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3600 - Recreational Health Program
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PR0360557
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COMPLIANCE INFO
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Last modified
4/28/2021 2:15:09 PM
Creation date
4/28/2021 2:12:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3600 - Recreational Health Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0360557
PE
3611
FACILITY_ID
FA0003201
FACILITY_NAME
WOODBRIDGE GREENS HOMEOWNERS
STREET_NUMBER
19052
STREET_NAME
CYPRESS RUN
City
WOODBRIDGE
Zip
95258
APN
01529050
CURRENT_STATUS
01
SITE_LOCATION
19052 CYPRESS RUN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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Virginia Graeme Baker Certification <br />For the property located at A2<__--2 4"-:4 v e /2i �_ h a :; <br /><T County, California, f hereby cert th0pursuant to the Virginia Graeme BakerPool <br />Spa Safety Act (Federal Law), that an Anti -entrapment cover meeting the current standards of the <br />American Society of Mechanical Engineers ASME/ANSI standard A 112.19.8-2007 has been installed <br />per the manufacturer's instructions on the: <br />Swimming Pool <br />❑ Spa <br />❑ Wading/toddler pool <br />Pump: Make/Modelo _ p.rrg <br />uP ;Flow ,qPc4am <br />Manufacturer of approved cover: <br />Cover bears the following arkings: <br />Model/Part Number: ' GPM rating: Floor; Wall� <br />2e"VGB 2008", -3akf FZ--xKX- <br />'N—"ASME/ANSI standard A 112.19.8-2007", <br />"Life": <br />Additional information: 0 ��% <br />Main drain/Jet suction pipe size was found to be --;L inches. Cover screws are S h�� color. <br />,AK Single drain <br />❑ Dual main drain(s) Main drain(s) sump depthinches <br />Skimmer equalizer line(s) pipe size were found to be 2 inc es <br />y'Single drain <br />❑ Dual Skimmer equalizer line(s) Skimmer equalizer line(s) sump depth )�+ �IncheS <br />.A-� Skimmers are connected with single line to pump. <br />❑ Skimmers are separately valved before pump and can be isolated. <br />I declare that I hold an active California State Contractors license #/ J / - , with the necessary <br />classifications; C-53, Swimming Pool Builder and/or C -61/D-35, Swimming Pool & Spa Maintenance & <br />Repair. <br />J // , - Z, /Y 491 X/Z <br />Signatu a Print name Ddt installed <br />Public Law: 110-140 December 19, 2007 as Printed in the Federal Register <br />(b) DRAIN COVER STANDARD. Effective 1 year after the date of enactment of this title, each <br />swimming pool or spa drain cover manufactured, distributed, or entered into commerce in the <br />United States shall conform to the entrapment protection standards of the ASME/ANSI <br />A112.19.8 performance standard, or any successor standard regulating such swimming pool or <br />drain cover. <br />(c) PUBLIC POOLS.— <br />(1) REQUIRED EQUIPMENT.— <br />(A) IN GENERAL.—Beginning 1 year after the date of enactment of this title— <br />(i) Each public pool and spa in the United States shall be equipped with anti -entrapment <br />devices or systems that comply with the ASME/ANS/ A112.19.8 performance standard, or any <br />successor standard. <br />NOTE: Use one form for each pump. <br />
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