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06/36/2016 16:07 9169147Q38 GEREMIA POOLS PAGE 12/12 <br /> OFFICE_U_SR ONLY <br /> INSTALLATION CERTIFICATION l=ee Paid$ <br /> FA: <br /> VGB DRAIN COVER REPLACEMENT PR: <br /> SR: <br /> NOTE, Use one form for purnp, <br /> For the propenamed <br /> located at lF-a California, I >Y <br /> . ereby certify that <br /> pursuant to Federal law: Virglnia ^deme Baker pool 9 Spa Safety Act,that an Anti-entrapment cover meeting the current <br /> standards of the American Society of Mechanical Engineers ASMEIANSI standard A 112.19.8-2007 has been Installed per <br /> the manufacturers instructions on the: <br /> Q Swimming Fool <br /> spa <br /> Li Wading/toddler pool <br /> Existing Pump; Make/Model ; Flow(gpm) <br /> Manufacturer of approved cover, <br /> Cover bears the following markings: <br /> Main Drain: ModellPart Number l2 UP UC131GGPM rating: Fioor_,/—tZ>WaM <br /> [� "ASME/ANSI standard A112.19.8-2007'. <br /> "Life". <br /> Equalizer line: ModellPart Number: GPM rating' Floor4L Wall <br /> °VGB 2008", <br /> "ASMEIANSI standard A 112.19.8-2007 <br /> °Life <br /> Additional Information: <br /> Mein drain/Jet suction pipe size is inches. Manufacturers main drain(s)sump depth requirement In inches Is; <br /> D Single drain <br /> Dual main drains) j <br /> Skimmer equalizer line(s)pipe size were found to be c�.--inches #of Skimmers: <br /> Manufacturer's skimmer equalizer line(s) sump depth requirement In inches is; <br /> Single equalizer line <br /> we Dual Skimmer equalizer line(s) sump depth _inches <br /> n Skimmers are connected with single line to pump. <br /> o Skimmers are separately valved before pump and can be Isolated. <br /> I declare that I hold an active Cal'dornia State Contractors license# 9/5 1 , with the necessary classifications, G53, <br /> Swimming P I Bu er and/or C-61/U-35, Swimming Pool&Spa Maintenance&Repair. <br /> R � N <br /> Sign AL <br /> ur forint name date <br /> Public Law: 990-140 December 19, 2007 as Printed in the Federal Register <br /> (b)DRAIN COVER STANDARD.—Effective 1 year after the date of enactment of this title, each <br /> swimming pool or spe drain cover manufactured, distributed, or entered into commerce in the United <br /> States shall confirm to the entrapment protection standards of th A MEI A SI A112.19-6 <br /> cov112 19 6 performance <br /> standard, or any successor standard regulating such swimming p o <br /> r. <br /> (c)PUBLIC POOLS.— <br /> (1)REQUIRED EQUIPMENT.— <br /> (A)IN GENERAL.—Beginning 1 year after the daft of enactment of this title— <br /> (1)Each public pool and spa in the united States shall be equipped with anti-entrapment devices <br /> or systems that comply with the ASMFJANSI A 9 92.19.a perfiormanoe standard, or any successor <br /> standard. <br /> Rev.dato:4rIaV2009128 PM <br />