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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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RIVERBROOK
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4811
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3600 - Recreational Health Program
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PR0506788
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COMPLIANCE INFO
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Last modified
3/31/2021 11:38:46 AM
Creation date
3/31/2021 11:15:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3600 - Recreational Health Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0506788
PE
3616
FACILITY_ID
FA0007629
FACILITY_NAME
RIVERBROOK SCHOOL
STREET_NUMBER
4811
STREET_NAME
RIVERBROOK
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
11603007
CURRENT_STATUS
02
SITE_LOCATION
4811 RIVERBROOK DR
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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04/16/7.009 SH❑ 8: 57 PAX 1"°4663433 SJC EHE rQJU07/0r.3 <br /> INSTALLATION CERTIFICATION <br /> VGS MAIN DRAIN I EQUALIZER LINE COVER REPLACEMENT <br /> NOTE: Use one form for each pump- c �� <br /> For the property located at ��1/Q� p I G�' <br /> County, California, I hereby certify that pursuant to Federal law:Virgin a Grae a Baker <br /> apment cover meeting the current standards of the American <br /> Pool & Spa Safety Act, that an Anti-entr <br /> Society of Mechanical Engineers ASME/ANSI standard A 112.19.8-2007 has been installed per the <br /> manufacturer's instructions on the: <br /> Swimming Pool <br /> ❑ Spa <br /> ❑ Wading/toddler pool <br /> Existing Pump/New pump: Make/Model ;flow(gpm) _. <br /> Manufacturer of approved cover: MAIN <br /> IMMERIEQUALIZELIN, <br /> Cover bears the following markin s: <br /> Model/Part Number: �_��',_jtt0✓ _ GPM rating: Floor;Wall <br /> j>--"VGB 2008", <br /> ❑ "ASMEIANSI standard A112,19.8-2007", <br /> Additional information: <br /> Main drain/Jet suction pipe size was found to be 7')_ inches. Cover screws arevz color. <br /> cDual main drain(s)drain <br /> ❑ Main drain(s)sump depth inches <br /> Dual <br /> Skimmer equalizer line(s)pipe size were found to be inches <br /> o Single drain inches <br /> ❑ Dual Skimmer equalizer line(s) Skimmer equalizer line(s)sump depth <br /> n Skimmers are connected with single line to pump. <br /> u Skimmers are separately valved before pump and can be isolated. <br /> I declare that I hold an active California State Contractors license# [�? with the necessary <br /> classifications; C-53, Swimming Pool Builder and/or 0-61/D-35, Swimming Pool &Spa Maintenance & <br /> Re air. <br /> Si na ire Print n me Date <br /> Public Law: 110-140 December 19, 2007 as Printed in the Federal Register <br /> (b) DRAIN COVER STANDARD,—Effective 1 year after the data 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 ASMEIANSI <br /> A 112.19.8 performance standard, or any successor standard regulating such swimming pool or <br /> drain cover; <br /> tment of this title— <br /> RkQ T.— <br /> I('.�A 1 jB gInning 1 year after the date of enac <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 ASMEIANSI A112.19-8 performance standard, or any <br /> successor standard. <br />
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