AHA!

Resource Manual

• Perform sampling at a frequency of ________________.

A.3 - Chlorine Testing Record
• Take a sample of water from a random tap in processing area before, during, and at the end
of production.
Completed by: ______________________________
• Test chlorine level using the procedure in the chlorine test kit.
Date: _____________________________________
• If water reading does not show levels between 0.3 mg/L and 0.5 mg/L, adjust chlorine pump
Sample Sample Sample Free Chlorine Results Correction Retest
Initials
Date Location Time Level Acceptable Made Results

Additional Comments:

Onsite verification completed by: Date: Deviations/comments:

Record verification completed by: Date: Deviations/comments:

Premises Program: Chlorine Testing Record Page 1

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Issue Date: _______________________

Developed by: ____________________________ Date last revised: ____________________________

Authorized by: ____________________________ Date authorized: ____________________________

The Agricultural Policy Framework (APF) A FEDERAL – PROVINCIAL - TERRITORIAL INITIATIVE