swimming pool daily record sheet

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0000016798 00000 n 0000001927 00000 n 0000129187 00000 n 0000122400 00000 n SWIMMING POOL RECORD OF OPERATION State Form 12279 (R5 / 4-11) INDIANA STATE DEPARTMENT OF HEALTH Pursuant to 410 IAC 6-2.1 and 38, this form must be logged daily and retained for one (1) year. 0000002445 00000 n 0000012439 00000 n 0000017992 00000 n 0000048281 00000 n

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Public Swimming Pool Daily Record Sheet Date: _____ Name of Pool: _____ Owner: _____ Operator: _____ 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 Day of the Month Main Drain Gates and Doors Safety Equipment Clarity pH Combined Chlorine Daily …

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