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HECEIVED <br /> SWRCB,January 2002 FINAL DRAFT AUG j g «i2J Page_L of 5 <br /> wPFuwre <br /> Thornton Environmental C'6!i§ e- o rl=. IIIIIISSS <br /> P.O. Box 360833 Milpitas, CA 950 e TP,4ENT <br /> Phone(408)946-1015•(209)834-0792•Fax(209)834-0795 <br /> Secondary Containment Test Report <br /> 1. FACILITY INFORMATION <br /> Facility Name: Lawrence Livermore National Laboratory Site 300 1 Date of Testing: 7-22-2020 <br /> Facility address: 15999 W.Corral Hollow Road,Tracy, CA 95376 Bldg.879 <br /> Facility Contact: Ashley Thomas I Phone: (925)4234058 <br /> Date Local Agency was Notified of Testing: Notification by LLNL <br /> Name of Local Agency Inspector(if present during testing): <br /> 2. TESTING CONTRACTOR INFORMATION <br /> Company Name: Thornton Environmental Construction,Inc. <br /> Technician Conducting Test: Brian Thornton <br /> Credentials: ® CSLB Licensed Contractor ❑ SWRCB Licensed Tank Tester <br /> License Type: A,C-10,HAZ License Number:724513 ICC#5024962-UT <br /> Manufacturer Training <br /> Manufacturer Component Date Training Expires <br /> Veeder-Root Leak Monitor 05-20-2021 <br /> Ronan Leak Monitor 11-06-2020 <br /> INCON Leak Monitor 08-12-2021 <br /> Caldwell Sump Level Change Indicator 05-11-2023 <br /> 3. SUMMARY OF TEST RESULTS <br /> Component Pass Fail Not Repairs Component Pass Fail Not Repairs <br /> Tested Made Tested Made <br /> UNLEADED TANK ANNULAR ® ❑ ❑ ❑ == ❑ <br /> UNLEADED PIPING CONT. ® ❑ ❑ ❑ == ❑ <br /> UNLEADED PIPING SUMP ❑ ❑ ❑ ❑ ❑ 11 17 <br /> UNLEADED UDC 1 ❑ ❑ <br /> UNLEADED UDC 2 ❑ ❑ ❑ 1 ❑ <br /> DIESEL TANK ANNULAR ❑ ❑ I ❑ ❑ ❑ ❑ 10 <br /> DIESEL PIPING ❑ ❑ ® 1 ❑ ❑ ❑ 0 ❑ <br /> DIESEL PIPING SUMP 0 1 1 ❑ ❑ ❑ ❑ <br /> DIESEL UDC 3 1E 0 1 ❑ ❑ El ❑ <br /> ❑ 0 1 ❑ 1 ❑❑ ❑❑ O 0 <br /> ❑ 01 ❑ I ❑ I ❑ ❑ ❑ 10 <br /> Comments–If hydrostatic testing was performed,describe what was done with the water after completion of test(s). <br /> Test water is reused controlled and disposed of by LLNL. <br /> CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING <br /> To the best of my knowledge,the facts stated in this document are accurate and in full compliance with legal requirements. <br /> Technician's Name(Please Print): Brian Thornton <br /> Technician's Signature: e _;T f— Date: r 7-22-2020 <br />