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SPA <br />L.%241..LL- 2:741. <br /> <br />1 •••••.Mammill•••••.........••••mdimm• <br />12 <br /> <br />13 S41 11.2 1 <br />14 , <br /> <br />15 <br /> <br />ço <br />16 <br />17 le, <br />KtPORT FOR <br />(mon, , <br />699S 197 601 8 <br />10Z98 V3 NOIN3 NAME OF FOOL, APARTMENT, ETC Att DOM 1 <br />Id 130 .J'!F. :COMW13 <br />7 20 <br />(year) <br />LOCATION <br />superchlorination <br />DAY FC LII TA If used roblems <br />CYA service <br />2 <br />REMARKS <br />spa emptied <br />backwashed ters <br />parts needed <br />superchlorina n <br />service <br />roblerns <br />2. <br />CC CYA TEMP <br />pH TA if used "F FC <br />---47 /1- <br />• <br />••••••••••••••••••••••••• <br />22 6 15.79 j1,4 <br />5" (0 <br />24 5.to • ----I-- <br />2S -5,10 <br />• I 26 <br />27 <br />1 <br />1,7 <br />1 <br />m••••••••••mlem.., <br />Lw <br />110••••••••.....••••11•01. <br />Pursuant to section <br />65523 of Califonlia Heath and Safety Code, the operator of each pool open for use shall keep a daily <br />record of information regarding operation, including readings of disinfectant residual (chlorine), pH, and maintenance procedures <br />(remarks). Cyanuric Acid shall be measured, if used, once per month. This report must <br />be kept for one year and be made available for inspection by the enforcing agent (SJCEHD). <br />Is/word/pods/daily operation mport for <br />po& and spa <br />POOL <br />REMARKS — eg: <br />pool emptied <br />backwashecl filters <br />parts needed