Title Page
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Conducted on
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Prepared by
Balanced Water
Mains Water
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Temperature
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Factor Number
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DPD1
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DPD3
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PH
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Factor Number
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Total Alkalinity
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Factor Number
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Calcium Hardness
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Factor Number
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TDS
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Factor Number
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Balanced Water Result
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Detail any corrective action
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Detail any corrective action
Swimming Pool
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Temperature
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Factor Number
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DPD1
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DPD3
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PH
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Factor Number
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Total Alkalinity
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Factor Number
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Calcium Hardness
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Factor Number
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TDS
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Factor Number
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Cynuric Acid
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Factor Number
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Balanced Water Result
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Detail any corrective action
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Detail any corrective action
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Backwash Carried out?
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Reason why backwash not carried out
Spa Pool
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Temperature
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Factor Number
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DPD1
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DPD3
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PH
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Factor Number
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Total Alkalinity
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Factor Number
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Calcium Hardness
-
Factor Number
-
TDS
-
Factor Number
-
Cynuric Acid
-
Factor Number
-
Balanced Water Result
-
Detail any corrective action
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Detail any corrective action
-
Backwash Carried out?
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Reason why backwash not carried out
Comments
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Any Comments
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