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APPROVED BY: DATE: 105956-2018 JOB: OFFICE USE ONLY SAN JOAQUIN COUNTY California Department of Public Health Compliance Form Anti-Entrapment Devices and Systems for Public Pools and Spas Health and Safety Code Sections 116064.1 and 116064.2 NOTE: Use one form for each pump or multiple PUMPS Under the same drain cover. ALL SECTIONS OF THIS FORM MUST BE COMPLETED. This form is to be used to verify compliance with modifications pursuant to the new Health and Safety Code sections 116064.1 and 116064.2. Under Section 116064.2 (a) of the Health and Safety Code, effective January 1, 2010, the owner of a public swimming pool shall file this form within 30 days following the completion of construction or Installation of anti-entrapment devices or systems In swimming pools. Contact your local Environmental Health Department and Building Department for any necessary plan approval and permits prior to construction or remodel. POOL Pool Identification (if more than 1 pool/spa at site): 8035 MARINERS DR. STOCKTON Facility Address: City: St: ca Zip: 95219 Owners Phone Number: 209 957-5707 Owners Address City St. Zip Pool constructed on or after January 1,2010?: Ei Yes I No Pump Information Recirculation Pump ake/Model STAR ITE H,P 2 Q4 et / Booster Pump ake/Model H.P LIFeature Pump Make/Model H.P Other Pump: ake/Model _H.P_ Main Drain (Includes All Suction Outlets Excent Skimmer Ermalizer Line_t Al ORCFR101 Aqua Stan 0' Rd-sumpless 10-8-18 Manufacturer of approved drain cover: ,f del Numoer: Install date GPM rating: Floor 170 Wall Installed onLLjloor 0 Wall Manufacturer of approved drain cover: Model Number: Install date GPM rating: Floor Wall Installed onriFloor 0 Wall Main drain/Jet suction pipe size is 2 inches. Check One: Split main drain(s) (Minimum 3 ft. between covers, hydraulically balanced and symmetrically plumbed) 0 Single drain — Unblockable (size and shape that a human body cannot sufficiently block to create a suction entrapment) fl Single drain — Not unblockable (one of the following secondary devices required: safety vacuum release system, suction limiting vent system, gravity drainage system, auto pump shut-off system, or other equally or more effective system approved by enforcement agency) Type of secondary device installed: Install date Manufacturer of approved device: . . .. _...... . Model/Part Number: Safety vacuum release system bears the following performance standard markings: D ATSM F2387 Jo ASME/ANSI standard A 112.19.17 Site information VVATERFIELD SQUARE APTS Facility Name: Owner Name: MG PROPERTIES, AGENT .11 Skimmer Eaualizer Line(s)A1ORCFR101 Aqua Star 10" round/ su 10-8-18 Manufacturer of approved suction fitting: mod , Number: Install date GPM rating: GPM rating: Floor Wall 164 Installed on loor Wall Skimmer equalizer line(s) pipe size were found to be 2 inches Number of Skimmers: 2 THE ABOVE HAS BEEN FIELD VERIFIED TO COMPLY WITH MANUFACTURER'S INSTALLATION REQUIREMENTS BY THE INSTALLER I declare that I hold an active California State Contractor license # 608182 with classification C53 or a California State Professional Engineer license # with qualified experience working on public swimming pools and that the information provided above is true to the best of my knowledge. I understand that if I improperly certify this information, I shall be subject to potential disciplinary action at the discretion of the licensing authority in accordance with California Health & Safety Code Section 116064.2. Contractor/Engineer Name: Robert R. Burkett Company Name: Burkett's Pool Plastering, Inc. Company Address: P.O. Box 938 City: Salida State: Ca Zip Code: 96368 Contractor/Engineer Phone Number 209 699-3317 Celt Phone Number Contractor/Engineer FAX Number 209 599-3317 Robert R. Burkett Email: , .Lo-LeAt buAlitt, 10-9-18 Contractor / Engineer name (PRINT) Contractor / Engineer name (SIGNATURE) Date For a complete text of the law, visit: http://info.sen.ca.gov/pub/09-10/bill/asm/ab_1001-10501ab_1020_bill_20091011_chaptered.pdf ResAsecr. July 14, 2010