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CHLORINE BREAKTHROUGH CHECK LOG: PRIMARY TANK
FACILTY:_____________________________________ DATE:_______________________= _______
Test Time* Secondary T= ank     1 (ppm)** Secondary T= ank     2 (ppm)** Signature (= staff performing test) Licensed St= aff Signature
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<= /td>
Test Kit Used:________________________ Page_____of_____
<= /td>
* Testing is to be performed every 30 minutes
** All results are to be documented as numerical values
NOTE: File completed form in facility Water/Technical Master F= ile.
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