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HomeMy WebLinkAboutConover Swim Club 500021 05 09 22.tif Completed form Pool Orlin SAitt.k4. G81Cum11ltata111111 u t be submitted 'PERMIT CANNOT BE 1S$1.1 [!1F 'OR%1JS INOO1�IPLEYE 11'SG 1i1Ie1Qnnistrqu11t'ilotSk11l'uni m 11't1eL1. with application ., P '.atilt 6,palrl ._t' �'y `i k �'" ii 1�"�i� L _..I1„'I _ A11 .,'d4yrt45 FORA(0".§1R1u1r110'S—.A.separate Pool braitt Safetv Compliance Data Form must be completed and submitted lot nth inai+illeai pool at a(atilits inclodiot spas,sin dill 1)601S,'n11 other pools, 1. ?Ina ltiaw , sheen Nt ua i. user 1 I�.\:,;"Z .-1- 1..... .._ •i,�e i 'r ? 1G t� km-rum 16'' , va u.4virmVIA 'St timm6row rat;imm jw9 ramie nr_ 500 _gm rtrtinr cn euce it tlrna,rrurr4la'elri With ad a D*4541120•kiwrtraent%II*i%Ole area Vida the 11�+u1'lai+te*,If field burn sump me. t Uri MKGWMen�une Mt nme on measure. i i, k r; cr r;r i,i:;,^l.c, tT xr,t to wet,c5trn1 4. SUrrch trope-Rmmul-width_ vac,.draexra. OR !vitae- .11 watta X I . a s tltt Sump minimum depth 1,4 no., lhrmcw eL culkt pipe in%aspEl [ tartie fa Dnu®m of t (watt of anew pipe hrm'nmti'm of ca:t rile_ S�._,T Mies r Sum,v ynwlatvm and mr„kl K rl m 4111.1 t t`i 1.-i..-. 1 L l — — 1° 3, prtlitcmg,Gruehal4 Limber of drumscal tad'.jump I Denautc bewail.denim tun.oeatersl 1N ' cep.ofArtatmam+:,R.ut.u'Atilt,a z ,madet'11c ac3; 4>1.41T ,Li3etptar / 4 Er"r1�-,5 Minimum Om rum!or corer ante 5 IS ppm Omni. 14 A avm tmatlY -. thre dram covet,!met invalkd" '-f I t j at,A-.. EXPIRATION DATE Lill ao act 4. Enunruer Contra P 4, Nmrhec o;'r f.--uhlr_�kirirwAl rtpitko>. 1 r OR live the atrsnitte i 4rten,tcaw:aY.' YES:KO v- r._ trieYhrt.et CVSzsr.AtaavLxtme fro ,fidaspan V... :r Dart tgathz c cenvfiltar c nednikt EXPIRATION DATE- ,:,' . i "'' i S G.fRet t'�rnum t sjc ism teem OWR sVItS isgrnrcd Total art th-rrettton 1 fed en terms m parr .ter.a,,,gir r} n+•r a ntNth • r:,. hlri�:iNx.4{•'.\ errs r In 1,,Ay "'Frei.� tisfrn'tioc'aurmltcl=i.5"n,lr'lrr.mufat:ttr. . \."s-A-C-'4,;3 5'4.15 {") �a4 iz,.., if) N+z- r vacuumlint-L'hro,e tnie No vn Ire m pact OR �=. a- urn 4tatcriNe cars fa wr;Wrn tut tro.l'tid'Pefrxe Slap 1.:g1+''OR `.r.114.1.usrrrt.\.tit-t 1th meu,ier'kr-7. 111,c dieted wit'lead.1r norm lines inWlkJally Mari,Bata ,f 4v11 rtmcr+f� s rrtr itnn.f,* I.'' j_ }� 4 _ •a -v r,i Siputue r/r1Jf t� dv' lUtt * •1; • } ` C) _ 1P.13111LS