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TULE ISLAND RIVER
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1600 - Food Program
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PR0360598
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COMPLIANCE INFO
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Last modified
6/3/2021 2:52:59 PM
Creation date
6/3/2021 2:49:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0360598
PE
3611
FACILITY_ID
FA0003027
FACILITY_NAME
DELTA YACHT CLUB
STREET_NUMBER
0
STREET_NAME
TULE ISLAND RIVER
STREET_TYPE
RD
City
STOCKTON
Zip
95219
APN
12912001
CURRENT_STATUS
01
SITE_LOCATION
TULE ISLAND RIVER RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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04/16/2009 THU 8:58 FAX -94683433 SJC 6HD <br /> INSTALLATION CFRTIFICA•i .JN <br /> VGB SAFETY VACUUM RELEASE SYSTEM (SVRS) <br /> I+6 <br /> NOTE: use one form for each pump. D(,k T <br /> 1 � ' r/ N <br /> For the property located at 30 1� h C <br /> County, California, I hereby certify that pursuant to Federal law: Virginia raeme Baker <br /> Pool &Spa Safety Act,that an SVRS meeting the current standards of the American Society of <br /> Mechanical Engineers ASME/ANSI standard A 112,19.17 or ATSM F2387 has been installed per the <br /> manufacturer's instructions on the: <br /> s( Swimming Pool <br /> • Spa <br /> a Wading/toddlerpool II <br /> ftG S U ; <br /> Existing Pump: Make/Model Flow(gpm)_-4 --•- <br /> � <br /> Manufacturer of approved SVRS: ✓I <br /> SVRS hears the followinq.markings: <br /> Model/Part Number: 1Q0�- <br /> n "ATSM F2387", <br /> be"ASME/ANSI standard A 112.19.17", <br /> I declare that I hold an active California State Contractors license# S— <br /> with the necessary <br /> classifications; C-53, Swimming Pool Builder and/or C 61/0-35, Swimming Pool &Spa Maintenance, <br /> Repair. <br /> Si nat re <br /> Print me Date 1 <br /> Public Law: 110-140 December 19, 2007 as Printed in the Federal Register <br /> (c) PUBLIC FOOLS.— <br /> (1) REQUIRED EQUIPME'NT— <br /> (li) each public pool and spa in the United States with a single main drain other than an <br /> unblockable drain shall be equipped, at a minimum, with 1 or more of the following devices or <br /> systems designed to prevent entrapment by pool or spa drains that meets the requirements of <br /> subparagraph (B): <br /> (1) SAFETY VACUUM RELEASE SYSTEM.—A safety vacuum release System <br /> which ceases operation of Ute pump, reverses the circulation flow, or otherwise provides <br /> a vacuum release at a suction outlet when a blockage is detected, that has been tested <br /> by an independent third party and found to conform to ASME/ANSI standard A112.19.17 <br /> ® <br /> orASTM standard F2387. <br />
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