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.
Test chlorine level using the procedure in the chlorine test kit.
Completed by: ______________________________
If water reading does not show levels between 0.3 mg/L and 0.5 mg/L, adjust chlorine pump accordingly
Date: _____________________________________ and retest chlorine levels.
Sample Sample Sample Free Chlorine Results Correction Retest
Date Location Time Level Acceptable Made Results
Onsite verification completed by: Date: Deviations/comments:
Record verification completed by: Date: Deviations/comments:
Premises Program: Chlorine Testing Record Page 1 of 1
Issue Date: _______________________
Developed by: ____________________________ Date last revised: ____________________________
Authorized by: ____________________________ Date authorized: ____________________________
The Agricultural Policy Framework (APF) A FEDERAL – PROVINCIAL - TERRITORIAL INITIATIVE