HomeMy WebLinkAboutAdrian L Shuford Drain Compliance 530057 02 18 16.TIF -4-- --1
Pool Drain Safety Compliance Data H ?"•
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Name of Pool phvvi .c,t iilAL4 t
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Address It CM (134 we lRldcA I 1
Pump System Plow , S
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Pump Manufacturer ��l,l Model Number ('�•� r r<
Maximum Pump Flow(manufacturer's specifications) 59 0 gallons per minute
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Maximum Pumping System Flow is reduced to gpm based on: 1 e�car:
Measured Total Dynamic Head loss of feet; x...."
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Calculated Total Dynamic Head loss of feet; e,el
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Magnetic flow meter reading of gpm; '' �c
Automatic flow limiting valve factory set at gpm
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(Provide supporting evidence for flow reduction) <.
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Drain Sump Measurements
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Sump width: round inches diameter; rectangle inches X inches e ski, .-
Sump minimum depth inches Diameter of outlet pipe to pump inches
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Distance of top(inside)of outlet pipe from bottom of cover/grate inches a
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Drain Cover/grate Data
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Number of drains on same pumping system Distance between drains(on centers) GM
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Cover/grate manufacturer , model A-
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Maximum flow rating of cover/grate gpm(floor); gpm(wall) 0 j
Date drain cover/grates installed: Expiration date: f+
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Number of operable skimmer equalizers r:
Equalizer fitting Manufacturer model lls
Equalizer fitting maximum flow rating f'
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Date equalizer cover/grates installes: Expiration date A.P'
Full name of person providing this information C�?n terAer &l ei?e' fit
Signature -, ea— �S ate •2 f Its (i to
For instructions please visit the Pool Drain Safety Compliance Website at:
htt p://ehs.ncpublichealth.com/faf/pti/drainsafety.htm