DERR-2024-005548

IMPACT VALVE
LEAK DETECTOR
MONITOR CERTIFICATION
OVERFILL OPERABILITY
PV VENT CAP
STAGE 1 PD
11000 N. MoPac Expressway, Suite 500
Austin, Texas 78759
Phone: [phone]
Fax: [phone] Date Printed and Mailed: 4/1/2024
UTAH DEPARTMENT OF ENV. QUALITY
UST
PO Box 144840
SALT LAKE CITY, UT 84114
Test Date: 3/12/2024
Order Number: 2365037
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-ELEVEN #23099, MKT 1606
2102 S STATE ST
State ID 4001035
SOUTH SALT LAKE, UT 84115
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
7-ELEVEN #23099, MKT 1606
2102 S STATE ST State ID 4001035
SOUTH SALT LAKE UT 84115
23099
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
03/12/2024
REGULAR PREMIUM
Vaporless LD-
2000
Vaporless LD-
2000
Vaporless LD-
2000LD2000LD2000LD2000
36
36
170
3
20
4
30
30
170
3
20
4
38
38
110
2
20
3
UT151
David Mathie
NW1-2365037
Low Sulfur Diesel
TTNK 4:1 TTNK5:1 TTNK6:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2365037 Date:3/12/2024
Site Name/ID:7-ELEVEN #23099, MKT 1606
Address:2102 S STATE ST State ID 4001035
City:SOUTH SALT LAKE State:UT Zip:84115
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 40 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
©2024 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com
7-ELEVEN #23099, MKT 1606 7-ELEVEN, INC.
2102 S STATE ST State ID 4001035
SOUTH SALT LAKE UT 84115
4001035
Tanknology, Inc.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
800-964-1250 03/12/2024
4 5 6
RUL PUL DSL
VR 350 VR350 VR350
19930 8039 11897
119.38 119.38 119.38
UT151
David Mathie
2102 S STATE ST State ID 4001035
7-ELEVEN #23099, MKT 1606
2102 S STATE ST State ID 4001035, SOUTH SALT LAKE, UT
8411523099
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
03/12/2024
ANNULAR ANNULAR SB FILL STP SB FILL STP SB FILL
RUL PUL/DSL RUL RUL PUL PUL DSL
UT151
David Mathie
2102 S STATE ST State ID 4001035
7-ELEVEN #23099, MKT 1606
2102 S STATE ST State ID 4001035, SOUTH SALT LAKE, UT
8411523099
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
03/12/2024
STP UDC UDC UDC UDC UDC UDC
DSL 1/2 3/4 5/6 7/8 9/10 11/12
UT151
David Mathie
2 inch Pressure Decay Test
TP201.3

Store Information Testing Company
Site Name :7-ELEVEN #23099, MKT 1606 Name :TANKNOLOGY INC.
Address :2102 S STATE ST State ID 4001035
SOUTH SALT LAKE, UT 84115
Address :11000 N. MoPac Expressway Suite 500
Austin, TX 78759
Phone :[phone] Phone :[phone]

Stage I System?DUAL
Stage II System?NONE
Total # of Nozzles :12
Products per Nozzle :3
Tanks Manifolded ?No
Drop-Out tank present?N0
Total # of Tanks Tested :2

Tank Information :
Product Grade :
Tank Capacity, gallons :
Gasoline, gallons :
Ullage, gallons :
Testing Information :
Start Time :
Initial Pressure, wcg :
Pressure @ 1 minute(s) :
Pressure @ 2 minutes :
Pressure @ 3 minutes :
Pressure @ 4 minutes :
Pressure @ 5 minutes :
Allowable Final Pressure :
Pass/Fail (Enter "GF" Gross Failure)
TNK 4
REGULAR
19930
11385
8545

12:54
2.00
2.00
2.00
2.00
1.99
1.99
1.89
Pass
TNK5
PREMIUM
8039
3555
4484

13:03
2.00
1.99
1.98
1.97
1.96
1.95
1.78
Pass

Total

27969
14940
13029
All

Comments:

Tester :David Mathie Test Date :3/12/2024
Signature :Work Order :2365037

WO: 2365037
PVVC tested ==>EASTRUL Manifolded
Final Test Result (Pass / Fail) ==>Fail
PVVC Manuf. ==>OPW Model Number ==>723V
Is this Original or
Replacement?
Original
If this cap is being
replaced, check here:
Manf Spec
(CFH)
Measured
Leak Rate
in ml/Min;
Cracking
(in H2O)
Calc CFH
(ml/min
x
.00212)
Result
(Pass /Fail)
Pos Leak Rate(CFH)0.05 10 0.0212 Pass
Low High Measured
Pos Cracking (in H2O)2.50 6.00 3.21 Pass
Neg Leak Rate (CFH)0.21 100 0.2120 Fail
Low High Measured
Neg Cracking (in H2O)-10.00 -6.00 -3.28 Fail
PVVC tested ==>EASTRUL Manifolded
Final Test Result (Pass / Fail) ==>Pass
PVVC Manuf. ==>OPW Model Number ==>723V
Is this Original or
Replacement?
Replacement Manf Spec
(CFH)
Measured
Leak Rate
in ml/Min;
Cracking
(in H2O)
Calc CFH
(ml/min
x
.00212)
Result
(Pass /Fail)
Pos Leak Rate(CFH)0.05 6 0.0127 Pass
Low High Measured
Pos Cracking (in H2O)2.50 6.00 3.68 Pass
Neg Leak Rate (CFH)0.21 15 0.0318 Pass
Low High Measured
Neg Cracking (in H2O)-10.00 -6.00 -7.12 Pass
PVVC tested ==>CENTERPUL Manifolded
Final Test Result (Pass / Fail) ==>Pass
PVVC Manuf. ==>OPW Model Number ==>723V
Is this Original or
Replacement?
Original
If this cap is being
replaced, check here:
Manf Spec
(CFH)
Measured
Leak Rate
in ml/Min;
Cracking
(in H2O)
Calc CFH
(ml/min
x
.00212)
Result
(Pass /Fail)
Pos Leak Rate(CFH)0.05 9 0.0191 Pass
Low High Measured
Pos Cracking (in H2O)2.50 6.00 3.38 Pass
Neg Leak Rate (CFH)0.21 20 0.0424 Pass
Low High Measured
Neg Cracking (in H2O)-10.00 -6.00 -6.48 Pass
PVVC tested ==> Manifolded
Final Test Result (Pass / Fail) ==>
PVVC Manuf. ==>Model Number ==>
Is this Original or
Replacement?
Manf Spec
(CFH)
Measured
Leak Rate
in ml/Min;
Cracking
(in H2O)
Calc CFH
(ml/min
x
.00212)
Result
(Pass /Fail)
Pos Leak Rate(CFH)
Low High Measured
Pos Cracking (in H2O)
Neg Leak Rate (CFH)
Low High Measured
Neg Cracking (in H2O)
PVVC tested ==> Manifolded
Final Test Result (Pass / Fail) ==>
PVVC Manuf. ==>Model Number ==>
Is this Original or
Replacement?
Manf Spec
(CFH)
Measured
Leak Rate
in ml/Min;
Cracking
(in H2O)
Calc CFH
(ml/min
x
.00212)
Result
(Pass /Fail)
Pos Leak Rate(CFH)
Low High Measured
Pos Cracking (in H2O)
Neg Leak Rate (CFH)
Low High Measured
Neg Cracking (in H2O)
PVVC tested ==> Manifolded
Final Test Result (Pass / Fail) ==>
PVVC Manuf. ==>Model Number ==>
Is this Original or
Replacement?
Manf Spec
(CFH)
Measured
Leak Rate
in ml/Min;
Cracking
(in H2O)
Calc CFH
(ml/min
x
.00212)
Result
(Pass /Fail)
Pos Leak Rate(CFH)
Low High Measured
Pos Cracking (in H2O)
Neg Leak Rate (CFH)
Low High Measured
Neg Cracking (in H2O)
11000 N. MOPAC EXPRESSWAY, SUITE 500, AUSTIN, TX 78759
[phone]
QP-08-03-FF-02 Pressure Vacuum Vent Cap TP-201.1E Field Form
Rev C 1/27/2011
Site Overall Test Results: Pass
Total +ve LR: 0.0318
Total -ve LR: 0.0742

Test Date 3/12/2024
Technician Name David Mathie
WO #2365037
Facility Name / Loc #7-ELEVEN #23099, MKT 1606 23099
Street 2102 S STATE ST State ID 4001035
City, St, Zip SOUTH SALT LAKE, UT 84115

Pressure Vacuum Vent Cap Test Form TP-201.1E

7-ELEVEN #23099, MKT 1606
2102 S STATE ST State ID 4001035
SOUTH SALT LAKE , UT 84115
23099
Tanknology, Inc.
7-ELEVEN, INC.
972-828-7575
800-800-4633 03/12/2024
RUL
4
19930
119.375
OPW
PUL
5
8039
119.375
OPW
DSL
6
11897
119.375
OPW
UT151
David Mathie
P.O. BOX 711
DALLAS, TX 75221
76
184.375
19930
106.375
19930
18802
94.3
Site ID/ Name:
Address:
23099 7-ELEVEN #23099, MKT 1606 NW1-2365037 03/12/2024
2102 S STATE ST State ID 4001035, SOUTH SALT
LAKE, UT 84115
Tank ID:TNK 4(REGULAR)
75.5
184.5
8039
107
8039
7579
94.3
Site ID/ Name:
Address:
23099 7-ELEVEN #23099, MKT 1606 NW1-2365037 03/12/2024
2102 S STATE ST State ID 4001035, SOUTH SALT
LAKE, UT 84115
Tank ID:TNK5(PREMIUM)
74.25
183
11897
106.75
11897
11272
94.7
Site ID/ Name:
Address:
23099 7-ELEVEN #23099, MKT 1606 NW1-2365037 03/12/2024
2102 S STATE ST State ID 4001035, SOUTH SALT
LAKE, UT 84115
Tank ID:TNK6(Low Sulfur Diesel)
Tank ID:
Site Diagram
(This site diagram is for reference only and is not drawn to scale)

Work Order:2365037
Site ID / Name:23099 / 7-ELEVEN #23099, MKT 1606
Address:2102 S STATE ST State ID 4001035
City:SOUTH SALT LAKE State:UT Zip:84115
W.O.# NW1-2365037
+AAE-
I10100
MAR 12, 2024 1:49 PM
164533 7-11 23099
2102 SO STATE ST
SLC UT 84115
A0369066005001
SYSTEM STATUS REPORT
ALL FUNCTIONS NORMAL
+AAMAAQ-
I90200
MAR 12, 2024 1:49 PM
SOFTWARE REVISION LEVEL
VERSION 333.03
SOFTWARE+ACM- 346333-100-D
CREATED - 13.02.12.10.26
S-MODULE+ACM- 330160-162-A
SYSTEM FEATURES:
PERIODIC IN-TANK TESTS
ANNUAL IN-TANK TESTS
CSLD
BIR
PLLD
0.10 AUTO
0.20 REPETITIV
WPLLD
0.10 AUTO
0.20 REPETITIV
+AAMAAQ-
I11B00
MAR 12, 2024 1:49 PM
164533 7-11 23099
2102 SO STATE ST
SLC UT 84115
A0369066005001
SERVICE NOTICE SESSION REPORT
START TIME END TIME
MAR 12, 2024 11:41 AM MAR 12, 2024 1:42 PM
MAR 15, 2023 9:37 AM MAR 15, 2023 11:32 AM
APR 11, 2022 11:29 AM APR 11, 2022 12:53 PM
APR 19, 2021 12:00 PM APR 19, 2021 1:51 PM
MAY 8, 2020 9:01 AM MAY 8, 2020 11:02 AM
+AAMAAQ-
I20100
MAR 12, 2024 1:49 PM
164533 7-11 23099
2102 SO STATE ST
SLC UT 84115
A0369066005001
IN-TANK INVENTORY
TANK PRODUCT VOLUME TC VOLUME ULLAGE HEIGHT WATER TEMP
4 RUL 11336 11386 8594 64.83 0.00 53.57
5 PUL 3537 3548 4350 53.82 0.00 55.32
6 DSL 7042 7055 4855 68.02 0.00 55.72
+AAMAAQ-
I30100
MAR 12, 2024 1:49 PM
164533 7-11 23099
2102 SO STATE ST
SLC UT 84115
A0369066005001
LIQUID STATUS REPORT
SENSOR LOCATION STATUS
1 RUL ANNULAR SENSOR NORMAL
2 PUL-DSL ANNULAR SENSOR NORMAL
3 RUL STP SUMP SENSOR NORMAL
4 RUL SPILL BUCKET SENSOR NORMAL
5 PUL STP SUMP SENSOR NORMAL
6 PUL SPILL BUCKET SENSOR NORMAL
7 DSL STP SUMP SENSOR NORMAL
8 DSL SPILL BUCKET SENSOR NORMAL
9 DISPENSER 1-2 SENSOR NORMAL
10 DISPENSER 3-4 SENSOR NORMAL
11 DISPENSER 5-6 SENSOR NORMAL
12 DISPENSER 7-8 SENSOR NORMAL
13 DISPENSER 9-10 SENSOR NORMAL
14 DISPENSER 11-12 SENSOR NORMAL
+AAMAAQ-
I30200
MAR 12, 2024 1:49 PM
164533 7-11 23099
2102 SO STATE ST
SLC UT 84115
A0369066005001
LIQUID ALARM HISTORY REPORT
SENSOR LOCATION
1 RUL ANNULAR
MAR 12, 2024 12:11 PM FUEL ALARM
MAR 15, 2023 10:15 AM FUEL ALARM
APR 11, 2022 12:03 PM FUEL ALARM
2 PUL-DSL ANNULAR
MAR 12, 2024 12:14 PM FUEL ALARM
MAR 15, 2023 10:20 AM FUEL ALARM
APR 11, 2022 12:07 PM FUEL ALARM
3 RUL STP SUMP
MAR 12, 2024 12:58 PM FUEL ALARM
MAR 15, 2023 10:27 AM FUEL ALARM
APR 11, 2022 12:33 PM FUEL ALARM
4 RUL SPILL BUCKET
MAR 12, 2024 12:01 PM FUEL ALARM
MAR 15, 2023 11:10 AM FUEL ALARM
APR 11, 2022 12:36 PM FUEL ALARM
5 PUL STP SUMP
MAR 12, 2024 1:05 PM FUEL ALARM
MAR 15, 2023 10:30 AM FUEL ALARM
APR 11, 2022 12:25 PM FUEL ALARM
6 PUL SPILL BUCKET
MAR 12, 2024 12:04 PM FUEL ALARM
MAR 15, 2023 10:56 AM FUEL ALARM
APR 11, 2022 12:27 PM FUEL ALARM
7 DSL STP SUMP
MAR 12, 2024 1:08 PM FUEL ALARM
MAR 15, 2023 10:33 AM FUEL ALARM
APR 11, 2022 12:19 PM FUEL ALARM
8 DSL SPILL BUCKET
MAR 12, 2024 12:07 PM FUEL ALARM
MAR 15, 2023 10:48 AM FUEL ALARM
APR 11, 2022 12:21 PM FUEL ALARM
9 DISPENSER 1-2
MAR 12, 2024 12:19 PM FUEL ALARM
MAR 15, 2023 9:47 AM FUEL ALARM
APR 11, 2022 11:41 AM FUEL ALARM
10 DISPENSER 3-4
MAR 12, 2024 12:19 PM FUEL ALARM
MAR 15, 2023 9:47 AM FUEL ALARM
APR 11, 2022 11:42 AM FUEL ALARM
11 DISPENSER 5-6
MAR 12, 2024 12:20 PM FUEL ALARM
MAR 15, 2023 9:48 AM FUEL ALARM
APR 11, 2022 11:42 AM FUEL ALARM
12 DISPENSER 7-8
MAR 12, 2024 12:20 PM FUEL ALARM
MAR 15, 2023 9:48 AM FUEL ALARM
APR 11, 2022 11:42 AM FUEL ALARM
13 DISPENSER 9-10
MAR 12, 2024 12:21 PM FUEL ALARM
MAR 15, 2023 9:49 AM FUEL ALARM
APR 11, 2022 11:43 AM FUEL ALARM
14 DISPENSER 11-12
MAR 12, 2024 12:21 PM FUEL ALARM
MAR 15, 2023 9:49 AM FUEL ALARM
APR 11, 2022 11:43 AM FUEL ALARM
+AAMAAQ-
IA0100
MAR 12, 2024 1:49 PM
TYPE CODE LENGTH SERIAL NO. D/CODE
TANK 4 RUL MAG D004 126.00 131835 0684
TANK 5 PUL MAG D004 126.00 131831 0684
TANK 6 DSL MAG D004 126.00 131832 0684
+AAMAAQ-
931
TANK 1 SETUP CONDITIONS
PRODUCT:
PRODUCT CODE 1
OVERFILL LIMIT: 0
HIGH PRODUCT LIMIT: 0
LOW PRODUCT: 0
SUDDEN LOSS LIMIT: 99
LEAK LIMIT: 99
THERMAL COEFF: 0.000000
DELIVERY DELAY: 1
TANK FULL CAPACITY: 0 0 0 0 0
3/4 HEIGHT CAPACITY: 0 0 0 0 0
1/2 HEIGHT CAPACITY: 0 0 0 0 0
1/4 HEIGHT CAPACITY: 0 0 0 0 0
TANK DIAMETER: 0.00
TANK TILT ADDER: 0.00
MANIFOLDED TANKS: NONE
TANK CONFIGURED: NO
+AAMAAQ-
932
TANK 2 SETUP CONDITIONS
PRODUCT:
PRODUCT CODE 2
OVERFILL LIMIT: 0
HIGH PRODUCT LIMIT: 0
LOW PRODUCT: 0
SUDDEN LOSS LIMIT: 99
LEAK LIMIT: 99
THERMAL COEFF: 0.000000
DELIVERY DELAY: 1
TANK FULL CAPACITY: 0 0 0 0 0
3/4 HEIGHT CAPACITY: 0 0 0 0 0
1/2 HEIGHT CAPACITY: 0 0 0 0 0
1/4 HEIGHT CAPACITY: 0 0 0 0 0
TANK DIAMETER: 0.00
TANK TILT ADDER: 0.00
MANIFOLDED TANKS: NONE
TANK CONFIGURED: NO
+AAMAAQ-
933
TANK 3 SETUP CONDITIONS
PRODUCT:
PRODUCT CODE 3
OVERFILL LIMIT: 0
HIGH PRODUCT LIMIT: 0
LOW PRODUCT: 0
SUDDEN LOSS LIMIT: 99
LEAK LIMIT: 99
THERMAL COEFF: 0.000000
DELIVERY DELAY: 1
TANK FULL CAPACITY: 0 0 0 0 0
3/4 HEIGHT CAPACITY: 0 0 0 0 0
1/2 HEIGHT CAPACITY: 0 0 0 0 0
1/4 HEIGHT CAPACITY: 0 0 0 0 0
TANK DIAMETER: 0.00
TANK TILT ADDER: 0.00
MANIFOLDED TANKS: NONE
TANK CONFIGURED: NO
+AAMAAQ-
I61100
MAR 12, 2024 1:49 PM
LEAK TEST METHOD
- - - - - - - - - - - -
TEST ON DATE : ALL TANK
FEB 12, 2013
START TIME : DISABLED
TEST RATE :0.20 GAL/HR
DURATION : 2 HOURS
TST EARLY STOP:DISABLED
+AAMAAQ-
I70300
MAR 12, 2024 1:49 PM
LIQUID TYPE
SENSOR LOCATION TYPE
1 RUL ANNULAR TRI-STATE (SINGLE FLOAT)
2 PUL-DSL ANNULAR TRI-STATE (SINGLE FLOAT)
3 RUL STP SUMP TRI-STATE (SINGLE FLOAT)
4 RUL SPILL BUCKET NORMALLY CLOSED
5 PUL STP SUMP TRI-STATE (SINGLE FLOAT)
6 PUL SPILL BUCKET NORMALLY CLOSED
7 DSL STP SUMP TRI-STATE (SINGLE FLOAT)
8 DSL SPILL BUCKET NORMALLY CLOSED
9 DISPENSER 1-2 TRI-STATE (SINGLE FLOAT)
10 DISPENSER 3-4 TRI-STATE (SINGLE FLOAT)
11 DISPENSER 5-6 TRI-STATE (SINGLE FLOAT)
12 DISPENSER 7-8 TRI-STATE (SINGLE FLOAT)
13 DISPENSER 9-10 TRI-STATE (SINGLE FLOAT)
14 DISPENSER 11-12 TRI-STATE (SINGLE FLOAT)
15 TRI-STATE (SINGLE FLOAT)
16 TRI-STATE (SINGLE FLOAT)
+AAMAAQ-
I10200
MAR 12, 2024 1:49 PM
164533 7-11 23099
2102 SO STATE ST
SLC UT 84115
A0369066005001
SYSTEM CONFIGURATION
SLOT BOARD TYPE POWER ON RESET CURRENT
1 4 PROBE / G.T. 163004 163109
2 4 PROBE / G.T. 162890 163293
3 INTERSTITIAL BD 201455 201443
4 INTERSTITIAL BD 201524 201907
5 UNUSED 9857638 9768857
6 UNUSED 9846851 9764296
7 UNUSED 9846123 9761470
8 UNUSED 9846917 9765764
9 UNUSED 9839314 9755528
10 UNUSED 9835652 9761958
11 UNUSED 9852307 9759555
12 UNUSED 9846483 9751367
13 UNUSED 9843659 9757908
14 UNUSED 9829211 9750744
15 UNUSED 9851336 9764339
16 UNUSED 9838586 9759110
COMM 1 ELEC DISP INT. 101086 101202
COMM 2 UNUSED 9849329 9766541
COMM 3 SERIAL SAT BD 483016 482334
COMM 4 UNUSED 9843395 9767721
COMM 5 RS485 SERIAL BD 68815 68919
COMM 6 MT COMM BOARD 411250 412203
+AAM-