DERR-2025-002795

IMPACT VALVE
LEAK DETECTOR
MONITOR CERTIFICATION
11000 N. MoPac Expressway, Suite 500
Austin, Texas 78759
Phone: [phone]
Fax: [phone] Date Printed and Mailed: 3/26/2025
UTAH DEPARTMENT OF ENV. QUALITY
UST
PO Box 144840
SALT LAKE CITY, UT 84114
Test Date: 3/24/2025
Order Number: 2378225
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-ELEVEN 41519
5400 S 4015 West
State ID 4001893
Taylorsville, UT 84129
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
7-ELEVEN 41519
5400 S 4015 West State ID 4001893
Taylorsville UT 84129
41519
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
03/24/2025
RUL PUL
Vaporless LD-
2000
Vaporless LD-
2000
Vaporless LD-
2000LD2000LD2000LD2000
34
34
140
3
17
3
34
34
175
3
17
4
38
36
155
3
20
3
UT151
David Mathie
NW1-2378225
Low Sulfur Diesel
T1:1 T2:1 T3:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2378225 Date:3/24/2025
Site Name/ID:7-ELEVEN 41519
Address:5400 S 4015 West State ID 4001893
City:Taylorsville State:UT Zip:84129
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 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: UT151
Technician Name:David Mathie
Signature:
Environmental Compliance for Petroleum Systems
©2025 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com
7-ELEVEN 41519 7-ELEVEN, INC.
5400 S 4015 West State ID 4001893
Taylorsville UT 84129
4001893
Tanknology, Inc.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
800-964-1250 03/24/2025
1 2 3
Regular Premium Diesel
VR TLS350 VR TLS350 VR TLS350
19782 7901 11904
118.375 118.375 118.375
UT151
David Mathie
5400 S 4015 West State ID 4001893
7-ELEVEN 41519
5400 S 4015 West State ID 4001893, Taylorsville, UT 84129
41519
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
03/24/2025
Annular Annular STP Sump STP Sump STP Sump Fill Spill Bucket Fill Spill Bucket
Regular Prem/DSL Regular Premium Diesel Regular Premium
UT151
David Mathie
5400 S 4015 West State ID 4001893
7-ELEVEN 41519
5400 S 4015 West State ID 4001893, Taylorsville, UT 84129
41519
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
03/24/2025
Fill Spill Bucket UDC UDC UDC UDC UDC UDC
Diesel 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:2378225
Site ID / Name:41519 / 7-ELEVEN 41519
Address:5400 S 4015 West State ID 4001893
City:Taylorsville State:UT Zip:84129
W.O.# NW1-2378225
+AAE-
I10100
MAR 24, 2025 12:54 PM
871987 7-11 41519
5400 S 4015 W
TAYLORSVILLE UT

V09274203005001
SYSTEM STATUS REPORT
T 3:DELIVERY NEEDED
+AAMAAQ-
I90200
MAR 24, 2025 12:54 PM
SOFTWARE REVISION LEVEL
VERSION 136.02
SOFTWARE+ACM-
346136-100-C
CREATED - 21.02.13.12.17
S-MODULE+ACM- 330160-100-a
SYSTEM FEATURES:

PERIODIC IN-TANK TESTS
ANNUAL IN-TANK TESTS
BIR
+AAMAAQ-
I11B00
MAR 24, 2025 12:54
PM
871987 7-11 41519
5400 S 4015 W
TAYLORSVILLE UT
V09274203005001
SERVICE NOTICE SESSION REPORT
START TIME END TIME
MAR 24, 2025 12:15 PM
MAR 24, 2025 12:50 PM
MAR 25, 2024 9:01 AM MAR 25, 2024 10:43 AM
+AAMAAQ-
I20100
MAR
24, 2025 12:54 PM
871987 7-11 41519
5400 S 4015 W
TAYLORSVILLE UT
V09274203005001
IN-TANK INVENTORY
TANK PRODUCT VOLUME TC VOLUME
ULLAGE HEIGHT WATER TEMP
1 REGULAR 6296 6327 13486 42.59
0.00 52.97
2 PREMIUM 3694 3712 4207 56.00 0.00 52.85
3
DIESEL 1592 1597 10312 24.11 0.00 53.26
+AAMAAQ-
I30100
MAR
24, 2025 12:54 PM
871987 7-11 41519
5400 S 4015 W
TAYLORSVILLE UT
V09274203005001
LIQUID STATUS REPORT
SENSOR LOCATION STATUS
1
RUL ANNULAR SENSOR NORMAL
2 PUL-DSL ANNULAR SENSOR NORMAL
3 RUL
SPILL SENSOR NORMAL
4 RUL STP SENSOR NORMAL
5 PUL SPILL
SENSOR NORMAL
6 PUL STP SENSOR NORMAL
7 DSL SPILL
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
MAR 24, 2025 12:54
PM
871987 7-11 41519
5400 S 4015 W
TAYLORSVILLE UT
V09274203005001
LIQUID ALARM HISTORY REPORT
SENSOR LOCATION
1 RUL ANNULAR
MAR 24,
2025 12:31 PM FUEL ALARM
MAR 25, 2024 9:28 AM FUEL ALARM
2 PUL-DSL
ANNULAR
MAR 24, 2025 12:36 PM FUEL ALARM
MAR 25, 2024 9:29 AM
FUEL ALARM
3 RUL SPILL
MAR 24, 2025 12:29 PM FUEL ALARM

JUL 26, 2024 1:35 PM FUEL ALARM
JUL 26, 2024 1:24 PM FUEL ALARM

4 RUL STP
MAR 24, 2025 12:33 PM FUEL ALARM
MAR 25, 2024
10:20 AM FUEL ALARM
5 PUL SPILL
MAR 24, 2025 12:41 PM
FUEL ALARM
MAR 25, 2024 9:37 AM FUEL ALARM
FEB 13, 2021 8:05 AM
FUEL ALARM
6 PUL STP
MAR 24, 2025 12:37 PM FUEL ALARM

MAR 25, 2024 10:27 AM FUEL ALARM
7 DSL SPILL
MAR 24, 2025
12:42 PM FUEL ALARM
MAR 25, 2024 9:41 AM FUEL ALARM
8 DSL STP

MAR 24, 2025 12:37 PM FUEL ALARM
MAR 25, 2024 10:35 AM
FUEL ALARM
9 DISP 1-2
MAR 24, 2025 12:21 PM FUEL ALARM

MAR 25, 2024 9:59 AM FUEL ALARM
10 DISP 3-4
MAR 24, 2025
12:22 PM FUEL ALARM
MAR 25, 2024 9:59 AM FUEL ALARM
11 DISP 5-6

MAR 24, 2025 12:21 PM FUEL ALARM
MAR 25, 2024 9:59 AM
FUEL ALARM
JUL 12, 2023 4:51 PM FUEL ALARM
12 DISP 7-8

MAR 24, 2025 12:21 PM FUEL ALARM
MAR 25, 2024 10:00 AM FUEL ALARM
13
DISP 9-10
MAR 24, 2025 12:20 PM FUEL ALARM
MAR 25, 2024
10:00 AM FUEL ALARM
14 DISP 11-12
MAR 24, 2025 12:19 PM
FUEL ALARM
MAR 25, 2024 10:00 AM FUEL ALARM
+AAMAAQ-
IA0100
MAR 24, 2025
12:55 PM
TYPE CODE LENGTH SERIAL NO. D/CODE
TANK 1
REGULAR MAG D004 126.00 381217 2504
TANK 2 PREMIUM MAG
D004 126.00 381218 2504
TANK 3 DIESEL MAG D004 126.00 381215
2504
+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
MAR 24, 2025 12:55 PM
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
MAR 24, 2025 12:55 PM
LIQUID
TYPE
SENSOR LOCATION TYPE
1 RUL ANNULAR TRI-STATE (SINGLE
FLOAT)
2 PUL-DSL ANNULAR TRI-STATE (SINGLE FLOAT)
3 RUL SPILL
NORMALLY CLOSED
4 RUL STP TRI-STATE (SINGLE FLOAT)
5 PUL SPILL
NORMALLY CLOSED
6 PUL STP TRI-STATE (SINGLE FLOAT)
7 DSL SPILL
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
MAR 24, 2025
12:55 PM
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
MAR 24, 2025 12:55 PM
871987 7-11 41519
5400 S 4015 W

TAYLORSVILLE UT
V09274203005001
SYSTEM CONFIGURATION
SLOT BOARD TYPE
POWER ON RESET CURRENT
1 4 PROBE / G.T. 164071
162040
2 INTERSTITIAL BD 200920 200178
3 INTERSTITIAL BD
201028 200463
4 UNUSED 9615605
9460787
5 UNUSED 9569981 9442075
6 UNUSED
9559250 9443675
7 UNUSED 9554081
9438602
8 UNUSED 9551528 9435508
9 RELAY BOARD
14958 14979
10 UNUSED 9559774
9441961
11 UNUSED 9554896 9438004
12 UNUSED
9548503 9436025
13 UNUSED 9545368
9438614
14 UNUSED 9548108 9434383
15 UNUSED
9545514 9433289
16 UNUSED 9547133
9436067
COMM 1 ELEC DISP INT. 100419 100437
COMM 2 ELEC DISP
INT. 100991 100953
COMM 3 SERIAL SAT BD 480638
480277
COMM 4 UNUSED 9555643 9443455
COMM 5 RS485 SERIAL
BD 9539079 68554
COMM 6 MT COMM BOARD 9543728
406863
+AAM-