Pool Daily Log Sheet
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1Pool Daily Log Sheet
Pool type
Pool name
Swim
Spa
Wading
Zero-depth
Plunge
Therapy
Month
Year
Size of pool (Gallons)
Daily tests
Other tests
Maintenance
Comments
Date Free Cl 2
Total
Comb.
pH
Temp.
Flow
Main suction outlet
Alk.
CYA
Back
Press.
Other
Manual chem feed, breakdowns, injuries,
0.5 - 5.0
Cl 2
Cl 2
7.2 -
Max. 104°
rate
Close pool if loose,
>50 ppm
<100 ppm
wash
PSI
(e.g. H 2 0 added)
accidents, CPO’s initials
ppm
<0.5 ppm
8.0
GPM
missing or broken. Initial.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Community Development
Environmental Health
PH
952-563-8934
BloomingtonMN.gov
1800 W. Old Shakopee Road
FAX
952-563-8949
57_002 (03/15) pg 1 of 1
Bloomington MN 55431-3027
TTY
952-563-8740
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Parent category: Life