DERR-2025-002515

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: 4/4/2025
UTAH DEPARTMENT OF ENV. QUALITY
UST
PO Box 144840
SALT LAKE CITY, UT 84114
Test Date: 4/2/2025
Order Number: 2379222
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-ELEVEN # 34995
4013 WEST SOUTH LORDAN PKWY
State ID 4002464
SOUTH JORDAN, UT 84095
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
7-ELEVEN # 34995
4013 WEST SOUTH LORDAN PKWY State ID 4002464
SOUTH JORDAN UT 84095
34995
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
04/02/2025
RUL PUL
Vaporless LD-
2000
Vaporless LD-
2000
30
30
140
2
20
3
30
30
140
2
20
3
UT151
David Mathie
NW1-2379222
TTNK1 Regular:1 TTNK2 Premium:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2379222 Date:4/2/2025
Site Name/ID:7-ELEVEN # 34995
Address:4013 WEST SOUTH LORDAN PKWY State ID 4002464
City:SOUTH JORDAN State:UT Zip:84095
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 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

Technician Comments:
Technician Name:David Mathie
Signature:
Environmental Compliance for Petroleum Systems
©2025 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com
7-ELEVEN # 34995 7-ELEVEN, INC.
4013 WEST SOUTH LORDAN PKWY State ID 4002464
SOUTH JORDAN UT 84095
4002464
Tanknology, Inc.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
800-964-1250 04/02/2025
1 2
RUL PUL
VR350 VR350
14882 9783
90.5 90.5
UT151
David Mathie
4013 WEST SOUTH LORDAN PKWY State ID 4002464
7-ELEVEN # 34995
4013 WEST SOUTH LORDAN PKWY State ID 4002464, SOUTH
JORDAN, UT 8409534995
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
04/02/2025
ANNULAR ANNULAR FILL STP FILL STP
RUL PUL RUL RUL PUL PUL
UT151
David Mathie
4013 WEST SOUTH LORDAN PKWY State ID 4002464
7-ELEVEN # 34995
4013 WEST SOUTH LORDAN PKWY State ID 4002464, SOUTH
JORDAN, UT 8409534995
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
04/02/2025
UDC UDC UDC UDC
1/2 3/4 5/6 7/8
UT151
David Mathie
7-ELEVEN # 34995
4013 WEST SOUTH LORDAN PKWY
State ID 4002464SOUTH JORDAN , UT 84095
4002464
Tanknology, Inc.
7-ELEVEN, INC.
972-828-7575
04/02/2025
P.O. BOX 711
DALLAS, TX 75221
1
RUL
5
OPW
2
PUL
5
OPW
12.5
852
12.5
952
1 HR
0
13
852
13
952
1 HR
0
UT151
David Mathie
Site Diagram
(This site diagram is for reference only and is not drawn to scale)

Work Order:2379222
Site ID / Name:34995 / 7-ELEVEN # 34995
Address:4013 WEST SOUTH LORDAN PKWY State ID 4002464
City:SOUTH JORDAN State:UT Zip:84095
W.O.# NW1-2379222
+AAE-
I10100
APR 2, 2025 9:43 AM
293361 7-11 34995
4013 W S JORDAN PRKY
SOUTH JORDAN,
UTAH
L09214784305001
SYSTEM STATUS REPORT
ALL FUNCTIONS NORMAL
+AAMAAQ-
I90200
APR
2, 2025 9:43 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-
I11B00
APR 2, 2025 9:43 AM
293361 7-11 34995
4013 W S
JORDAN PRKY
SOUTH JORDAN, UTAH
L09214784305001
SERVICE NOTICE SESSION REPORT
START TIME
END TIME
APR 2, 2025 8:52 AM APR 2, 2025 9:40 AM
APR 17, 2024 9:08 AM APR
17, 2024 10:22 AM
APR 19, 2023 9:00 AM APR 19, 2023 10:30 AM
APR 22, 2022 8:59 AM APR
22, 2022 10:02 AM
SEP 15, 2021 9:45 AM SEP 15, 2021 10:47 AM
SEP 15, 2020 8:48 AM SEP
15, 2020 9:33 AM
SEP 20, 2019 8:41 AM SEP 20, 2019 9:58 AM
OCT 1, 2018 8:57 AM OCT
1, 2018 9:52 AM
OCT 3, 2017 9:32 AM OCT 3, 2017 10:39 AM
OCT 24, 2016 9:28 AM OCT
24, 2016 10:42 AM
+AAMAAQ-
I20100
APR 2, 2025 9:43 AM
293361 7-11 34995
4013 W S
JORDAN PRKY
SOUTH JORDAN, UTAH
L09214784305001
IN-TANK INVENTORY
TANK PRODUCT
VOLUME TC VOLUME ULLAGE HEIGHT WATER TEMP
1 RUL 5308
5327 9573 34.92 0.00 54.69
2 PUL 2972 2982 6781
31.47 0.00 55.07
+AAMAAQ-
I30100
APR 2, 2025 9:43 AM
293361 7-11 34995
4013 W
S JORDAN PRKY
SOUTH JORDAN, UTAH
L09214784305001
LIQUID STATUS REPORT
SENSOR LOCATION
STATUS
1 RUL INNERWALL SENSOR NORMAL
2 RUL STP SUMP
SENSOR NORMAL
3 RUL FILL SUMP SENSOR NORMAL
5 PUL INNERWALL SENSOR
NORMAL
6 PUL STP SUMP SENSOR NORMAL
7 PUL FILL SUMP SENSOR
NORMAL
9 DISPENSER 1-2 PAN SENSOR NORMAL
10 DISPENSER 3-4 PAN SENSOR
NORMAL
11 DISPENSER 5-6 PAN SENSOR NORMAL
12 DISPENSER 7-8 PAN SENSOR
NORMAL
+AAMAAQ-
I30200
APR 2, 2025 9:43 AM
293361 7-11 34995
4013 W S JORDAN
PRKY
SOUTH JORDAN, UTAH
L09214784305001
LIQUID ALARM HISTORY REPORT
SENSOR LOCATION

1 RUL INNERWALL
APR 2, 2025 9:11 AM FUEL ALARM
APR 17, 2024
9:38 AM FUEL ALARM
APR 19, 2023 9:51 AM FUEL ALARM
2 RUL STP SUMP

APR 2, 2025 8:56 AM FUEL ALARM
APR 17, 2024 9:11 AM
FUEL ALARM
APR 19, 2023 10:24 AM FUEL ALARM
3 RUL FILL SUMP

APR 2, 2025 9:03 AM FUEL ALARM
APR 17, 2024 9:42 AM FUEL ALARM

APR 19, 2023 10:05 AM FUEL ALARM
5 PUL INNERWALL
APR 2, 2025
9:12 AM FUEL ALARM
APR 17, 2024 9:39 AM FUEL ALARM
APR 19, 2023
9:54 AM FUEL ALARM
6 PUL STP SUMP
APR 2, 2025 8:58 AM
FUEL ALARM
APR 17, 2024 9:40 AM FUEL ALARM
APR 19, 2023 9:39 AM
FUEL ALARM
7 PUL FILL SUMP
APR 2, 2025 9:06 AM FUEL ALARM

APR 17, 2024 9:43 AM FUEL ALARM
APR 19, 2023 10:19 AM FUEL ALARM
9
DISPENSER 1-2 PAN
APR 2, 2025 9:11 AM FUEL ALARM
APR 17, 2024
9:26 AM FUEL ALARM
APR 19, 2023 9:16 AM FUEL ALARM
10 DISPENSER 3-4
PAN
APR 2, 2025 9:09 AM FUEL ALARM
APR 17, 2024 9:26 AM
FUEL ALARM
APR 19, 2023 9:16 AM FUEL ALARM
11 DISPENSER 5-6 PAN

APR 2, 2025 9:08 AM FUEL ALARM
APR 17, 2024 9:27 AM FUEL ALARM

APR 19, 2023 9:16 AM FUEL ALARM
12 DISPENSER 7-8 PAN
APR 2, 2025
9:07 AM FUEL ALARM
APR 17, 2024 9:27 AM FUEL ALARM
APR 19, 2023
9:17 AM FUEL ALARM
+AAMAAQ-
IA0100
APR 2, 2025 9:43 AM

TYPE CODE LENGTH SERIAL NO. D/CODE
TANK 1 RUL MAG D004 96.00
594915 2414
TANK 2 PUL MAG D004 96.00 423481
4884
+AAMAAQ-
931
TANK 1 SETUP CONDITIONS
PRODUCT: RUL
PRODUCT CODE
1
HIGH WATER LIMIT 1.5
OVERFILL LIMIT: 13393
HIGH PRODUCT LIMIT: 14137
LOW
PRODUCT: 878
SUDDEN LOSS LIMIT: 25
LEAK LIMIT: 15
THERMAL
COEFF: 0.000690
DELIVERY DELAY: 5
TANK FULL CAPACITY: 14881 0 0
0 0
3/4 HEIGHT CAPACITY: 12097 0 0 0 0
1/2 HEIGHT CAPACITY:
7504 0 0 0 0
1/4 HEIGHT CAPACITY: 2892 0 0 0
0
TANK DIAMETER: 90.50
TANK TILT ADDER: 0.00
MANIFOLDED TANKS: NONE
TANK
CONFIGURED: NO
+AAMAAQ-
932
TANK 2 SETUP CONDITIONS
PRODUCT:
PUL
PRODUCT CODE 3
HIGH WATER LIMIT 1.5
OVERFILL LIMIT: 8777
HIGH
PRODUCT LIMIT: 9265
LOW PRODUCT: 560
SUDDEN LOSS LIMIT: 25
LEAK LIMIT:
15
THERMAL COEFF: 0.000690
DELIVERY DELAY: 5
TANK FULL CAPACITY:
9753 9575 9262 8879 8406
3/4 HEIGHT CAPACITY: 7877 7321 6734 6124
5498
1/2 HEIGHT CAPACITY: 4866 4233 3608 2999 2412
1/4 HEIGHT CAPACITY: 1843
1331 872 479 174
TANK DIAMETER: 90.50
TANK TILT ADDER:
0.00
MANIFOLDED TANKS: NONE
TANK CONFIGURED: NO
+AAMAAQ-
I61100
APR 2, 2025 9:44
AM
LEAK TEST METHOD
- - - - - - - - - - - -
TEST DAILY : ALL TANK
START TIME :
DISABLED
TEST RATE :0.20 GAL/HR
DURATION : 2 HOURS
TST EARLY
STOP:DISABLED
+AAMAAQ-
I70300
APR 2, 2025 9:44 AM
LIQUID TYPE
SENSOR LOCATION
TYPE
1 RUL INNERWALL TRI-STATE (SINGLE FLOAT)
2 RUL STP SUMP
TRI-STATE (SINGLE FLOAT)
3 RUL FILL SUMP TRI-STATE (SINGLE FLOAT)
4
TRI-STATE (SINGLE FLOAT)
5 PUL INNERWALL TRI-STATE (SINGLE FLOAT)

6 PUL STP SUMP TRI-STATE (SINGLE FLOAT)
7 PUL FILL SUMP TRI-STATE
(SINGLE FLOAT)
8 TRI-STATE (SINGLE FLOAT)
9 DISPENSER 1-2 PAN
TRI-STATE (SINGLE FLOAT)
10 DISPENSER 3-4 PAN TRI-STATE (SINGLE FLOAT)
11
DISPENSER 5-6 PAN TRI-STATE (SINGLE FLOAT)
12 DISPENSER 7-8 PAN TRI-STATE (SINGLE
FLOAT)
13 TRI-STATE (SINGLE FLOAT)
14
TRI-STATE (SINGLE FLOAT)
15 TRI-STATE (SINGLE FLOAT)
16
TRI-STATE (SINGLE FLOAT)
+AAMAAQ-
I80800
APR 2, 2025 9:44 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
APR
2, 2025 9:44 AM
293361 7-11 34995
4013 W S JORDAN PRKY
SOUTH JORDAN,
UTAH
L09214784305001
SYSTEM CONFIGURATION
SLOT BOARD TYPE POWER ON RESET
CURRENT
1 4 PROBE / G.T. 163198 161729
2 INTERSTITIAL BD
200298 199584
3 INTERSTITIAL BD 199543
198938
4 UNUSED 9281599 9313934
5 UNUSED
9242952 9310586
6 UNUSED 9234347
9308710
7 UNUSED 9227633 9302015
8 UNUSED
9226826 9305533
9 RELAY BOARD 14900
14900
10 UNUSED 9230822 9308282
11 UNUSED
9224895 9311353
12 UNUSED 9225065 9308964
13 UNUSED 9223301 9304060
14 UNUSED
9224045 9308623
15 UNUSED 9223429 9305659
16
UNUSED 9220497 9304337
COMM 1 ELEC DISP INT.
100433 100362
COMM 2 UNUSED 99977 9304103
COMM
3 SERIAL SAT BD 478216 477740
COMM 4 UNUSED 9222876
9310159
COMM 5 RS485 SERIAL BD 9218712 68101
COMM 6 MT
COMM BOARD 9219583 404387
+AAM-