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* <br />Virginia Graeme Baker Certificatio, <br />For the property located at _fr"--(3--e- <br /> County, California, I hereby certify that pursuant to the Virginia Graeme Baker Pool & <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/Model vt/A.-o^41 ; Flow --/- <br />1/,'k c —ACE_ <br />Manufacturer of approve cover: c'N,1)/ <br />Cover bears the following markings: <br />Mode Part Number: (..-_,17)( GPM rating: Floor -69 ; Wall <br />"VGB 2008", <br />"ASME/ANSI standard A 112.19.8-2007", <br />"Life": <br />Additional information: <br />Main drain/Jet suction pipe size was found to be inches. Cover screws are ,VZ4-e..-- color. <br />—41---gingle drain <br />Dual main drain(s) Main drain(s) sump depth inches <br />Skimmer equalizer line(s) pipe size were found to be in hes <br />Single drain <br />0 Dual Skimmer equalizer line(s) Skimmer equalizer line(s) sump depth 7kt inches <br />Ar-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 tt-fi/ Sr7 ,with the necessary <br />classifications; C-53, Swimming Pool Builder and/or C-61/D-35, Swimming Pool & Spa Maintenance & <br />Repair. <br /> <br />Print name Date installed Signature <br />Public Law: 110-140 December 19, 2007 as Printed in the Federal Register <br />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 />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/ANSI A112.19.8 performance standard, or any <br />successor standard. <br />NOTE: Use one form for each pump.