DERR-2024-005353

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: 3/26/2024
UTAH DEPARTMENT OF ENV. QUALITY
UST
PO Box 144840
SALT LAKE CITY, UT 84114
Test Date: 3/20/2024
Order Number: 2365042
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-Eleven 36328
2025 W Center St
State ID 1000749
Provo, UT 84601
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
Product Line Tightness Test Page 1 of 1
Work Order: 2365042 Date: 3/20/2024
Site Name/ID: 7-Eleven 36328 / 36328
Address: 2025 W Center St State ID 1000749
City: Provo State: UT Zip: 84601
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 Regular
RUL
Pressure
50
13:31
14:31
0.00
Pass
Yes
Tank # 2
Line # 1
TLD-1
TNK2 Premium

PUL
Pressure
50
13:31
14:31
0.00
Pass
Yes
Tank #
Line #

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 36328
2025 W Center St State ID 1000749
Provo UT 84601
36328
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
03/20/2024
RUL PUL
Vaporless LD-
2000
Vaporless LD-
2000LD2000LD2000
30
30
175
3
20
4
30
30
175
3
20
4
UT151
David Mathie
NW1-2365042
TTNK1 Regular:1 TTNK2 Premium:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2365042 Date:3/20/2024
Site Name/ID:7-Eleven 36328
Address:2025 W Center St State ID 1000749
City:Provo State:UT Zip:84601
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
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

Technician Comments:
Technician Name:David Mathie
Signature:
Environmental Compliance for Petroleum Systems
©2024 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com
7-Eleven 36328 7-ELEVEN, INC.
2025 W Center St State ID 1000749
Provo UT 84601
1000749
Tanknology, Inc.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
800-964-1250 03/20/2024
1 2
RUL PUL
VR350 VR350
9650 9650
71.63 71.63
60 60
1.5 1.5
UT151
David Mathie
Site Diagram
(This site diagram is for reference only and is not drawn to scale)

Work Order:2365042
Site ID / Name:36328 / 7-Eleven 36328
Address:2025 W Center St State ID 1000749
City:Provo State:UT Zip:84601
W.O.# NW1-2365042
+AAE-
I10100
MAR 20, 2024 1:53 PM
182108 7-11 36328
2025 W. CENTER ST.
PROVO UTAH 84601
SYSTEM STATUS REPORT
ALL FUNCTIONS NORMAL
+AAMAAQ-
I90200
MAR 20, 2024 1:53 PM
SOFTWARE REVISION LEVEL
VERSION 333.02
SOFTWARE+ACM- 346333-100-C
CREATED - 12.08.10.11.22
S-MODULE+ACM- 330160-102-A
SYSTEM FEATURES:
PERIODIC IN-TANK TESTS
ANNUAL IN-TANK TESTS
CSLD
BIR
+AAMAAQ-
I11B00
MAR 20, 2024 1:53 PM
182108 7-11 36328
2025 W. CENTER ST.
PROVO UTAH 84601
SERVICE NOTICE SESSION REPORT
START TIME END TIME
MAR 20, 2024 1:04 PM MAR 20, 2024 1:52 PM
MAR 20, 2023 9:01 AM MAR 20, 2023 11:02 AM
APR 13, 2022 11:06 AM APR 13, 2022 1:07 PM
APR 13, 2021 12:02 PM APR 13, 2021 12:51 PM
APR 15, 2020 9:04 AM APR 15, 2020 10:47 AM
APR 17, 2019 9:47 AM APR 17, 2019 10:52 AM
APR 18, 2018 9:22 AM APR 18, 2018 11:05 AM
APR 27, 2017 9:21 AM APR 27, 2017 11:22 AM
MAY 2, 2016 9:06 AM MAY 2, 2016 10:21 AM
+AAMAAQ-
I20100
MAR 20, 2024 1:53 PM
182108 7-11 36328
2025 W. CENTER ST.
PROVO UTAH 84601
IN-TANK INVENTORY
TANK PRODUCT VOLUME TC VOLUME ULLAGE HEIGHT WATER TEMP
1 UNLEADED 5500 5519 4150 39.43 0.00 55.01
2 PREMIUM 5112 5128 4538 36.08 0.00 55.31
+AAMAAQ-
I20600
MAR 20, 2024 1:53 PM
182108 7-11 36328
2025 W. CENTER ST.
PROVO UTAH 84601
TANK ALARM HISTORY
TANK 1 UNLEADED
HIGH WATER ALARM MAR 20, 2024 1:35 PM
MAR 20, 2023 9:49 AM
APR 13, 2022 11:41 AM
OVERFILL ALARM MAR 20, 2024 1:42 PM
MAR 20, 2023 9:57 AM
MAR 5, 2023 8:51 AM
LOW PRODUCT ALARM NOV 1, 2023 8:59 PM
MAR 8, 2023 6:17 PM
JAN 16, 2023 12:10 PM
HIGH PRODUCT ALARM APR 13, 2022 11:56 AM
APR 13, 2021 12:41 PM
APR 15, 2020 9:43 AM
INVALID FUEL LEVEL MAR 8, 2023 9:55 PM
JAN 16, 2023 12:11 PM
OCT 5, 2022 5:24 AM
PROBE OUT AUG 24, 2022 2:24 PM
JUL 20, 2022 11:44 AM
HIGH WATER WARNING MAR 20, 2024 1:35 PM
MAR 20, 2023 9:49 AM
APR 13, 2022 11:41 AM
DELIVERY NEEDED MAR 20, 2024 1:32 PM
MAR 14, 2024 3:44 PM
FEB 21, 2024 7:58 AM
MAX PRODUCT ALARM APR 13, 2022 11:57 AM
APR 13, 2021 12:42 PM
APR 15, 2020 9:43 AM
PERIODIC TEST FAIL AUG 11, 2022 2:06 AM
JUL 18, 2022 5:01 PM
JUL 13, 2022 4:27 AM
PER TST NEEDED WRN AUG 5, 2022 12:00 AM
PER TST NEEDED ALM AUG 11, 2022 12:00 AM
AUG 10, 2022 12:00 AM
LOW TEMP WARNING AUG 24, 2022 2:29 PM
JUL 20, 2022 3:33 PM
APR 27, 2017 10:02 AM
TANK 2 PREMIUM
HIGH WATER ALARM MAR 20, 2024 1:37 PM
MAR 20, 2023 9:51 AM
APR 13, 2022 11:42 AM
OVERFILL ALARM MAR 20, 2024 1:42 PM
MAR 20, 2023 9:58 AM
APR 13, 2022 11:54 AM
LOW PRODUCT ALARM MAR 20, 2023 9:48 AM
JUN 21, 2021 5:02 AM
MAY 7, 2021 11:22 AM
HIGH PRODUCT ALARM APR 13, 2022 11:59 AM
APR 13, 2021 12:41 PM
APR 15, 2020 9:43 AM
INVALID FUEL LEVEL MAR 20, 2024 1:34 PM
MAR 20, 2023 9:48 AM
MAY 5, 2021 8:45 PM
HIGH WATER WARNING MAR 20, 2024 1:37 PM
MAR 20, 2023 9:51 AM
APR 13, 2022 11:42 AM
DELIVERY NEEDED MAR 20, 2024 1:34 PM
AUG 5, 2023 8:30 PM
JUL 8, 2023 5:11 PM
MAX PRODUCT ALARM APR 13, 2022 11:59 AM
APR 13, 2021 12:41 PM
APR 15, 2020 9:43 AM
LOW TEMP WARNING MAR 20, 2024 1:45 PM
APR 15, 2020 9:49 AM
APR 17, 2019 10:38 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
MAR 20, 2024 1:53 PM
182108 7-11 36328
2025 W. CENTER ST.
PROVO UTAH 84601
TANK LEAK TEST HISTORY
T 1:UNLEADED
LAST GROSS TEST PASSED:
TEST START TIME HOURS VOLUME +ACU- VOLUME TEST TYPE
AUG 24, 2022 9:22 AM 4578 47.4 STANDARD
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
MAR 20, 2024 4:47 AM 30 6891 71.4 CSLD
FULLEST PERIODIC TEST
PASSED EACH MONTH:
TEST START TIME HOURS VOLUME +ACU- VOLUME TEST TYPE
JAN 30, 2024 3:34 AM 22 7454 77.2 CSLD
FEB 2, 2024 2:47 AM 22 7457 77.3 CSLD
MAR 18, 2024 2:12 AM 25 6926 71.8 CSLD
APR 20, 2023 4:00 AM 26 7155 74.2 CSLD
MAY 7, 2023 5:58 AM 23 7112 73.7 CSLD
JUN 14, 2023 1:30 AM 28 6833 70.8 CSLD
JUL 1, 2023 4:38 AM 29 6496 67.3 CSLD
AUG 18, 2023 3:52 AM 19 6415 66.5 CSLD
SEP 28, 2023 2:53 AM 25 6586 68.3 CSLD
OCT 15, 2023 12:45 AM 25 6932 71.8 CSLD
NOV 23, 2023 1:53 AM 22 7039 73.0 CSLD
DEC 1, 2023 12:50 AM 24 6938 71.9 CSLD
TANK LEAK TEST HISTORY
T 2:PREMIUM
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
MAR 20, 2024 5:43 AM 29 6327 65.6 CSLD
FULLEST PERIODIC TEST
PASSED EACH MONTH:
TEST START TIME HOURS VOLUME +ACU- VOLUME TEST TYPE
JAN 29, 2024 12:51 AM 30 6487 67.2 CSLD
FEB 4, 2024 6:26 AM 27 6338 65.7 CSLD
MAR 20, 2024 12:49 AM 23 6479 67.1 CSLD
APR 3, 2023 4:01 AM 30 6288 65.2 CSLD
MAY 8, 2023 3:26 AM 25 6409 66.4 CSLD
JUN 24, 2023 5:55 AM 27 6592 68.3 CSLD
JUL 10, 2023 4:47 AM 24 6760 70.1 CSLD
AUG 17, 2023 5:14 AM 26 5957 61.7 CSLD
SEP 26, 2023 2:55 AM 25 6363 65.9 CSLD
OCT 2, 2023 3:08 AM 26 6828 70.8 CSLD
NOV 30, 2023 1:03 AM 29 6265 64.9 CSLD
DEC 1, 2023 6:47 AM 28 6259 64.9 CSLD
+AAMAAQ-
IA0100
MAR 20, 2024 1:53 PM
TYPE CODE LENGTH SERIAL NO. D/CODE
TANK 1 UNLEADED MAG D004 72.00 314715 3374
TANK 2 PREMIUM MAG D004 72.00 314714 3374
+AAMAAQ-
931
TANK 1 SETUP CONDITIONS
PRODUCT: UNLEADED
PRODUCT CODE 1
HIGH WATER LIMIT 1.5
OVERFILL LIMIT: 8685
HIGH PRODUCT LIMIT: 9167
LOW PRODUCT: 600
SUDDEN LOSS LIMIT: 25
LEAK LIMIT: 15
THERMAL COEFF: 0.000690
DELIVERY DELAY: 1
TANK FULL CAPACITY: 9650 0 0 0 0
3/4 HEIGHT CAPACITY: 7823 0 0 0 0
1/2 HEIGHT CAPACITY: 4879 0 0 0 0
1/4 HEIGHT CAPACITY: 1919 0 0 0 0
TANK DIAMETER: 71.63
TANK TILT ADDER: 0.00
MANIFOLDED TANKS: NONE
TANK CONFIGURED: NO
+AAMAAQ-
932
TANK 2 SETUP CONDITIONS
PRODUCT: PREMIUM
PRODUCT CODE 2
HIGH WATER LIMIT 1.5
OVERFILL LIMIT: 8685
HIGH PRODUCT LIMIT: 9167
LOW PRODUCT: 600
SUDDEN LOSS LIMIT: 25
LEAK LIMIT: 15
THERMAL COEFF: 0.000690
DELIVERY DELAY: 10
TANK FULL CAPACITY: 9650 0 0 0 0
3/4 HEIGHT CAPACITY: 7823 0 0 0 0
1/2 HEIGHT CAPACITY: 4879 0 0 0 0
1/4 HEIGHT CAPACITY: 1919 0 0 0 0
TANK DIAMETER: 71.63
TANK TILT ADDER: 0.00
MANIFOLDED TANKS: NONE
TANK CONFIGURED: NO
+AAMAAQ-
I62A99
MAR 20, 2024 1:54 PM
+AAMAAQ-
I62A00
MAR 20, 2024 1:54 PM
ANNUAL LEAK TEST MIN VOLUME
TANK PRODUCT LABEL GALLONS
1 UNLEADED 4825
2 PREMIUM 4825
3 0
4 0
+AAMAAQ-
I63600
MAR 20, 2024 1:54 PM
PERIODIC LEAK TEST MIN VOLUME
TANK PRODUCT LABEL GALLONS
1 UNLEADED 2412
2 PREMIUM 2412
3 0
4 0
+AAMAAQ-
I61100
MAR 20, 2024 1:54 PM
LEAK TEST METHOD
- - - - - - - - - - - -
TEST CSLD : TANK 1
Pd +AD0- 95+ACU-
CLIMATE FACTOR:EXTREME
EVAP COMP: NO
REPORT ONLY:
DISABLED
TST EARLY STOP:DISABLED
TEST CSLD : TANK 2
Pd +AD0- 95+ACU-
CLIMATE FACTOR:MODERATE
REPORT ONLY:
DISABLED
TST EARLY STOP:DISABLED
TEST CSLD : TANK 3
Pd +AD0- 95+ACU-
CLIMATE FACTOR:MODERATE
REPORT ONLY:
DISABLED
TST EARLY STOP:DISABLED
TEST CSLD : TANK 4
Pd +AD0- 95+ACU-
CLIMATE FACTOR:MODERATE
REPORT ONLY:
DISABLED
TST EARLY STOP:DISABLED
+AAMAAQ-
I10200
MAR 20, 2024 1:54 PM
182108 7-11 36328
2025 W. CENTER ST.
PROVO UTAH 84601
SYSTEM CONFIGURATION
SLOT BOARD TYPE POWER ON RESET CURRENT
1 4 PROBE / G.T. 162086 161839
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 UNUSED 15000000 15000000
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. 100742 100573
COMM 2 ELEC DISP INT. 100698 100596
COMM 3 SERIAL SAT BD 477229 476881
COMM 4 UNUSED 15000000 15000000
COMM 5 RS485 SERIAL BD 68391 68294
COMM 6 MT COMM BOARD 406987 406440
+AAM-