DERR-2025-002893

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: 4/10/2025
UTAH DEPARTMENT OF ENV. QUALITY
UST
PO Box 144840
SALT LAKE CITY, UT 84114
Test Date: 4/8/2025
Order Number: 2379221
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-ELEVEN #34734
5302 WEST DAYBREAK PARKWAY
State ID 4002461
SOUTH JORDAN, UT 84095
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
7-ELEVEN #34734
5302 WEST DAYBREAK PARKWAY State ID 4002461
SOUTH JORDAN UT 84095
34734
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
04/08/2025
RUL PUL
Vaporless LD-
2000
Vaporless LD-
2000
30
30
175
2
20
3
30
30
175
2
20
3
UT151
David Mathie
NW1-2379221
TTNK1 Regular:1 TTNK2 Premium:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2379221 Date:4/8/2025
Site Name/ID:7-ELEVEN #34734
Address:5302 WEST DAYBREAK PARKWAY State ID 4002461
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
9/10 85 Pass Fail Not Tested
9/10 91 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 #34734 7-ELEVEN, INC.
5302 WEST DAYBREAK PARKWAY State ID 4002461
SOUTH JORDAN UT 84095
4002461
Tanknology, Inc.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
800-964-1250 04/08/2025
1 2
RUL PUL
VR350 VR350
14881 9753
90.5 90.5
UT151
David Mathie
5302 WEST DAYBREAK PARKWAY State ID 4002461
7-ELEVEN #34734
5302 WEST DAYBREAK PARKWAY State ID 4002461, SOUTH
JORDAN, UT 8409534734
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
04/08/2025
ANNULAR ANNULAR FILL STP FILL STP UDC
RUL PUL RUL RUL PUL PUL 1/2
UT151
David Mathie
5302 WEST DAYBREAK PARKWAY State ID 4002461
7-ELEVEN #34734
5302 WEST DAYBREAK PARKWAY State ID 4002461, SOUTH
JORDAN, UT 8409534734
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
04/08/2025
UDC UDC UDC UDC UDC
3/4 5/6 7/8 9/10 11/12
UT151
David Mathie
7-ELEVEN #34734
5302 WEST DAYBREAK PARKWAY
State ID 4002461SOUTH JORDAN , UT 84095
4002461
Tanknology, Inc.
7-ELEVEN, INC.
972-828-7575
04/08/2025
P.O. BOX 711
DALLAS, TX 75221
1
RUL
5
OPW
2
PUL
5
OPW
905
15
1005
15
1 HR
0
905
13.5
1005
13.5
1 HR
0
UT151
David Mathie
Site Diagram
(This site diagram is for reference only and is not drawn to scale)

Work Order:2379221
Site ID / Name:34734 / 7-ELEVEN #34734
Address:5302 WEST DAYBREAK PARKWAY State ID 4002461
City:SOUTH JORDAN State:UT Zip:84095
W.O.# NW1-2379221
+AAE-
I10100
APR 8, 2025 10:15 AM
293705 7-11 34734
5203 W. DAYBREAK PKY
S.
JORDAN,UT.84095
L06213135705001
SYSTEM STATUS REPORT
ALL FUNCTIONS NORMAL
+AAMAAQ-
I90200
APR 8, 2025 10:15 AM
SOFTWARE REVISION LEVEL
VERSION 331.01
SOFTWARE+ACM-
346331-100-B
CREATED - 11.03.22.16.28
S-MODULE+ACM- 330160-100-a
SYSTEM FEATURES:

PERIODIC IN-TANK TESTS
ANNUAL IN-TANK TESTS
BIR
+AAMAAQ-
I11B00
APR 8, 2025 10:16
AM
293705 7-11 34734
5203 W. DAYBREAK PKY
S. JORDAN,UT.84095
L06213135705001
SERVICE NOTICE SESSION REPORT
START TIME END TIME
APR 8, 2025 8:57 AM
APR 8, 2025 10:12 AM
APR 17, 2024 10:45 AM APR 17, 2024 12:03 PM
APR 19, 2023 11:07 AM
APR 19, 2023 12:29 PM
APR 25, 2022 9:09 AM APR 25, 2022 10:39 AM
JUL 26, 2021 11:34 AM
JUL 26, 2021 12:42 PM
AUG 12, 2020 8:53 AM AUG 12, 2020 9:59 AM
AUG 19, 2019 12:11 PM
AUG 19, 2019 1:09 PM
AUG 24, 2018 9:06 AM AUG 24, 2018 10:04 AM
AUG 30, 2017 9:05 AM
AUG 30, 2017 9:57 AM
SEP 21, 2016 8:50 AM SEP 21, 2016 10:15 AM
+AAMAAQ-
I20100
APR
8, 2025 10:16 AM
293705 7-11 34734
5203 W. DAYBREAK PKY
S. JORDAN,UT.84095
L06213135705001
IN-TANK INVENTORY
TANK PRODUCT VOLUME TC VOLUME
ULLAGE HEIGHT WATER TEMP
1 85 UNLEADED 3753 3773 11128 27.34
0.64 51.87
2 91 PREMIUM 1558 1565 8195 20.04 0.00
53.19
+AAMAAQ-
I30100
APR 8, 2025 10:16 AM
293705 7-11 34734
5203 W. DAYBREAK PKY
S.
JORDAN,UT.84095
L06213135705001
LIQUID STATUS REPORT
SENSOR LOCATION
STATUS
1 87 UNLEADED ANNULAR SENSOR NORMAL
2 87 UNLEADED STP SUMP SENSOR
NORMAL
3 87 UNLEADED FILL SUM SENSOR NORMAL
4 91 PREMIUM ANNULAR SENSOR
NORMAL
5 91 PREMIUM STP SUMP SENSOR NORMAL
6 91 PREMIUM FILL SUMP SENSOR
NORMAL
7 DISP. 1-2 SENSOR NORMAL
8 DISP. 3-4 SENSOR
NORMAL
9 DISP. 5-6 SENSOR NORMAL
10 DISP. 7-8 SENSOR
NORMAL
11 DISP. 9-10 SENSOR NORMAL
12 DISP. 11-12 SENSOR
NORMAL
+AAMAAQ-
I30200
APR 8, 2025 10:16 AM
293705 7-11 34734
5203 W. DAYBREAK PKY
S.
JORDAN,UT.84095
L06213135705001
LIQUID ALARM HISTORY REPORT
SENSOR LOCATION
1
87 UNLEADED ANNULAR
APR 8, 2025 10:09 AM FUEL ALARM
APR 8, 2025 10:09
AM FUEL ALARM
APR 8, 2025 10:05 AM FUEL ALARM
2 87 UNLEADED STP
SUMP
APR 8, 2025 9:54 AM FUEL ALARM
APR 17, 2024 11:18 AM FUEL
ALARM
APR 19, 2023 12:15 PM FUEL ALARM
3 87 UNLEADED FILL SUM
APR
8, 2025 9:49 AM FUEL ALARM
APR 17, 2024 11:24 AM FUEL ALARM
APR
19, 2023 11:47 AM FUEL ALARM
4 91 PREMIUM ANNULAR
APR 8, 2025 10:06 AM
FUEL ALARM
APR 17, 2024 11:26 AM FUEL ALARM
APR 19, 2023 11:40 AM
FUEL ALARM
5 91 PREMIUM STP SUMP
APR 8, 2025 9:54 AM FUEL
ALARM
APR 17, 2024 11:20 AM FUEL ALARM
APR 19, 2023 12:16 PM FUEL
ALARM
6 91 PREMIUM FILL SUMP
APR 8, 2025 9:51 AM FUEL ALARM
APR
17, 2024 11:24 AM FUEL ALARM
APR 19, 2023 11:57 AM FUEL ALARM
7
DISP. 1-2
APR 8, 2025 9:32 AM FUEL ALARM
APR 17, 2024 11:04
AM FUEL ALARM
APR 19, 2023 11:14 AM FUEL ALARM
8 DISP. 3-4

APR 8, 2025 9:32 AM FUEL ALARM
APR 17, 2024 11:05 AM FUEL
ALARM
APR 19, 2023 11:15 AM FUEL ALARM
9 DISP. 5-6
APR
8, 2025 9:33 AM FUEL ALARM
APR 17, 2024 11:05 AM FUEL ALARM
APR
19, 2023 11:17 AM FUEL ALARM
10 DISP. 7-8
APR 8, 2025 9:33 AM
FUEL ALARM
APR 17, 2024 11:05 AM FUEL ALARM
APR 19, 2023 11:17 AM
FUEL ALARM
11 DISP. 9-10
APR 8, 2025 9:33 AM FUEL
ALARM
APR 17, 2024 11:06 AM FUEL ALARM
APR 19, 2023 11:18 AM FUEL
ALARM
12 DISP. 11-12
APR 8, 2025 9:34 AM FUEL ALARM
APR
17, 2024 11:06 AM FUEL ALARM
APR 19, 2023 11:19 AM FUEL
ALARM
+AAMAAQ-
IA0100
APR 8, 2025 10:16 AM
TYPE CODE
LENGTH SERIAL NO. D/CODE
TANK 1 85 UNLEADED MAG D004 96.00 307290
2574
TANK 2 91 PREMIUM MAG D004 96.00 594881
2414
+AAMAAQ-
931
TANK 1 SETUP CONDITIONS
PRODUCT: 85 UNLEADED
PRODUCT CODE 1
HIGH WATER LIMIT 1.5
OVERFILL LIMIT: 13393
HIGH PRODUCT
LIMIT: 14137
LOW PRODUCT: 590
SUDDEN LOSS LIMIT: 99
LEAK LIMIT:
99
THERMAL COEFF: 0.000690
DELIVERY DELAY: 5
TANK FULL CAPACITY: 14881
0 0 0 0
3/4 HEIGHT CAPACITY: 12029 0 0 0 0
1/2
HEIGHT CAPACITY: 7451 0 0 0 0
1/4 HEIGHT CAPACITY: 2869 0
0 0 0
TANK DIAMETER: 90.50
TANK TILT ADDER: 0.00
MANIFOLDED TANKS:
NONE
TANK CONFIGURED: NO
+AAMAAQ-9999FF1B+AAMAAQ-
932
TANK 2 SETUP
CONDITIONS
PRODUCT: 91 PREMIUM
PRODUCT CODE 2
HIGH WATER LIMIT
1.5
OVERFILL LIMIT: 8777
HIGH PRODUCT LIMIT: 9167
LOW PRODUCT:
375
SUDDEN LOSS LIMIT: 99
LEAK LIMIT: 99
THERMAL COEFF:
0.000690
DELIVERY DELAY: 1
TANK FULL CAPACITY: 9753 0 0 0
0
3/4 HEIGHT CAPACITY: 7907 0 0 0 0
1/2 HEIGHT CAPACITY: 4883
0 0 0 0
1/4 HEIGHT CAPACITY: 1858 0 0 0 0
TANK
DIAMETER: 90.50
TANK TILT ADDER: 0.00
MANIFOLDED TANKS: NONE
TANK CONFIGURED:
NO
+AAMAAQ-
I61100
APR 8, 2025 10:16 AM
LEAK TEST METHOD
- - - - - - - - - - -
-
TEST ON DATE : ALL TANK
MAR 22, 2011
START TIME : DISABLED
TEST RATE :0.20 GAL/HR
DURATION
: 2 HOURS
TST EARLY STOP:DISABLED
+AAMAAQ-
I70300
APR 8, 2025 10:16 AM
LIQUID
TYPE
SENSOR LOCATION TYPE
1 87 UNLEADED ANNULAR TRI-STATE (SINGLE
FLOAT)
2 87 UNLEADED STP SUMP TRI-STATE (SINGLE FLOAT)
3 87 UNLEADED FILL SUM
TRI-STATE (SINGLE FLOAT)
4 91 PREMIUM ANNULAR TRI-STATE (SINGLE FLOAT)
5 91
PREMIUM STP SUMP TRI-STATE (SINGLE FLOAT)
6 91 PREMIUM FILL SUMP TRI-STATE (SINGLE
FLOAT)
7 DISP. 1-2 TRI-STATE (SINGLE FLOAT)
8 DISP. 3-4
TRI-STATE (SINGLE FLOAT)
9 DISP. 5-6 TRI-STATE (SINGLE FLOAT)
10 DISP.
7-8 TRI-STATE (SINGLE FLOAT)
11 DISP. 9-10 TRI-STATE (SINGLE
FLOAT)
12 DISP. 11-12 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 8, 2025 10:16 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 8, 2025 10:16
AM
293705 7-11 34734
5203 W. DAYBREAK PKY
S. JORDAN,UT.84095
L06213135705001
SYSTEM CONFIGURATION
SLOT BOARD TYPE POWER ON RESET CURRENT
1 4
PROBE / G.T. 164435 164701
2 INTERSTITIAL BD
202177 202447
3 INTERSTITIAL BD 202634 202962
4
UNUSED 8581486 9080481
5 UNUSED
8569831 9061996
6 UNUSED 8565302 9059082
7
UNUSED 8566507 9059041
8 UNUSED
8563516 9058282
9 RELAY BOARD 15013 15007
10
UNUSED 8569108 9057991
11 UNUSED
8564185 9059160
12 UNUSED 8563831 9055755
13
UNUSED 8563894 9053744
14 UNUSED
8562897 9053764
15 UNUSED 8563270 9050995
16
UNUSED 8563520 9049743
COMM 1 ELEC DISP INT.
101200 101226
COMM 2 UNUSED 101391 9050112
COMM
3 SERIAL SAT BD 483732 483286
COMM 4 UNUSED 8572308
9056514
COMM 5 RS485 SERIAL BD 68929 68845
COMM 6 MT
COMM BOARD 409660 409309
+AAM-