DERR-2025-003321

IMPACT VALVE
LEAK DETECTOR
MONITOR CERTIFICATION
PV VENT CAP
SPILL BUCKET TEST
STAGE 1 PD
11000 N. MoPac Expressway, Suite 500
Austin, Texas 78759
Phone: [phone]
Fax: [phone] Date Printed and Mailed: 4/25/2025
UTAH DEPARTMENT OF ENV. QUALITY
UST
PO Box 144840
SALT LAKE CITY, UT 84114
Test Date: 4/22/2025
Order Number: 2379191
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-ELEVEN #23842, MKT 1606
416 EAST 2604 NORTH
State ID 1200232
NORTH OGDEN, UT 84404
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
7-ELEVEN #23842, MKT 1606
416 EAST 2604 NORTH State ID 1200232
NORTH OGDEN UT 84404
23842
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
04/22/2025
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
150
2
20
3
UT151
David Mathie
NW1-2379191
Low Sulfur Diesel
TTNK4 Regular:1 TTNK5 Premium:1 TTNK6 Diesel:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2379191 Date:4/22/2025
Site Name/ID:7-ELEVEN #23842, MKT 1606
Address:416 EAST 2604 NORTH State ID 1200232
City:NORTH OGDEN State:UT Zip:84404
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 40 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

Technician Comments:
Technician Name:David Mathie
Signature:
Environmental Compliance for Petroleum Systems
©2025 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com
7-ELEVEN #23842, MKT 1606 7-ELEVEN, INC.
416 EAST 2604 NORTH State ID 1200232
NORTH OGDEN UT 84404
1200232
Tanknology, Inc.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
800-964-1250 04/22/2025
1 2 3
RUL PUL DSL
VR350 VR350 VR350
14881 7899 7060
90.5 90.5 90.5
UT151
David Mathie
416 EAST 2604 NORTH State ID 1200232
7-ELEVEN #23842, MKT 1606
416 EAST 2604 NORTH State ID 1200232, NORTH OGDEN, UT
8440423842
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
04/22/2025
ANNULAR ANNULAR FILL STP FILL STP FILL
RUL PUL/DSL RUL RUL PUL PUL DSL
UT151
David Mathie
416 EAST 2604 NORTH State ID 1200232
7-ELEVEN #23842, MKT 1606
416 EAST 2604 NORTH State ID 1200232, NORTH OGDEN, UT
8440423842
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
04/22/2025
STP UDC UDC UDC UDC
DSL 1/2 3/4 5/6 7/8
UT151
David Mathie
7-ELEVEN #23842, MKT 1606
416 EAST 2604 NORTH State ID
1200232NORTH OGDEN , UT 84404
1200232
Tanknology, Inc.
7-ELEVEN, INC.
972-828-7575
04/22/2025
P.O. BOX 711
DALLAS, TX 75221
1
RUL
5
OPW
2
PUL
5
OPW
3
DSL
5
OPW
16
1131
16
1231
1 HR
0
17
1131
17
1231
1 HR
0
17
1131
17
1231
1 HR
0
UT151
David Mathie
2 inch Pressure Decay Test
TP201.3

Store Information Testing Company
Site Name :7-ELEVEN #23842, MKT 1606 Name :TANKNOLOGY INC.
Address :416 EAST 2604 NORTH State ID 1200232
NORTH OGDEN, UT 84404
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 :8
Products per Nozzle :3
Tanks Manifolded ?No
Drop-Out tank present?NO
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)
TNK4 Regular
RUL
14881
10451
4430

12:14
2.00
1.99
1.98
1.97
1.96
1.95
1.80
Pass
TNK5 Premium
PUL
7899
5585
2314

12:24
2.00
1.96
1.92
1.88
1.84
1.80
1.62
Pass

Total

22780
16036
6744
All

Comments:

Tester :David Mathie Test Date :4/22/2025
Signature :Work Order :2379191

WO: 2379191
PVVC tested ==>RUL 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 20 0.0424 Pass
Low High Measured
Pos Cracking (in H2O)2.50 6.00 2.18 Fail
Neg Leak Rate (CFH)0.21 100 0.2120 Fail
Low High Measured
Neg Cracking (in H2O)-10.00 -6.00 -4.09 Fail
PVVC tested ==>RUL 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 5 0.0106 Pass
Low High Measured
Pos Cracking (in H2O)2.50 6.00 4.12 Pass
Neg Leak Rate (CFH)0.21 16 0.0339 Pass
Low High Measured
Neg Cracking (in H2O)-10.00 -6.00 -7.93 Pass
PVVC tested ==>PUL 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 25 0.0530 Fail
Low High Measured
Pos Cracking (in H2O)2.50 6.00 1.21 Fail
Neg Leak Rate (CFH)0.21 100 0.2120 Fail
Low High Measured
Neg Cracking (in H2O)-10.00 -6.00 -2.42 Fail
PVVC tested ==>PUL 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 3.88 Pass
Neg Leak Rate (CFH)0.21 18 0.0382 Pass
Low High Measured
Neg Cracking (in H2O)-10.00 -6.00 -7.86 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)
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: 0.0233
Total -ve LR: 0.0721

Test Date 4/22/2025
Technician Name David Mathie
WO #2379191
Facility Name / Loc #7-ELEVEN #23842, MKT 1606 23842
Street 416 EAST 2604 NORTH State ID 1200232
City, St, Zip NORTH OGDEN, UT 84404

Pressure Vacuum Vent Cap Test Form TP-201.1E

Site Diagram
(This site diagram is for reference only and is not drawn to scale)

Work Order:2379191
Site ID / Name:23842 / 7-ELEVEN #23842, MKT 1606
Address:416 EAST 2604 NORTH State ID 1200232
City:NORTH OGDEN State:UT Zip:84404
W.O.# NW1-2379191
+AAE-
I10100
APR 22, 2025 12:39 PM
168471 7-11 23842
2604 N 416 E
NO.OGDEN UT
84404
91265374605001
SYSTEM STATUS REPORT
ALL FUNCTIONS NORMAL
+AAMAAQ-
I90200
APR 22, 2025 12:39 PM
SOFTWARE REVISION LEVEL
VERSION 330.00
SOFTWARE+ACM-
346330-100-A
CREATED - 10.07.05.11.01
S-MODULE+ACM- 330160-102-A
SYSTEM FEATURES:

PERIODIC IN-TANK TESTS
ANNUAL IN-TANK TESTS
CSLD
BIR
+AAMAAQ-
I11B00
APR 22, 2025
12:39 PM
168471 7-11 23842
2604 N 416 E
NO.OGDEN UT 84404
91265374605001
SERVICE NOTICE SESSION REPORT
START TIME END TIME
APR 22, 2025 11:25 AM
APR 22, 2025 12:36 PM
APR 24, 2024 9:23 AM APR 24, 2024 11:04 AM
APR 26, 2023 9:26 AM
APR 26, 2023 11:40 AM
MAY 4, 2022 9:23 AM MAY 4, 2022 10:44 AM
MAY 24, 2021 9:59 AM
MAY 24, 2021 11:37 AM
MAY 26, 2020 9:03 AM MAY 26, 2020 10:16 AM
MAY 31, 2019 8:57 AM
MAY 31, 2019 9:56 AM
MAY 6, 2019 11:39 AM MAY 6, 2019 11:52 AM
JUN 11, 2018 9:48 AM
JUN 11, 2018 10:52 AM
JUN 14, 2017 9:53 AM JUN 14, 2017 10:56 AM
+AAMAAQ-
I20100
APR
22, 2025 12:40 PM
168471 7-11 23842
2604 N 416 E
NO.OGDEN UT 84404
91265374605001
IN-TANK INVENTORY
TANK PRODUCT VOLUME TC VOLUME
ULLAGE HEIGHT WATER TEMP
4 UNLEADED 10451 10485 4218 55.22
0.00 55.26
5 PREMIUM 5586 5608 1474 58.72 0.00 54.03
6
DIESEL 3410 3417 3398 45.26 0.00 54.94
+AAMAAQ-
I30100
APR
22, 2025 12:40 PM
168471 7-11 23842
2604 N 416 E
NO.OGDEN UT 84404
91265374605001
LIQUID STATUS REPORT
SENSOR LOCATION STATUS
1
UNL SUMP SENSOR NORMAL
2 PREM SUMP SENSOR NORMAL
3 DSL
SUMP SENSOR NORMAL
4 UNL FILL SUMP SENSOR NORMAL
5 PREM FILL
SUMP SENSOR NORMAL
6 DSL FILL SUMP SENSOR NORMAL
7 UNL INTERSTIAL
SENSOR NORMAL
8 DSL-PREM INTERSTIAL 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
+AAMAAQ-
I30200
APR 22, 2025 12:40
PM
168471 7-11 23842
2604 N 416 E
NO.OGDEN UT 84404
91265374605001
LIQUID ALARM HISTORY REPORT
SENSOR LOCATION
1 UNL SUMP
APR 22,
2025 12:00 PM FUEL ALARM
APR 24, 2024 10:02 AM FUEL ALARM
APR 26,
2023 10:12 AM FUEL ALARM
2 PREM SUMP
APR 22, 2025 12:04 PM
FUEL ALARM
APR 24, 2024 10:22 AM FUEL ALARM
APR 26, 2023 11:36 AM
FUEL ALARM
3 DSL SUMP
APR 22, 2025 12:08 PM FUEL ALARM

APR 24, 2024 10:22 AM FUEL ALARM
APR 26, 2023 11:06 AM FUEL ALARM

4 UNL FILL SUMP
APR 22, 2025 12:13 PM FUEL ALARM
APR 24, 2024
10:18 AM FUEL ALARM
FEB 8, 2024 4:12 PM FUEL ALARM
5 PREM FILL
SUMP
APR 22, 2025 12:19 PM FUEL ALARM
APR 22, 2025 12:17 PM
FUEL ALARM
APR 24, 2024 10:20 AM FUEL ALARM
6 DSL FILL SUMP

APR 22, 2025 12:15 PM FUEL ALARM
APR 2, 2025 11:27 AM FUEL ALARM

APR 2, 2025 11:26 AM FUEL ALARM
7 UNL INTERSTIAL
APR 22, 2025
11:35 AM FUEL ALARM
SEP 17, 2024 2:17 PM SENSOR OUT ALARM
SEP
17, 2024 2:04 PM FUEL ALARM
8 DSL-PREM INTERSTIAL
APR 22, 2025 11:38 AM
FUEL ALARM
APR 24, 2024 10:15 AM FUEL ALARM
DEC 7, 2023 11:28 AM
FUEL ALARM
9 DISP 1-2
APR 22, 2025 12:03 PM FUEL
ALARM
APR 24, 2024 9:40 AM FUEL ALARM
APR 26, 2023 9:58 AM FUEL
ALARM
10 DISP 3-4
APR 22, 2025 12:04 PM FUEL ALARM
APR
24, 2024 9:39 AM FUEL ALARM
APR 26, 2023 9:58 AM FUEL ALARM
11
DISP 5-6
APR 22, 2025 12:03 PM FUEL ALARM
APR 24, 2024 9:40
AM FUEL ALARM
APR 26, 2023 10:00 AM FUEL ALARM
12 DISP 7-8

APR 22, 2025 12:04 PM FUEL ALARM
APR 24, 2024 9:41 AM FUEL
ALARM
APR 26, 2023 9:59 AM FUEL ALARM
+AAMAAQ-
IA0120
APR 22, 2025 12:40
PM
+AAMAAQ-
IA0100
APR 22, 2025 12:40 PM
TYPE CODE LENGTH
SERIAL NO. D/CODE
TANK 4 UNLEADED MAG D004 96.00 330781 3974
TANK
5 PREMIUM MAG D004 96.00 328142 3974
TANK 6 DIESEL
MAG D004 96.00 326259 3974
+AAMAAQ-
934
TANK 4 SETUP CONDITIONS
PRODUCT:
UNLEADED
PRODUCT CODE 4
HIGH WATER LIMIT 1.5
OVERFILL LIMIT:
13393
HIGH PRODUCT LIMIT: 14137
LOW PRODUCT: 500
SUDDEN LOSS LIMIT:
40
LEAK LIMIT: 15
THERMAL COEFF: 0.000690
DELIVERY DELAY: 3
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:
-5.00
MANIFOLDED TANKS: NONE
TANK CONFIGURED: NO
+AAMAAQ-
935
TANK 5 SETUP
CONDITIONS
PRODUCT: PREMIUM
PRODUCT CODE 5
HIGH WATER LIMIT
1.5
OVERFILL LIMIT: 7060
HIGH PRODUCT LIMIT: 7060
LOW PRODUCT:
500
SUDDEN LOSS LIMIT: 40
LEAK LIMIT: 15
THERMAL COEFF:
0.000690
DELIVERY DELAY: 3
TANK FULL CAPACITY: 7899 0 0 0
0
3/4 HEIGHT CAPACITY: 6416 0 0 0 0
1/2 HEIGHT CAPACITY: 3955
0 0 0 0
1/4 HEIGHT CAPACITY: 1492 0 0 0 0
TANK
DIAMETER: 90.50
TANK TILT ADDER: 0.83
MANIFOLDED TANKS: NONE
TANK CONFIGURED:
NO
+AAMAAQ-
936
TANK 6 SETUP CONDITIONS
PRODUCT: DIESEL
PRODUCT CODE 6
HIGH WATER LIMIT 1.5
OVERFILL LIMIT: 6354
HIGH PRODUCT
LIMIT: 6707
LOW PRODUCT: 500
SUDDEN LOSS LIMIT: 40
LEAK LIMIT:
15
THERMAL COEFF: 0.000450
DELIVERY DELAY: 3
TANK FULL CAPACITY: 7060
0 0 0 0
3/4 HEIGHT CAPACITY: 5675 0 0 0 0
1/2
HEIGHT CAPACITY: 3535 0 0 0 0
1/4 HEIGHT CAPACITY: 1393 0
0 0 0
TANK DIAMETER: 90.50
TANK TILT ADDER: 0.64
MANIFOLDED TANKS:
NONE
TANK CONFIGURED: NO
+AAMAAQ-
I61100
APR 22, 2025 12:40 PM
LEAK TEST
METHOD
- - - - - - - - - - - -
TEST ON DATE : ALL TANK
OCT 29, 2010
START TIME :
DISABLED
TEST RATE :0.20 GAL/HR
DURATION : 2 HOURS
TST EARLY
STOP:DISABLED
+AAMAAQ-
I70300
APR 22, 2025 12:40 PM
LIQUID TYPE
SENSOR LOCATION
TYPE
1 UNL SUMP TRI-STATE (SINGLE FLOAT)
2 PREM SUMP
TRI-STATE (SINGLE FLOAT)
3 DSL SUMP TRI-STATE (SINGLE FLOAT)
4 UNL FILL
SUMP TRI-STATE (SINGLE FLOAT)
5 PREM FILL SUMP TRI-STATE (SINGLE FLOAT)

6 DSL FILL SUMP TRI-STATE (SINGLE FLOAT)
7 UNL INTERSTIAL TRI-STATE
(SINGLE FLOAT)
8 DSL-PREM INTERSTIAL 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 TRI-STATE (SINGLE FLOAT)
14
TRI-STATE (SINGLE FLOAT)
15 TRI-STATE (SINGLE FLOAT)
16
TRI-STATE (SINGLE FLOAT)
+AAMAAQ-
I10200
APR 22, 2025 12:40 PM
168471 7-11
23842
2604 N 416 E
NO.OGDEN UT 84404
91265374605001
SYSTEM
CONFIGURATION
SLOT BOARD TYPE POWER ON RESET CURRENT
1 UNUSED
7293292 7326297
2 4 PROBE / G.T. 163759
163573
3 4 PROBE / G.T. 164969 164906
4 INTERSTITIAL BD
202631 202439
5 INTERSTITIAL BD 202631
202369
6 UNUSED 7281353 7310071
7 UNUSED
7275613 7306443
8 UNUSED 7268694
7322581
9 UNUSED 7266792 7312192
10 UNUSED
7260724 7317249
11 UNUSED 7264042
7315710
12 UNUSED 7260790 7318590
13 UNUSED
7262688 7317535
14 UNUSED 7256708
7304233
15 UNUSED 7258367 7308916
16 UNUSED
7257996 7300165
COMM 1 ELEC DISP INT. 101320
101186
COMM 2 UNUSED 101432 7311752
COMM 3 SERIAL SAT BD
487435 483762
COMM 4 UNUSED 7264085
7308916
COMM 5 RS485 SERIAL BD 69060 68965
COMM 6 MT COMM BOARD
413340 412517
+AAM-