Swimming Pool Chemical Log Sheet

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Swimming Pool Chemical Log Sheet

Swimming Pool Log Sheet

Pool Name: Month: Year: Size of Pool (gallons): Flow Rate Required (GPM): Type of Disinfectant: Minimum of 1.5 PPM if inorganic chlorine, 2.0 PPM if stabilized or organic, and 2.5 PPM if Bromine.

Daily Tests Maintenance & Notes Combin ed Disinfect Alkalinity Cyanuric Quantity of Other Water Chlorin pH Back- Date ant Flow GPM Rec. Range Acid if Disinfectant Chemicals Contaminant Episode Clarity e 7.2-8.0 wash PPM 60-160 PPM used < 90 Added Added < 50% free 1

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DOH 333-132 November 2012 Swimming Pool Log Sheet Washington State Department of Health www.doh.wa.gov/watersafety Daily Tests Maintenance & Notes Combin ed Disinfect Alkalinity Cyanuric Quantity of Other Water Chlorin pH Back- Date ant Flow GPM Rec. Range Acid if Disinfectant Chemicals Contaminant Episode Clarity e 7.2-8.0 wash PPM 60-160 PPM used < 90 Added Added < 50% free 16

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DOH 333-132 November 2012 Swimming Pool Log Sheet Washington State Department of Health www.doh.wa.gov/watersafety

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