALARM
JAN 9, 2024 11:53 AM FUEL ALARM
JAN 11, 2023
10:07 AM FUEL ALARM
5 UNLD INTERSTITIAL
JAN 8, 2025 11:00 AM
FUEL ALARM
JAN 9, 2024 11:49 AM FUEL ALARM
JAN 11, 2023 10:06 AM
FUEL ALARM
6 SW DISPENSER PAN
JAN 8, 2025 11:13 AM FUEL ALARM

JAN 9, 2024 12:16 PM FUEL ALARM
JAN 11, 2023 9:31 AM FUEL ALARM
7
NW DISPENSER PAN
JAN 8, 2025 11:13 AM FUEL ALARM
JAN 9, 2024
12:15 PM FUEL ALARM
JAN 11, 2023 9:32 AM FUEL ALARM
8 SC DISPENSER
PAN
JAN 8, 2025 11:15 AM FUEL ALARM
JAN 9, 2024 12:17 PM
FUEL ALARM
JAN 11, 2023 9:32 AM FUEL ALARM
9 NC DISPENSER PAN

JAN 8, 2025 11:14 AM FUEL ALARM
JAN 9, 2024 12:18 PM FUEL ALARM

JAN 11, 2023 9:33 AM FUEL ALARM
10 SE DISPENSER PAN
JAN 8, 2025
11:15 AM FUEL ALARM
JAN 9, 2024 12:20 PM FUEL ALARM
JAN 11, 2023
9:33 AM FUEL ALARM
11 NE DISPENSER PAN
JAN 8, 2025 11:16 AM
FUEL ALARM
JAN 9, 2024 12:19 PM FUEL ALARM
JAN 11, 2023 9:33 AM
FUEL ALARM
12 UNLD FILL SUMP
JAN 8, 2025 11:06 AM FUEL ALARM

JAN 9, 2024 11:30 AM FUEL ALARM
JAN 11, 2023 10:31 AM FUEL ALARM
13
PUL FILL SUMP
JAN 8, 2025 11:07 AM FUEL ALARM
JAN 9, 2024
11:33 AM FUEL ALARM
JAN 11, 2023 10:32 AM FUEL ALARM
14 DSL FILL
SUMP
JAN 8, 2025 11:26 AM FUEL ALARM
JAN 8, 2025 11:25 AM
SENSOR OUT ALARM
JAN 9, 2024 11:44 AM FUEL ALARM
+AAMAAQ-
IA0100
JAN 8,
2025 11:46 AM
TYPE CODE LENGTH SERIAL NO. D/CODE
TANK 1
RUL MAG D004 120.00 628694 4514
TANK 2 PUL MAG
D004 120.00 223777 4884
TANK 3 DSL MAG D004 120.00 628692
4514
+AAMAAQ-
931
TANK 1 SETUP CONDITIONS
PRODUCT: RUL
PRODUCT CODE
1
HIGH WATER LIMIT 1.5
OVERFILL LIMIT: 17803
HIGH PRODUCT LIMIT: 18793
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: 118.37
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: 7110
HIGH
PRODUCT LIMIT: 7506
LOW PRODUCT: 416
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: 118.37
TANK TILT ADDER: 0.00
MANIFOLDED
TANKS: NONE
TANK CONFIGURED: NO
+AAMAAQ-
933
TANK 3 SETUP CONDITIONS
PRODUCT:
DSL
PRODUCT CODE 3
HIGH WATER LIMIT 1.5
OVERFILL LIMIT:
10713
HIGH PRODUCT LIMIT: 11189
LOW PRODUCT: 332
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: 118.37
TANK TILT ADDER:
0.00
MANIFOLDED TANKS: NONE
TANK CONFIGURED: NO
+AAMAAQ-
I61100
JAN 8, 2025
11:46 AM
LEAK TEST METHOD
- - - - - - - - - - - -
TEST ON DATE : ALL TANK
MAY 27,
2011
START TIME : DISABLED
TEST RATE :0.20 GAL/HR
DURATION : 2 HOURS
TST EARLY
STOP:DISABLED
+AAMAAQ-
I70300
JAN 8, 2025 11:46 AM
LIQUID TYPE
SENSOR LOCATION
TYPE
1 UNLD STP SUMP TRI-STATE (SINGLE FLOAT)
2 PREM STP SUMP
TRI-STATE (SINGLE FLOAT)
3 DSL STP SUMP TRI-STATE (SINGLE FLOAT)
4 PUL DSL
INTERSTITIAL TRI-STATE (SINGLE FLOAT)
5 UNLD INTERSTITIAL TRI-STATE (SINGLE FLOAT)

6 SW DISPENSER PAN TRI-STATE (SINGLE FLOAT)
7 NW DISPENSER PAN TRI-STATE
(SINGLE FLOAT)
8 SC DISPENSER PAN TRI-STATE (SINGLE FLOAT)
9 NC DISPENSER PAN
TRI-STATE (SINGLE FLOAT)
10 SE DISPENSER PAN TRI-STATE (SINGLE FLOAT)
11 NE
DISPENSER PAN TRI-STATE (SINGLE FLOAT)
12 UNLD FILL SUMP TRI-STATE (SINGLE
FLOAT)
13 PUL FILL SUMP TRI-STATE (SINGLE FLOAT)
14 DSL FILL SUMP
TRI-STATE (SINGLE FLOAT)
15 TRI-STATE (SINGLE FLOAT)
16
TRI-STATE (SINGLE FLOAT)
+AAMAAQ-
I80800
JAN 8, 2025 11:46 AM
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-
I10200
JAN
8, 2025 11:46 AM
296544 7-11 35318
1181 W. 12TH STREET
SLATERVILLE, UTAH
L11215900905001
SYSTEM CONFIGURATION
SLOT BOARD TYPE POWER ON RESET
CURRENT
1 INTERSTITIAL BD 202319 202581
2 INTERSTITIAL BD
202872 203148
3 4 PROBE / G.T. 163593
164012
4 UNUSED 15000000 9241368
5 UNUSED
15000000 9218383
6 UNUSED 15000000
9216379
7 UNUSED 15000000 9216442
8 UNUSED
15000000 9210701
9 RELAY BOARD 15039
9202454
10 UNUSED 15000000 9213685
11 UNUSED
15000000 9213748
12 UNUSED 15000000
9210679
13 UNUSED 15000000 9205147
14 UNUSED
15000000 9214729
15 UNUSED 15000000
9210178
16 UNUSED 15000000 9206546
COMM 1 ELEC DISP
INT. 101386 101190
COMM 2 UNUSED 101451
9211723
COMM 3 SERIAL SAT BD 485610 485329
COMM 4 UNUSED
6801066 9221117
COMM 5 RS485 SERIAL BD 68726
68618
COMM 6 MT COMM BOARD 410163 409671
+AAM-