DERR-2025-001622

IMPACT VALVE
LEAK DETECTOR
MONITOR CERTIFICATION
11000 N. MoPac Expressway, Suite 500
Austin, Texas 78759
Phone: [phone]
Fax: [phone] Date Printed and Mailed: 3/3/2025
UTAH DEPARTMENT OF ENV. QUALITY
UST
PO Box 144840
SALT LAKE CITY, UT 84114
Test Date: 2/24/2025
Order Number: 2378219
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-ELEVEN 38851
5696 W 3500 S
State ID 4002586
West Valley, UT 84128
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
7-ELEVEN 38851
5696 W 3500 S State ID 4002586
West Valley UT 84128
38851
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
02/24/2025
RUL PUL
Vaporless LD-
2000
Vaporless LD-
2000
Vaporless LD-
2000
30
30
150
2
20
3
30
30
150
2
20
3
30
30
100
2
20
3
UT151
David Mathie
NW1-2378219
Low Sulfur Diesel
TTNK1:1 TTNK2:1 TTNK3:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2378219 Date:2/24/2025
Site Name/ID:7-ELEVEN 38851
Address:5696 W 3500 S State ID 4002586
City:West Valley State:UT Zip:84128
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 38851 7-ELEVEN, INC.
5696 W 3500 S State ID 4002586
West Valley UT 84128
4002586
Tanknology, Inc.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
800-964-1250 02/24/2025
1 2 3
RUL PUL DSL
VR350 VR350 VR350
19782 7901 11904
118.38 118.38 118.38
UT151
David Mathie
5696 W 3500 S State ID 4002586
7-ELEVEN 38851
5696 W 3500 S State ID 4002586, West Valley, UT 84128
38851
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
02/24/2025
ANNULAR ANNULAR SB FILL STP SB FILL STP SB FILL
RUL PUL/DSL RUL RUL PUL PUL DSL
UT151
David Mathie
5696 W 3500 S State ID 4002586
7-ELEVEN 38851
5696 W 3500 S State ID 4002586, West Valley, UT 84128
38851
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
02/24/2025
STP UDC UDC UDC UDC UDC UDC
DSL 1/2 3/4 5/6 7/8 9/10 11/12
UT151
David Mathie
Site Diagram
(This site diagram is for reference only and is not drawn to scale)

Work Order:2378219
Site ID / Name:38851 / 7-ELEVEN 38851
Address:5696 W 3500 S State ID 4002586
City:West Valley State:UT Zip:84128
W.O.# NW1-2378219
+AAE-
I10100
FEB 24, 2025 9:48 AM
871677 7-11 38851
5696 W 3500 S
SALT LAKE CITY
UT
V10274571805001
SYSTEM STATUS REPORT
ALL FUNCTIONS NORMAL
+AAMAAQ-
I90200
FEB 24, 2025 9:48 AM
SOFTWARE REVISION LEVEL
VERSION 336.01
SOFTWARE+ACM-
346336-100-B
CREATED - 20.04.26.20.30
S-MODULE+ACM- 330160-100-a
SYSTEM FEATURES:

PERIODIC IN-TANK TESTS
ANNUAL IN-TANK TESTS
BIR
+AAMAAQ-
I11B00
FEB 24, 2025 9:48
AM
871677 7-11 38851
5696 W 3500 S
SALT LAKE CITY UT
V10274571805001
SERVICE NOTICE SESSION REPORT
START TIME END TIME
FEB 24, 2025 9:01 AM
FEB 24, 2025 9:43 AM
MAR 5, 2024 12:08 PM MAR 5, 2024 2:00 PM
JAN 22, 2024 8:44 AM
JAN 22, 2024 10:47 AM
MAR 6, 2023 9:52 AM MAR 6, 2023 11:31 AM
MAR 21, 2022 9:23 AM
MAR 21, 2022 10:51 AM
+AAMAAQ-
I20100
FEB 24, 2025 9:49 AM
871677 7-11 38851
5696
W 3500 S
SALT LAKE CITY UT
V10274571805001
IN-TANK INVENTORY
TANK
PRODUCT VOLUME TC VOLUME ULLAGE HEIGHT WATER TEMP
1 REGULAR
14593 14655 5189 78.75 0.00 53.88
2 PREMIUM 3874 3898
3309 60.68 0.00 50.96
3 DIESEL 2613 2622 9291 33.45
0.00 52.42
+AAMAAQ-
I30100
FEB 24, 2025 9:49 AM
871677 7-11 38851
5696 W 3500 S

SALT LAKE CITY UT
V10274571805001
LIQUID STATUS REPORT
SENSOR LOCATION
STATUS
1 RUL ANNULAR SENSOR NORMAL
2 PUL-DSL ANNULAR SENSOR
NORMAL
3 RUL SPILL BCKT SENSOR NORMAL
4 RUL STP SENSOR
NORMAL
5 PUL SPILL BCKT SENSOR NORMAL
6 ?UL STP SENSOR
NORMAL
7 DSL SPILL BCKT SENSOR NORMAL
8 DSL STP SENSOR
NORMAL
9 DISP 1-2 SENSOR NORMAL
10 DISP 3-4 SENSOR
NORMAL
11 DISP 5-6 SENSOR NORMAL
12 DISP 7-8 SENSOR
NORMAL
13 DISP 9-10 SENSOR NORMAL
14 DISP 11-12 SENSOR
NORMAL
+AAMAAQ-
I30200
FEB 24, 2025 9:49 AM
871677 7-11 38851
5696 W 3500 S
SALT LAKE CITY UT
V10274571805001
LIQUID ALARM HISTORY REPORT
SENSOR LOCATION

1 RUL ANNULAR
FEB 24, 2025 9:33 AM FUEL ALARM
MAR 5, 2024
12:55 PM FUEL ALARM
MAR 5, 2024 12:55 PM FUEL ALARM
2 PUL-DSL
ANNULAR
FEB 24, 2025 9:29 AM FUEL ALARM
MAR 5, 2024 12:58 PM
FUEL ALARM
MAR 6, 2023 11:14 AM FUEL ALARM
3 RUL SPILL BCKT

FEB 24, 2025 9:24 AM FUEL ALARM
MAR 5, 2024 12:41 PM FUEL ALARM

MAR 6, 2023 11:00 AM FUEL ALARM
4 RUL STP
FEB 24, 2025
9:23 AM FUEL ALARM
MAR 5, 2024 12:29 PM FUEL ALARM
MAR 6, 2023
10:34 AM FUEL ALARM
5 PUL SPILL BCKT
FEB 24, 2025 9:27 AM
FUEL ALARM
MAR 5, 2024 12:46 PM FUEL ALARM
MAR 6, 2023 11:06 AM
FUEL ALARM
6 ?UL STP
FEB 24, 2025 9:22 AM FUEL ALARM

MAR 5, 2024 12:32 PM FUEL ALARM
MAR 5, 2024 12:32 PM FUEL ALARM
7
DSL SPILL BCKT
FEB 24, 2025 9:30 AM FUEL ALARM
MAR 5, 2024
12:52 PM FUEL ALARM
MAR 6, 2023 11:11 AM FUEL ALARM
8 DSL STP

FEB 24, 2025 9:22 AM FUEL ALARM
MAR 5, 2024 12:36 PM
FUEL ALARM
JAN 22, 2024 9:06 AM FUEL ALARM
9 DISP 1-2

FEB 24, 2025 9:17 AM FUEL ALARM
MAR 5, 2024 1:03 PM FUEL ALARM

MAR 6, 2023 10:01 AM FUEL ALARM
10 DISP 3-4
FEB 24, 2025
9:17 AM FUEL ALARM
MAR 5, 2024 1:04 PM FUEL ALARM
MAR 6, 2023
10:01 AM FUEL ALARM
11 DISP 5-6
FEB 24, 2025 9:17 AM
FUEL ALARM
MAR 5, 2024 1:06 PM FUEL ALARM
MAR 6, 2023 10:02 AM
FUEL ALARM
12 DISP 7-8
FEB 24, 2025 9:17 AM FUEL ALARM

MAR 5, 2024 1:05 PM FUEL ALARM
MAR 6, 2023 10:03 AM FUEL ALARM
13
DISP 9-10
FEB 24, 2025 9:16 AM FUEL ALARM
MAR 5, 2024
1:07 PM FUEL ALARM
MAR 6, 2023 10:03 AM FUEL ALARM
14 DISP 11-12

FEB 24, 2025 9:16 AM FUEL ALARM
MAR 5, 2024 1:17 PM
FUEL ALARM
MAR 6, 2023 10:04 AM FUEL ALARM
+AAMAAQ-
IA0100
FEB 24, 2025
9:49 AM
TYPE CODE LENGTH SERIAL NO. D/CODE
TANK 1 REGULAR
MAG D004 126.00 413292 4604
TANK 2 PREMIUM MAG D004
126.00 404677 4104
TANK 3 DIESEL MAG D004 126.00 413291
4604
+AAMAAQ-
931
TANK 1 SETUP CONDITIONS
PRODUCT: REGULAR
PRODUCT CODE 1
HIGH WATER LIMIT 0.8
OVERFILL LIMIT: 17803
HIGH PRODUCT
LIMIT: 18792
LOW PRODUCT: 1504
SUDDEN LOSS LIMIT: 99
LEAK LIMIT:
99
THERMAL COEFF: 0.000700
DELIVERY DELAY: 5
TANK FULL CAPACITY: 19782
0 0 0 0
3/4 HEIGHT CAPACITY: 16055 0 0 0 0
1/2
HEIGHT CAPACITY: 9897 0 0 0 0
1/4 HEIGHT CAPACITY: 3718 0
0 0 0
TANK DIAMETER: 118.33
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 0.8
OVERFILL LIMIT:
7110
HIGH PRODUCT LIMIT: 7505
LOW PRODUCT: 651
SUDDEN LOSS LIMIT:
99
LEAK LIMIT: 99
THERMAL COEFF: 0.000700
DELIVERY DELAY: 5
TANK
FULL CAPACITY: 7901 0 0 0 0
3/4 HEIGHT CAPACITY: 6365 0
0 0 0
1/2 HEIGHT CAPACITY: 3964 0 0 0 0
1/4 HEIGHT
CAPACITY: 1551 0 0 0 0
TANK DIAMETER: 118.33
TANK TILT ADDER:
0.00
MANIFOLDED TANKS: NONE
TANK CONFIGURED: NO
+AAMAAQ-
933
TANK 3 SETUP
CONDITIONS
PRODUCT: DIESEL
PRODUCT CODE 3
HIGH WATER LIMIT
0.8
OVERFILL LIMIT: 10713
HIGH PRODUCT LIMIT: 11308
LOW PRODUCT:
855
SUDDEN LOSS LIMIT: 99
LEAK LIMIT: 99
THERMAL COEFF:
0.000450
DELIVERY DELAY: 5
TANK FULL CAPACITY: 11904 0 0 0
0
3/4 HEIGHT CAPACITY: 9710 0 0 0 0
1/2 HEIGHT CAPACITY: 5944
0 0 0 0
1/4 HEIGHT CAPACITY: 2172 0 0 0 0
TANK
DIAMETER: 118.33
TANK TILT ADDER: 0.00
MANIFOLDED TANKS: NONE
TANK CONFIGURED:
NO
+AAMAAQ-
I61100
FEB 24, 2025 9:49 AM
LEAK TEST METHOD
- - - - - - - - - - -
-
TEST ON DATE : ALL TANK
APR 26, 2020
START TIME : DISABLED
TEST RATE :0.20 GAL/HR
DURATION
: 2 HOURS
TST EARLY STOP:DISABLED
+AAMAAQ-
I70300
FEB 24, 2025 9:49 AM
LIQUID
TYPE
SENSOR LOCATION TYPE
1 RUL ANNULAR TRI-STATE (SINGLE
FLOAT)
2 PUL-DSL ANNULAR TRI-STATE (SINGLE FLOAT)
3 RUL SPILL BCKT
NORMALLY CLOSED
4 RUL STP TRI-STATE (SINGLE FLOAT)
5 PUL SPILL BCKT
NORMALLY CLOSED
6 ?UL STP TRI-STATE (SINGLE FLOAT)
7 DSL SPILL
BCKT NORMALLY CLOSED
8 DSL STP TRI-STATE (SINGLE FLOAT)
9 DISP
1-2 TRI-STATE (SINGLE FLOAT)
10 DISP 3-4 TRI-STATE (SINGLE
FLOAT)
11 DISP 5-6 TRI-STATE (SINGLE FLOAT)
12 DISP 7-8
TRI-STATE (SINGLE FLOAT)
13 DISP 9-10 TRI-STATE (SINGLE FLOAT)
14 DISP
11-12 TRI-STATE (SINGLE FLOAT)
15 TRI-STATE (SINGLE
FLOAT)
16 TRI-STATE (SINGLE FLOAT)
+AAMAAQ-
I80800
FEB 24, 2025
9:49 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
FEB 24, 2025 9:49 AM
871677 7-11 38851
5696 W 3500 S

SALT LAKE CITY UT
V10274571805001
SYSTEM CONFIGURATION
SLOT BOARD TYPE
POWER ON RESET CURRENT
1 4 PROBE / G.T. 162098
161696
2 INTERSTITIAL BD 200592 200129
3 INTERSTITIAL BD
200285 199891
4 UNUSED 9545870
9518598
5 UNUSED 9535659 9500575
6 UNUSED
9529500 9501054
7 UNUSED 9533553
9498225
8 UNUSED 9529817 9496560
9 RELAY BOARD
14999 15022
10 UNUSED 9537858
9506525
11 UNUSED 9529141 9499749
12 UNUSED
9530432 9493544
13 UNUSED 9529119
9498289
14 UNUSED 9528983 9502122
15 UNUSED
9531428 9497308
16 UNUSED 9531360
9501346
COMM 1 ELEC DISP INT. 101492 101275
COMM 2 ELEC DISP
INT. 101030 100879
COMM 3 SERIAL SAT BD 480638
480037
COMM 4 UNUSED 9544990 9510540
COMM 5 RS485 SERIAL
BD 68467 68369
COMM 6 MT COMM BOARD 406133
405401
+AAM-