DERR-2024-006256

IMPACT VALVE
LEAK DETECTOR
MONITOR CERTIFICATION
11000 N. MoPac Expressway, Suite 500
Austin, Texas 78759
Phone: [phone]
Fax: [phone] Date Printed and Mailed: 4/12/2024
UTAH DEPARTMENT OF ENV. QUALITY
UST
PO Box 144840
SALT LAKE CITY, UT 84114
Test Date: 4/8/2024
Order Number: 2366031
Dear Regulator,
Enclosed are the results of recent testing performed at the following facility:
7-ELEVEN 41643
4184 E Pony Express Pkwy
State ID 1000973
Eagle Mountain, UT 84005
Testing performed:
Sincerely,
Dawn Kohlmeyer
Manager, Field Reporting
7-ELEVEN 41643
4184 E Pony Express Pkwy State ID 1000973
Eagle Mountain UT 84005
41643
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
04/08/2024
RUL PREMIUM
Vaporless LD-
2000
Vaporless LD-
2000
Vaporless LD-
2000LD2000LD2000LD2000
30
30
140
2
20
3
30
30
140
2
20
3
32
32
110
2
20
3
UT151
David Mathie
NW1-2366031
Diesel
TRUL:1 TPUL:1 TDSL:1
Impact Valve
Inspection
Impact Valve Operational
Inspection
Work Order:2366031 Date:4/8/2024
Site Name/ID:7-ELEVEN 41643
Address:4184 E Pony Express Pkwy State ID 1000973
City:Eagle Mountain State:UT Zip:84005
How Inspected: Line Test NFPA 30A PEI RP1200 Other STP PRSSURE
Dispenser
Number Grade
Secure
Mount?
Valve
Lock?Pass/ Fail Comments
1/2 40 Pass Fail Not Tested
1/2 85 Pass Fail Not Tested
1/2 90 Pass Fail Not Tested
3/4 85 Pass Fail Not Tested
3/4 90 Pass Fail Not Tested
5/6 85 Pass Fail Not Tested
5/6 90 Pass Fail Not Tested
7/8 85 Pass Fail Not Tested
7/8 90 Pass Fail Not Tested
9/10 40 Pass Fail Not Tested
9/10 85 Pass Fail Not Tested
9/10 90 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 41643 7-ELEVEN, INC.
4184 E Pony Express Pkwy State ID 1000973
Eagle Mountain UT 84005
1000973
Tanknology, Inc.
P.O. BOX 711
DALLAS TX 75221
972-828-7575
800-964-1250 04/08/2024
1 2 3
RUL PUL DSL
VR350 VR350 VR350
19728 7901 11904
118.38 118.38 118.38
UT151
David Mathie
4184 E Pony Express Pkwy State ID 1000973
7-ELEVEN 41643
4184 E Pony Express Pkwy State ID 1000973, Eagle Mountain, UT
8400541643
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
04/08/2024
ANNULAR ANNULAR SB FILL STP SB FILL STP DSL
RUL PUL/DSL RUL RUL PUL PUL SB FILL
UT151
David Mathie
4184 E Pony Express Pkwy State ID 1000973
7-ELEVEN 41643
4184 E Pony Express Pkwy State ID 1000973, Eagle Mountain, UT
8400541643
Tanknology, Inc.
7-ELEVEN, INC.
P.O. BOX 711
DALLAS, TX 75221
972-828-7575
04/08/2024
STP UDC UDC UDC UDC UDC
DSL 1/2 3/4 5/6 7/8 9/10
UT151
David Mathie
Site Diagram
(This site diagram is for reference only and is not drawn to scale)

Work Order:2366031
Site ID / Name:41643 / 7-ELEVEN 41643
Address:4184 E Pony Express Pkwy State ID 1000973
City:Eagle Mountain State:UT Zip:84005