Certification for the replacement of main drain covers in pool/spa - newjersey 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the NAME OF LOCAL HEALTH DEPARTMENT, DATE, ADDRESS, and PHONE NUMBER at the top of the form. This information is crucial for identification and communication.
3. Fill in the FACILITY INFORMATION section with details such as Facility Name, Fax Number, Street Address, Municipality, Contact Person, and their Phone Number. Ensure accuracy to avoid any delays.
4. In the POOL/SPA INSPECTION DETAILS section, specify hours of operation and whether it is a water park. Select the number of drain covers replaced and provide additional details about the facility's structure.
5. Complete the DETAILS ABOUT THE NEW DRAIN COVER(S) section by providing flow rates, sump size/type, and confirming if equalizer outlets are present. This ensures compliance with safety regulations.
6. Finally, in OWNER’S ACKNOWLEDGEMENT, sign and date to confirm that all information provided is accurate. This step is essential for legal compliance.

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