DERR-2024-005358

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: 3/25/2024
Order Number: 2365043
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-ELEVEN 27126, MKT 1606
114 WEST 1300 SOUTH
State ID 4001338
SALT LAKE CITY, UT 84115
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
Product Line Tightness Test Page 1 of 1
Work Order: 2365043 Date: 3/25/2024
Site Name/ID: 7-ELEVEN 27126, MKT 1606 / 27126
Address: 114 WEST 1300 SOUTH State ID 4001338
City: SALT LAKE CITY State: UT Zip: 84115
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 2
Pressure
50
12:08
12:38
0.00
Pass
Yes
Tank # 2
Line # 1
TLD-1
TNK2 Regular
RUL
Pressure
50
12:08
12:38
0.00
Pass
Yes
Tank # 3
Line # 1
TLD-1
TNK3 Premium

PUL
Pressure
50
12:08
12:38
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 27126, MKT 1606
114 WEST 1300 SOUTH State ID 4001338
SALT LAKE CITY UT 84115
27126
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
03/25/2024
RUL 2 RUL
Vaporless LD-
2000
Vaporless LD-
2000
Vaporless LD-
2000LD2000LD2000LD2000
30
30
110
2
20
3
30
30
110
2
20
3
30
30
110
2
20
3
UT151
David Mathie
NW1-2365043
PUL
TTNK1 Regular:1 TTNK2 Regular:1 TTNK3 Premium:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2365043 Date:3/25/2024
Site Name/ID:7-ELEVEN 27126, MKT 1606
Address:114 WEST 1300 SOUTH State ID 4001338
City:SALT LAKE CITY State:UT Zip:84115
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 27126, MKT 1606 7-ELEVEN, INC.
114 WEST 1300 SOUTH State ID 4001338
SALT LAKE CITY UT 84115
4001338
Tanknology, Inc.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
800-964-1250 03/25/2024
1 2 3
RUL2 RUL PUL
VR350 VR350 VR350
10152 10152 10152
98 97.7 97
82 82 82
1.5 1.5 1.5
UT151
David Mathie
Site Diagram
(This site diagram is for reference only and is not drawn to scale)

Work Order:2365043
Site ID / Name:27126 / 7-ELEVEN 27126, MKT 1606
Address:114 WEST 1300 SOUTH State ID 4001338
City:SALT LAKE CITY State:UT Zip:84115