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t , <br /> SWRCB,January 2002 • FINAL DRAFT • Page 1 of 7 <br /> AFFILIATE <br /> JL <br /> Thornton Environmental Construction Inc. PEI <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 Date of Testing: 8-03-2011 <br /> Facility address: Corral Hollow Road,Tracy,CA 95376 Bldg,879 <br /> Facility Contact: Jose Pineda Phone: (925)423-0626 <br /> Date Local Agency was Notified of Testing: 7-27-2011 <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 06-20-2013 <br /> Ronan Leak Monitor 05-21-2012 <br /> USD Leak Monitor 09-27-2011 <br /> Caldwell Sump Level Change Indicator One time training <br /> 3. SUMMARY OF TEST RESULTS <br /> Component PassFail Not Repairs Component Pass Fail Not Repairs <br /> Tested Made Tested Made <br /> 879-G3U1 TANK ANNULAR ® ❑ <br /> 879-G3U1 PIPING CONT. ® ❑ El <br /> 879-G3U1 PIPING SUMP ❑ ❑ <br /> 879-G3U1 UDC 1-2 ❑ El I El D <br /> 879-G3U1 UDC 3-4 ® D E] El 011101 ❑ El <br /> 879-DIUI TANK ANNULAR ❑ F1 El ❑ ❑ El <br /> 879-D IU 1 PIPING CONT. ® E] 11 <br /> 879-DlU1 PIPING SUMP ® 1:1 El ;E01 ❑ ❑ ❑ <br /> 879-DIUI UDC 5 ❑ ❑ El 1:1 <br /> Q El El o <br /> ❑ I ❑ I rV ❑ ❑ ❑ <br /> ❑ 10 1 ❑ 1 L1 1 10 ❑ ❑ ❑ <br /> Comments—If hydrostatic testing was performed,describe what was done with the water after completion of test(s). <br /> Test water is being reused at other sites and will be 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: - Date: 8-03-2011 <br />