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RECEIVED <br /> SWRCB,January 2002 FINAL DRAFT �� i�a 9 Page 1 of 4 <br /> AFFILIATE <br /> PEI <br /> Thornton Environmental kruction ­enc. <br /> P.O. Box 360833 Milpitas, CA 95036-0833 <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.882 <br /> Facility Contact: Ashley Thomas I Phone: (925)423-4058 <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 Constriction,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 /> DIESEL TANK ANNULAR ® ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> DIESEL PIPING SUMP ® ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> DIESEL FOSIFOR Pipe Cont. ❑ ❑ M ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ = ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ I ❑ ❑ ❑ ❑ = ❑ <br /> ❑ ❑ I ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ I ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ I ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ El ❑ El ❑ ❑ ❑ <br /> ❑ El LE El El El El L1❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> Comments—If hvdrostatic 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 /> i <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: 7-22-2020 <br /> i <br /> I <br />