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SWRCB. January 2002 FINAL DRAFT • Page 1 of 7 <br />FI LIATE <br />Thornton Environmental Construction Inc. ul-ij <br />P.O. Box 360833 Milpitas, CA 95036-0833 <br />Phone (408) 946-1015 9 (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: 8-11-2008 <br />Facility address: Corral Hollow Road, Tracy, CA 95376 Bldg. 879 <br />Facility Contact: Jose Pineda Phone: (925) 423-6626 <br />Date Local Agency was Notified of Testing: 7-24-2008 <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 <br />ICC# 5289253 -UT <br />Manufacturer Training <br />Manufacturer Component <br />Date Training Expires <br />Veeder-Root Leak Monitor <br />07-21-2009 <br />Ronan Leak Monitor <br />03-11-2010 <br />Incon Leak Monitor <br />06-04-2009 <br />Caldwell Sunip Level Change Indicator <br />3. SUMMARY OF TEST RESULTS <br />Component Pass Fail Not Repairs Component <br />Tested Made <br />One time training <br />Pass Fail Not Repairs <br />Tested Made <br />879-G3U1 TANK ANNULAR <br />879-G3U1 PIPING CONT. Ty <br />879-G3U1 PIPING SUMP El <br />El <br />879-G3U1 UDC 1-2 <br />879-G3U1 UDC 3-4 <br />879-DIU1 TANK ANNULAR <br />879-DIU1 PIPING CONT. <br />879-D I U I PIPING SUMP <br />El I El I El <br />879-DIU1 UDC 5 <br />El I El El I <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: X ����— Date: <br />