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U4/40/XUU TNU &:n3 rv- 203Q053433 5JC THE' Z00'41/003 <br />INSTALLATION CERTIFICATION <br />VG B SAFETY VACUUM RELEASE SYSTEM (SVRS) <br />NOTE: Use one form for each pump. <br />For the property located at AO Ail 1-21/ tyiro <br /> County, California, I hereby certify that pursuant to Federal law: Virginia Graeme 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 />e Swimming Pool <br />Spa <br />a Wading/toddler pool <br />Existing Pump: Make/Model Flow(gpm) <br />c <br />Manufacturer of approved SVRS; <br />SVRS bears the f011owin markings: <br />Model/Part Number: <br />c " ATSM F2387", <br />"ASME/ANSI standard A 112,19,17", <br />I declare that I hold an active California State Contractors license # , with the necessary1 <br />classifications; C-53, Swimming Pool Builder and/or C-61/D-35, Swimming Pool & Spa Maintenance & <br />Repair. <br />ature Print n a Date <br />Public Law: 110-140 December 19, 2007 as Printed in the Federal Register <br />(c) PUBLIC POOLS.— <br />(1) REQUIRED EQUIPMENT.— <br />(ii) 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 />(I) SAFETY VACUUM RELEASE SYSTEM.—A safety vacuum release system <br />which ceases operation of the 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 />or ASTM standard F2387,