Pool Water Quality Log Sheet
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1178 NAC 2 Attachment 3 - Pool Water Quality Log Sheet
Pool Name:
City:
Operator Name:
Month:
Record Before Opening and Every 4 Hours
Date
Time
Level
Time
Level
Pool Residual
Time
Cl: 2.0-10.0 ppm Level
Br: 2.0-18.0 ppm Time
Level
Time
Level
Time
Level
Time
Level
Time
Level
Time
Level
Time
pH (7.2-7.8)
Level
Time
Level
Time
Level
Time
Level
Amount of Chemicals
Added, Equipment
Maintenance (filters
backwashed, etc.)
Sampler's Initials
Record Weekly
Date
Combined Chlorine Time
(< 0.5 ppm)
Level
Cyanuric Acid
Time
(< 50 ppm)
Level
Total Alkalinity
Time
(> 80 ppm)
Level
Nebraska Swimming Pool Operator's Signature
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Parent category: Life