DERR-2024-005696

IMPACT VALVE
LEAK DETECTOR
Line Tightness Test
MONITOR CERTIFICATION
11000 N. MoPac Expressway, Suite 500
Austin, Texas 78759
Phone: [phone]
Fax: [phone] Date Printed and Mailed: 4/5/2024
UTAH DEPARTMENT OF ENV. QUALITY
UST
PO Box 144840
SALT LAKE CITY, UT 84114
Test Date: 4/4/2024
Order Number: 2366000
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-Eleven 36341
1730 W 400 S
State ID 1000769
Springville, UT 84663
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
Product Line Tightness Test Page 1 of 1
Work Order: 2366000 Date: 4/4/2024
Site Name/ID: 7-Eleven 36341 / 36341
Address: 1730 W 400 S State ID 1000769
City: Springville State: UT Zip: 84663
Tank Information
Test Method
Customer Tank ID
Product Name
Delivery Type
Test Pressure (psi)
Test Start Time
Test End Time
Final Leak Rate (gph)
Test Result(P/F/I)
Test was performed per
3rd party certifications as
specified in 40 CFR parts
280 and 281
Tank # 1
Line # 1
TLD-1
T1 Regular
RUL
Pressure
50
09:33
10:33
0.00
Pass
Yes
Tank # 2
Line # 1
TLD-1
T2 Premium
PUL
Pressure
50
09:33
10:33
0.00
Pass
Yes
Tank # 3
Line # 1
TLD-1
T3 Diesel
Diesel
Pressure
50
09:33
10:33
0.00
Pass
Yes
Tank #
Line #

Tank #
Line #

Tank #
Line #

Technician Comments: UT151
Technician Name:David Mathie Certification #:41442 exp:
10/20/2025
Technician Signature:

Environmental Compliance for Petroleum Systems
©2024 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com
7-Eleven 36341
1730 W 400 S State ID 1000769
Springville UT 84663
36341
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
04/04/2024
RUL PUL
Vaporless LD-
2000
Vaporless LD-
2000
Vaporless LD-
2000LD2000LD2000D2000
30
30
175
2
20
3
30
30
175
2
20
3
32
32
100
2
20
3
UT151
David Mathie
NW1-2366000
Diesel
TT1 Regular:1 TT2 Premium:1 TT3 Diesel:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2366000 Date:4/4/2024
Site Name/ID:7-Eleven 36341
Address:1730 W 400 S State ID 1000769
City:Springville State:UT Zip:84663
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 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 40 Pass Fail Not Tested
9/10 85 Pass Fail Not Tested
9/10 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 36341 7-ELEVEN, INC.
1730 W 400 S State ID 1000769
Springville UT 84663
1000769
Tanknology, Inc.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
800-964-1250 04/04/2024
1 2 3
RUL PUL DSL
VR350 VR350 VR350
11475 11342 7773
90.10 90.16 90.16
75.75 75.75 75.5
1.5 1.5 1.5
UT151
David Mathie
Site Diagram
(This site diagram is for reference only and is not drawn to scale)

Work Order:2366000
Site ID / Name:36341 / 7-Eleven 36341
Address:1730 W 400 S State ID 1000769
City:Springville State:UT Zip:84663
W.O.# NW1-2366000
+AAE-
I10100
APR 4, 2024 11:00 AM
191306 7-11 36341
1730 W 400 S
SPRINGVILLE UT
H03186337405008
SYSTEM STATUS REPORT
ALL FUNCTIONS NORMAL
+AAMAAQ-
I90200
APR 4, 2024 11:00 AM
SOFTWARE REVISION LEVEL
VERSION 333.02
SOFTWARE+ACM- 346333-100-C
CREATED - 12.08.10.11.22
S-MODULE+ACM- 330160-102-A
SYSTEM FEATURES:
PERIODIC IN-TANK TESTS
ANNUAL IN-TANK TESTS
CSLD
BIR
+AAMAAQ-
I11B00
APR 4, 2024 11:01 AM
191306 7-11 36341
1730 W 400 S
SPRINGVILLE UT
H03186337405008
SERVICE NOTICE SESSION REPORT
START TIME END TIME
APR 4, 2024 8:58 AM APR 4, 2024 10:54 AM
+AAMAAQ-
I20100
APR 4, 2024 11:01 AM
191306 7-11 36341
1730 W 400 S
SPRINGVILLE UT
H03186337405008
IN-TANK INVENTORY
TANK PRODUCT VOLUME TC VOLUME ULLAGE HEIGHT WATER TEMP
1 UNLEADED 6314 6340 5161 48.58 0.00 53.88
2 PREMIUM 7592 7613 3750 56.94 0.00 55.87
3 DIESEL 1862 1864 5911 25.83 0.00 57.29
+AAMAAQ-
I20600
APR 4, 2024 11:01 AM
191306 7-11 36341
1730 W 400 S
SPRINGVILLE UT
H03186337405008
TANK ALARM HISTORY
TANK 1 UNLEADED
HIGH WATER ALARM APR 4, 2024 9:37 AM
OVERFILL ALARM APR 4, 2024 9:50 AM
MAR 3, 2024 8:49 AM
HIGH WATER WARNING APR 4, 2024 9:37 AM
DELIVERY NEEDED APR 4, 2024 9:34 AM
TANK 2 PREMIUM
HIGH WATER ALARM APR 4, 2024 9:38 AM
OVERFILL ALARM APR 4, 2024 9:52 AM
HIGH WATER WARNING APR 4, 2024 9:38 AM
DELIVERY NEEDED APR 4, 2024 9:35 AM
LOW TEMP WARNING APR 4, 2024 10:01 AM
TANK 3 DIESEL
HIGH WATER ALARM APR 4, 2024 10:02 AM
OVERFILL ALARM APR 4, 2024 10:06 AM
PROBE OUT APR 4, 2024 9:37 AM
HIGH WATER WARNING APR 4, 2024 10:02 AM
DELIVERY NEEDED FEB 29, 2024 9:08 AM
LOW TEMP WARNING APR 4, 2024 10:09 AM
TANK 5
TANK 6
TANK 7
TANK 8
TANK 9
TANK 10
TANK 11
TANK 12
TANK 13
TANK 14
TANK 15
TANK 16
+AAMAAQ-
I20700
APR 4, 2024 11:01 AM
191306 7-11 36341
1730 W 400 S
SPRINGVILLE UT
H03186337405008
TANK LEAK TEST HISTORY
T 1:UNLEADED
LAST GROSS TEST PASSED:
NO TEST PASSED
LAST ANNUAL TEST PASSED:
NO TEST PASSED
FULLEST ANNUAL TEST PASS
NO TEST PASSED
LAST PERIODIC TEST PASS:
TEST START TIME HOURS VOLUME +ACU- VOLUME TEST TYPE
APR 4, 2024 3:57 AM 25 8083 70.4 CSLD
FULLEST PERIODIC TEST
PASSED EACH MONTH:
TEST START TIME HOURS VOLUME +ACU- VOLUME TEST TYPE
JAN 30, 2024 2:59 AM 21 8448 73.6 CSLD
FEB 11, 2024 2:20 AM 23 8565 74.6 CSLD
MAR 18, 2024 4:25 AM 27 8273 72.1 CSLD
APR 4, 2024 2:41 AM 25 8083 70.4 CSLD
DEC 30, 2023 5:42 AM 26 8247 71.9 CSLD
TANK LEAK TEST HISTORY
T 2:PREMIUM
LAST GROSS TEST PASSED:
NO TEST PASSED
LAST ANNUAL TEST PASSED:
NO TEST PASSED
FULLEST ANNUAL TEST PASS
NO TEST PASSED
LAST PERIODIC TEST PASS:
TEST START TIME HOURS VOLUME +ACU- VOLUME TEST TYPE
APR 4, 2024 3:57 AM 33 6577 58.0 CSLD
FULLEST PERIODIC TEST
PASSED EACH MONTH:
TEST START TIME HOURS VOLUME +ACU- VOLUME TEST TYPE
JAN 29, 2024 11:16 PM 25 6309 55.6 CSLD
FEB 25, 2024 7:44 AM 28 6884 60.7 CSLD
MAR 6, 2024 2:30 AM 28 7367 65.0 CSLD
APR 4, 2024 3:57 AM 33 6577 58.0 CSLD
DEC 29, 2023 5:56 AM 29 5761 50.8 CSLD
TANK LEAK TEST HISTORY
T 3:DIESEL
LAST GROSS TEST PASSED:
NO TEST PASSED
LAST ANNUAL TEST PASSED:
NO TEST PASSED
FULLEST ANNUAL TEST PASS
NO TEST PASSED
LAST PERIODIC TEST PASS:
TEST START TIME HOURS VOLUME +ACU- VOLUME TEST TYPE
APR 4, 2024 7:29 AM 32 3528 45.4 CSLD
FULLEST PERIODIC TEST
PASSED EACH MONTH:
TEST START TIME HOURS VOLUME +ACU- VOLUME TEST TYPE
JAN 17, 2024 10:38 PM 29 4806 61.8 CSLD
FEB 9, 2024 12:09 PM 33 5124 65.9 CSLD
MAR 23, 2024 12:45 AM 31 4497 57.9 CSLD
APR 4, 2024 7:29 AM 32 3528 45.4 CSLD
DEC 22, 2023 1:19 AM 31 5643 72.6 CSLD
+AAMAAQ-
I11900
APR 4, 2024 11:03 AM
191306 7-11 36341
1730 W 400 S
SPRINGVILLE UT
H03186337405008
MAINTENANCE HISTORY
TYPE DATE/TIME DESCRIPTION
LOGOUT APR 4, 2024 10:55 AM D MATHIE A27397
LOGIN APR 4, 2024 10:54 AM D MATHIE A27397
LOGOUT APR 4, 2024 10:30 AM D MATHIE A27397
ALARM CLEAR APR 4, 2024 10:09 AM T 3:OVERFILL ALARM
ALARM ACTIVE APR 4, 2024 10:06 AM T 3:OVERFILL ALARM
LOGIN APR 4, 2024 10:03 AM D MATHIE A27397
ALARM CLEAR APR 4, 2024 9:58 AM T 2:OVERFILL ALARM
ALARM CLEAR APR 4, 2024 9:56 AM T 1:OVERFILL ALARM
ALARM ACTIVE APR 4, 2024 9:52 AM T 2:OVERFILL ALARM
ALARM ACTIVE APR 4, 2024 9:50 AM T 1:OVERFILL ALARM
LOGOUT APR 4, 2024 9:14 AM D MATHIE A27397
LOGIN APR 4, 2024 8:58 AM D MATHIE A27397
TANK TEST MAR 23, 2024 12:45 AM T 3 PERIODIC TEST PASS
TANK TEST MAR 6, 2024 2:30 AM T 2 PERIODIC TEST PASS
TANK TEST MAR 18, 2024 4:25 AM T 1 PERIODIC TEST PASS
ALARM CLEAR MAR 3, 2024 8:56 AM T 1:OVERFILL ALARM
ALARM ACTIVE MAR 3, 2024 8:49 AM T 1:OVERFILL ALARM
TANK TEST FEB 9, 2024 12:09 PM T 3 PERIODIC TEST PASS
TANK TEST FEB 25, 2024 7:44 AM T 2 PERIODIC TEST PASS
TANK TEST FEB 11, 2024 2:20 AM T 1 PERIODIC TEST PASS
TANK TEST JAN 17, 2024 10:38 PM T 3 PERIODIC TEST PASS
TANK TEST JAN 29, 2024 11:16 PM T 2 PERIODIC TEST PASS
TANK TEST JAN 30, 2024 2:59 AM T 1 PERIODIC TEST PASS
TANK TEST DEC 22, 2023 1:19 AM T 3 PERIODIC TEST PASS
TANK TEST DEC 29, 2023 5:56 AM T 2 PERIODIC TEST PASS
TANK TEST DEC 30, 2023 5:42 AM T 1 PERIODIC TEST PASS
NO MT COMM CARD DEC 1, 2023 12:00 AM
TANK TEST NOV 23, 2023 9:04 AM T 3 PERIODIC TEST PASS
TANK TEST NOV 30, 2023 1:26 AM T 2 PERIODIC TEST PASS
TANK TEST NOV 22, 2023 2:34 AM T 1 PERIODIC TEST PASS
TANK TEST OCT 1, 2023 12:15 AM T 3 PERIODIC TEST PASS
TANK TEST OCT 1, 2023 12:47 AM T 2 PERIODIC TEST PASS
TANK TEST OCT 22, 2023 1:22 AM T 1 PERIODIC TEST PASS
TANK TEST SEP 29, 2023 3:34 PM T 3 PERIODIC TEST PASS
TANK TEST SEP 19, 2023 6:03 AM T 2 PERIODIC TEST PASS
TANK TEST SEP 2, 2023 8:00 AM T 1 PERIODIC TEST PASS
TANK TEST AUG 19, 2023 9:10 PM T 3 PERIODIC TEST PASS
TANK TEST AUG 31, 2023 4:19 AM T 2 PERIODIC TEST PASS
TANK TEST AUG 17, 2023 4:14 AM T 1 PERIODIC TEST PASS
ALARM CLEAR AUG 24, 2023 11:22 PM T 3:OVERFILL ALARM
ALARM ACTIVE AUG 24, 2023 11:14 PM T 3:OVERFILL ALARM
TANK TEST JUL 31, 2023 8:46 PM T 3 PERIODIC TEST PASS
TANK TEST JUL 2, 2023 5:12 AM T 2 PERIODIC TEST PASS
TANK TEST JUL 7, 2023 5:04 AM T 1 PERIODIC TEST PASS
ALARM CLEAR JUL 22, 2023 9:46 AM T 1:OVERFILL ALARM
ALARM ACTIVE JUL 22, 2023 9:40 AM T 1:OVERFILL ALARM
TANK TEST JUN 26, 2023 10:12 PM T 3 PERIODIC TEST PASS
TANK TEST JUN 25, 2023 9:34 AM T 2 PERIODIC TEST PASS
TANK TEST JUN 12, 2023 3:12 AM T 1 PERIODIC TEST PASS
ALARM CLEAR JUN 9, 2023 8:38 PM T 1:OVERFILL ALARM
ALARM ACTIVE JUN 9, 2023 8:28 PM T 1:OVERFILL ALARM
TANK TEST MAY 20, 2023 5:01 PM T 3 PERIODIC TEST PASS
TANK TEST MAY 31, 2023 4:36 AM T 2 PERIODIC TEST PASS
TANK TEST MAY 29, 2023 5:53 AM T 1 PERIODIC TEST PASS
NO MT COMM CARD MAY 1, 2023 12:00 AM
TANK TEST APR 3, 2023 7:36 PM T 3 PERIODIC TEST PASS
TANK TEST APR 28, 2023 3:30 AM T 2 PERIODIC TEST PASS
TANK TEST APR 21, 2023 1:09 AM T 1 PERIODIC TEST PASS
LOGOUT APR 5, 2023 11:37 AM D MATHIE A27397
ALARM CLEAR APR 5, 2023 10:31 AM T 3:OVERFILL ALARM
ALARM CLEAR APR 5, 2023 10:31 AM T 2:OVERFILL ALARM
ALARM CLEAR APR 5, 2023 10:28 AM T 1:OVERFILL ALARM
ALARM ACTIVE APR 5, 2023 10:25 AM T 3:OVERFILL ALARM
ALARM ACTIVE APR 5, 2023 10:25 AM T 2:OVERFILL ALARM
ALARM ACTIVE APR 5, 2023 10:23 AM T 1:OVERFILL ALARM
LOGIN APR 5, 2023 9:11 AM D MATHIE A27397
TANK TEST MAR 30, 2023 2:42 PM T 3 PERIODIC TEST PASS
TANK TEST MAR 23, 2023 4:40 AM T 2 PERIODIC TEST PASS
TANK TEST MAR 6, 2023 1:08 AM T 1 PERIODIC TEST PASS
TANK TEST FEB 2, 2023 12:39 AM T 3 PERIODIC TEST PASS
TANK TEST FEB 1, 2023 1:04 AM T 2 PERIODIC TEST PASS
TANK TEST FEB 6, 2023 3:07 AM T 1 PERIODIC TEST PASS
+AAMAAQ-
IA0100
APR 4, 2024 11:03 AM
TYPE CODE LENGTH SERIAL NO. D/CODE
TANK 1 UNLEADED MAG D004 96.00 585252 1614
TANK 2 PREMIUM MAG D004 96.00 344811 4874
TANK 3 DIESEL MAG D004 96.00 276945 1274
+AAMAAQ-
931
TANK 1 SETUP CONDITIONS
PRODUCT: UNLEADED
PRODUCT CODE 1
HIGH WATER LIMIT 1.5
OVERFILL LIMIT: 10327
HIGH PRODUCT LIMIT: 10901
LOW PRODUCT: 600
SUDDEN LOSS LIMIT: 25
LEAK LIMIT: 15
THERMAL COEFF: 0.000690
DELIVERY DELAY: 5
TANK FULL CAPACITY: 11475 11272 10903 10430 9881
3/4 HEIGHT CAPACITY: 9272 8616 7925 7208 6474
1/2 HEIGHT CAPACITY: 5732 4990 4256 3539 2848
1/4 HEIGHT CAPACITY: 2193 1585 1037 566 199
TANK DIAMETER: 90.10
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 1.5
OVERFILL LIMIT: 10207
HIGH PRODUCT LIMIT: 10775
LOW PRODUCT: 600
SUDDEN LOSS LIMIT: 25
LEAK LIMIT: 15
THERMAL COEFF: 0.000690
DELIVERY DELAY: 5
TANK FULL CAPACITY: 11342 11149 10790 10327 9787
3/4 HEIGHT CAPACITY: 9186 8537 7853 7142 6413
1/2 HEIGHT CAPACITY: 5676 4939 4211 3499 2814
1/4 HEIGHT CAPACITY: 2165 1564 1022 559 198
TANK DIAMETER: 90.16
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 1.5
OVERFILL LIMIT: 6995
HIGH PRODUCT LIMIT: 7384
LOW PRODUCT: 600
SUDDEN LOSS LIMIT: 25
LEAK LIMIT: 15
THERMAL COEFF: 0.000450
DELIVERY DELAY: 5
TANK FULL CAPACITY: 7773 7654 7411 7095 6727
3/4 HEIGHT CAPACITY: 6318 5878 5413 4930 4436
1/2 HEIGHT CAPACITY: 3936 3435 2939 2454 1985
1/4 HEIGHT CAPACITY: 1539 1123 746 419 159
TANK DIAMETER: 90.16
TANK TILT ADDER: 0.00
MANIFOLDED TANKS: NONE
TANK CONFIGURED: NO
+AAMAAQ-
I62A00
APR 4, 2024 11:04 AM
ANNUAL LEAK TEST MIN VOLUME
TANK PRODUCT LABEL GALLONS
1 UNLEADED 5813
2 PREMIUM 5813
3 DIESEL 3914
4 0
+AAMAAQ-
I63600
APR 4, 2024 11:04 AM
PERIODIC LEAK TEST MIN VOLUME
TANK PRODUCT LABEL GALLONS
1 UNLEADED 2906
2 PREMIUM 2906
3 DIESEL 1957
4 0
+AAMAAQ-
I61100
APR 4, 2024 11:04 AM
LEAK TEST METHOD
- - - - - - - - - - - -
TEST CSLD : ALL TANK
Pd +AD0- 95+ACU-
CLIMATE FACTOR:MODERATE
REPORT ONLY:
DISABLED
TST EARLY STOP:DISABLED
+AAMAAQ-
I10200
APR 4, 2024 11:04 AM
191306 7-11 36341
1730 W 400 S
SPRINGVILLE UT
H03186337405008
SYSTEM CONFIGURATION
SLOT BOARD TYPE POWER ON RESET CURRENT
1 4 PROBE / G.T. 162524 162386
2 UNUSED 15000000 15000000
3 UNUSED 15000000 15000000
4 UNUSED 15000000 15000000
5 UNUSED 15000000 15000000
6 UNUSED 15000000 15000000
7 UNUSED 15000000 15000000
8 UNUSED 15000000 15000000
9 UNUSED 15000000 15000000
10 UNUSED 15000000 15000000
11 UNUSED 15000000 15000000
12 UNUSED 15000000 15000000
13 UNUSED 15000000 15000000
14 UNUSED 15000000 15000000
15 UNUSED 15000000 15000000
16 UNUSED 15000000 15000000
COMM 1 ELEC DISP INT. 100110 100083
COMM 2 ELEC DISP INT. 100333 100329
COMM 3 SERIAL SAT BD 478691 478666
COMM 4 UNUSED 15000000 15000000
COMM 5 RS485 SERIAL BD 68202 68185
COMM 6 MT COMM BOARD 406960 406665
+AAM-