DERR-2025-001030

Page l ofユ Utah Department
uST Release
of Environmental Quality
Detection lnspection
0100187
Ownership of Tanks Location oI Tanks
7 ELEVEN INC 7-ELEVEN 1851 26577
PO BOX 711 1395 N M∧IN
DALLAS :τX 75221 LOGAN UT 343,OP A:MARC vvESTFALL (214)415‐1146 OP BI」ACOB POWELL l(214 4150146
V.riat,l..t ont nk data sh..t
aEcurent a.d on fiL.oeジ No NA Single walled Spill bucketsl Yes No dE
@Ho re Overfll device:O No NA
Line lishtness{suction 3yr):O No NA Yes No (6
Yes No ぃ
Cathod c Proted on @uo nr
Complot. fo. oach tank.″1#23“
ギ
Capacity of lank (qallons):ヽ0000 ヽ0…ヽ000D
ヽこ_.……
Dale lasl used/deplh of producl:
Tvpe ol spill prevention devi@:ヽい ヽS 、いヽ3 ヽい SS
Double WalLod spil buckolgaug6 is
ch€cked monthly and valid:o No NA o No NA @u Ha Yes No NA Yes No NA
Spill buckel isclean, inraq elc.:⑩ No O N。θ No Yes No
Type oI overlill P.e@nlion devi@:As0 へS●へ50
Olerlill alam (audible o.visible)is properly l@aled {delivery d.iver €n hearorsee il and iscbany identilied Yes No NA
STP Fに x proleclbn me固 (Sump
Cathodic Proted on lso ated Boot“):
`ゎ
。|多 oキ 3・・ ヤ
Coi.indenl sumps dry:Yes No @ Yes No 6,Yes No @ Yes No NA Yes No NA Ves No Nハ
Stage 1 Vapd R@eryl 2pt @jB No.e 20tで おa)None 2ρ l《と,塾 とNone
Pressure Venl Valve is on vents:Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA
Complere to. each dispenser # ヽl■3ノ Ч#“F ex piotect on method(UDC
Cathodic P,o!edion lsOlatd Booted}ス,C uo●
O No NA C No NA Yes No NA Yes No NA Yes No NA Yes No NA
DW piping havejumpers in pla@:Yes No 6,Yes No NA Yes No NA Yes No NA Yes No NA
F′e valve anchored lα "ted be owgrade and wthout bal va vei C)No NA の No NA Ves No NA Yes No NA Yes No NA
Addlllonal dispenser qu*lions#″″春
F ex proleclon method(UDC
Cathodic P,otecllon lsolated Booted)
Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA
OW pipinq havejumpers in plae:Ye3 No NA YeS No NA Yes NO NA Yes No NA
F re va～e anchored,1‐ted beb″
9昭 de an●no ball valve:
Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA
lmpre.sed Cu.renl Calhodic Protectioh Last lhree dates r€clilie. checkedl
RespOnsibl ty(State use onけ)| かAハ tИ = ア ``'lnspecred tis racilit ont!
'C'Op6EioB t_ain6d ( unmann€d sho sign is visibl6?
l,lhe silo is unmanned and dispenses tuel, does it have
an emergency shulofi device?鈍いuC似
`.s、
´._‐1:::Iラ ::ン ｀｀Monlht chec*list available and @mplele?
Page 2 of
[ ] ironihly nonitorins
Tank and Piping Release Detection
Automatic Tank Gauging/lnterstitial Monitoring
Tanks installed atter octobor 1, 2008 mustdo lnr.Gtiial Moniloring-
〕2 9ph monthly test
i SIR
Type orlM? ATC of Manual
1 l VapOr monlolng
I)イ ATC Coninuous test I I lnteFliiial Monilonng【 】ATO Shutdo″n test
ヽ 。キ イι`ジ0Uanufactur.r and fodol ol sysrem:
Circlo Y€. or No l @ch qu6ton. ln th. last 6l!mn, explain and idonli, by tEnk any dc€plions lo he ansx€B giv.n in tho nr$ col]mn.
Type of lM d@lmenlalon usod: ATG ManualType of s6@ndary containment lsed
syst€m s capable of d€tecting a releas€ of r69ulat6d substan@srrom any
ponion of the pimary lanupiping wilhin one month ol releasel
ATG @nsol6 or olher equipment us6d lo lak6 rcadings a.d psrlom tasts is
adequal€. acc€sslbl6, and operationall
Thtt Po●yMht●
"l fl●
●1●●k“
●
`卜
●●lfo ATC ShJ∞ⅢⅢl。,tTheLnkwaslill€d to at leasl lhe minimum levelrequnod b6nsure a valid leak
lesl, and thotanksizs is w$in lh€ allor,l€d upp6rand lw6r size limits:
Show ro6ulls of monito.i.g fo. ..ch tank lor tho last 1 2 months. lndical. PBs, Fail, lnvalid, or lo R6sult! lor €.ch monih- Fo. ATG ShutdNn l..it,
3how th. high.stproducl tov.l t.ti.d lor.a.h month.
Pressun2ed piping musl have an Aulomatic Line Leak Oeteclor and one olhsr lom of l6ak del€ctionPlplng f..k Doi.ctlon
lndlc.t ih. m6t rod u.ed:
Suciion piping mustbe lesled every 3 yeaBorhave monthly monito.ing. lI safe suction,leak deteclion rs defered
"une Leak Detector Tes■
ng Plplng inslalbd aner October1 2003 must do inte,stitlal Monitoring
D( tlh€ Tlghtness Testjng
Ver 10′5′2018