Title Page
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Conducted on
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Unit number
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Tub MAKE and MODEL
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Prepared by
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Does Hot tub require testing?
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Check safety of AREA/TUB/GENERAL CONDITION
Temperature
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What corrective action has been taken?
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Cholrine / Bromine ?
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Chlorine FREE (DPD1) Level should be between 3.0 (min) and 5.0 (max)
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What corrective action has taken place?
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Chlorine TOTAL (DPD3)
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COMBINED (should be no greater than 1)
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What corrective action has taken place?
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Bromine Level (DPD1) Level should be between 3.0 (min) and 5.0 (max)
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What corrective action has taken place?
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Ph
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What corrective action has taken place?
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No foam added
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Water top up required
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Filter cleaned or changed?
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Water changed?
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Has tub been drained, scrubbed, hosed down and vac?
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Any other Corrective action taken?
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Reason not require testing
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Describe "other". (Create "action" if needed repair)