Pool Water Quality Report

POOL WATER QUALITY REPORT AND SERVICE AGREEMENT

WHEREAS

WHEREAS Client Name: operates the pool facility known as Facility Name: located at .

WHEREAS Service Provider: is engaged to perform routine and incident-driven pool water quality monitoring, testing, reporting and corrective actions in accordance with industry standards and the terms set forth below.

WHEREAS the parties desire to record an on-site Pool Water Quality Report documenting measured parameters, tests performed, corrective actions taken, and any required follow-up inspections or laboratory submissions.

SCOPE OF WORK

Service Provider will perform routine water chemistry testing, visual safety inspection of recirculation systems, sample collection where required, immediate on-site corrective measures when parameters fall outside acceptable ranges, and preparation of this written report. All testing shall be performed using calibrated instruments and standard methods appropriate for acute public health protection.

PAYMENT TERMS

Late payments shall incur a late fee of per month on overdue balances, plus any collection costs and interest permitted by law.

TERM AND TERMINATION

Term Start Date:    Term End Date:

Either party may terminate this Agreement upon written notice delivered to the other party not less than days prior to the effective termination date. Termination shall not relieve the Client of obligations to pay for services rendered prior to termination.

CONFIDENTIALITY

Each party shall maintain in confidence any non-public technical, operational or business information disclosed in connection with this Agreement, and shall not disclose such information except as required by law or to perform obligations herein. This obligation survives expiration or termination of this Agreement for a period of two years.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the state selected below; parties agree that jurisdiction and venue for disputes shall lie in the courts of that state. Governing State:

ENTIRE AGREEMENT

This Agreement, together with any attached Pool Water Quality Reports, constitutes the entire agreement between the parties with respect to its subject matter and supersedes all prior written or oral agreements and understandings. Any amendment must be in writing signed by both parties.

POOL WATER QUALITY REPORT

Report ID:    Inspection Date:    Inspection Time:

Public   Private   Spa/Hot Tub   Wading Pool

MEASUREMENTS & LAB TESTS

Water Temperature:    pH:    Free Chlorine (mg/L):

Total Chlorine (mg/L):    Combined Chlorine (mg/L):    Chlorine Type:

Alkalinity (mg/L):    Calcium Hardness (mg/L):    Cyanuric Acid (mg/L):

ORP (mV):    Turbidity (NTU):

Filter Pressure (psi):    Pump Flow Rate (gpm):

SAMPLE COLLECTION & LAB

Sample Collected: Yes    No

BACTERIOLOGICAL TEST RESULTS

Total Coliform Result:    E. coli Result:

Immediate corrective actions required: Yes    No

Follow-up inspection required: Yes    No    If yes, Follow-up Date:

INSPECTOR CERTIFICATION

I hereby certify under penalty of perjury that the measurements, observations and actions recorded in this Pool Water Quality Report were performed by me or under my direct supervision, that instruments used were maintained and calibrated consistent with accepted practices, and that any deviations from standard procedures are noted in this report.

Certification Acknowledged: Inspector acknowledges certification

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