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A 06,11095 e223 9159666'7J LESLIES236 PAGE 02 <br />05/0ril1939 09: 07 916331._c Li PAGE 02 <br />COUNTY OF SACRAMENTO <br />Environmental Management Department <br />mici Knight, Director <br />18on1i• Cohocnkv.„ 1.41finffigor <br />Ariministra thqr .ervices <br />rtaymcmd E. Hackett, Pit "INSI- <br />Livinownintal Health <br />viv4i1eriteM.91evilorskl, 141.0nAper <br />hiNtArtfolit ifforiffelw <br />PUBLIC SWIMMING POOL FORM <br />CONFIRMING COMPLIANCE WITH GROUND FAULT CIRCUIT INTERRUPTERS <br />CALIFORNIA HEALTH AND SAFETY CODE <br />SECTION 116019,1 (C,H.S,C) <br />P o acility Address P z_ivo7 azz&5e <br />to <br />7d- - <br />.Da te: <br />RFC:FIN/ED <br />FEB 2 8 2000 <br />ENIVIRONMENIAL HEALTH <br />PERMIT / SERVICES Phon <br />Invection: <br />The 4- pool(s), spa(s) wading pool(s) located at the above <br />add res{s have been inspected by the signed qualified contractor and are all in <br />compliance with CHSC Section 116019.1 (G.F.C.I. requirements). <br />GuKtAkartie oP <br />C-01/035) <br />Com ments: <br />747," (7/( &?(ii 27,24,,ter, <br />ifc— ‘tJ11-Ael Af, <br />MT:If <br />VODATAI'AYLOR\GFCICOMPLIANCE FORM <br />8415 Jackson Road, Suite 240 • Sacramonto, CA 95826-3904 • (916) 873-A440 • FAX (016) 873-8311 <br />Contractor & Address <br />License No. & T <br />(A-1. B-1, C-1 <br />Inspection Da <br />Signature