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Virginia Graeme Baker Certification For the property located at lq- 3 % W. S" 7 /s..— 9&6_14�%, ' County, California, I hereby certify that pursuant to the Virginia Graeme Baker Pool & Spa Safety Act (Federal Law), that an Anti -entrapment cover meeting the current standards of the American Society of Mechanical Engineers ASME/ANSI standard A 112.19.8-2007 has been installed per the manufacturer's instructions on the: wimming Pool ❑ Spa ❑ Wading/toddler pool Pump: Make/Model ; Flow_ Manufacturer of approved cover: Azr4.10an6 Cover bears the followi markings: Model/P rt Number: VPC GPM rating: Floor; Wall Ee/ VGB 2008", "ASME/ANSI standard A 112.19.8-2007", "Life": Additional information: Main drain/Jet suction pipe size was found to be ZZ_ inches. Cover screws are� color. ❑ Single drain ❑ Dual main drain(s) Main drain(s) sump depth inches Skimmer equalizer line(s) pipe size were found to be inches ❑ Single drain ❑ Dual Skimmer equalizer line(s) Skimmer equalizer line(s) sump depth inches ❑ Skimmers are connected with single line to pump. ❑ Skimmers are separately valved before pump and can be isolated. I declare that I hold an active California State Contractors license #&19 / , with the necessary classifications; C-53, Swimming Pool Builder and/or C -61/D-35, Swimming Pool & Spa Maintenance & Repair. gnature Print name Date installed Public Law: 110-140 December 19, 2007 as Printed in the Federal Register (b) DRAIN COVER STANDARD. Effective 1 year after the date of enactment of this title, each swimming pool or spa drain cover manufactured, distributed, or entered into commerce in the United States shall conform to the entrapment protection standards of the ASME/ANSI A112.19.8 performance standard, or any successor standard regulating such swimming pool or drain cover. (c) PUBLIC POOLS.— (1) REQUIRED EQUIPMENT.— (A) IN GENERAL. Beginning 1 year after the date of enactment of this title— (i) Each public pool and spa in the United States shall be equipped with anti -entrapment devices or systems that comply with the ASME/ANS/ A112.19.8 performance standard, or any successor standard. NOTE: Use one form for each pump.