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["水泳プール　　",{"$nulls":6},"施設・設備検査票"]
["東京都渋谷区立",{"$nulls":5},"小・中　学校",{"$nulls":4},"学校薬剤師"]
["検査日 　平成",{"$nulls":3},"年",null,"月",null,"日","（",null,"）","曜日","時間","AM・PM",null,":"]
[]
["Ⅰ　　　　構　　　　　　　　　　造",1,"プール竣工",null,"平成・昭和　　　年　　　月",{"$nulls":5},2,"立地",null,null,"地　上　・　屋　上"]
[null,3,"材質",null,"　コンクリート　・　金属",{"$nulls":5},4,"浄化法",null,null,"循　　環　　式"]
[null,5,"プールの状況",null,"　汚水流入の恐れ　有 ・ 無　　　清掃　易 ・ 難　　浸透性　　有  ・  無    "]
[null,6,"プールサイド\n通路",null,"　充分な広さ　　有 ・ 無　　滑り止め　　有 ・ 無　　浸透性　　有　・　無"]
[null,7,"排水口",null,"　安全性　　　良　・　不良　　　　　　　　機能　　　良　・　不良"]
[null,8,"循環機形式　\n及びその浄化剤",null,"　浄化剤：ラジオライトエース２号　　循環機型式　メーカー　　　　　型式"]
[null,9,"容積",null,"　　　　　　　　㎥（長さ　　　　ｍ　幅　　　　　ｍ　平均深度　　　　　ｍ）"]
[null,10,"足洗い場",null,"　有　・　無　　　　最大深度　　　　　　　㎝　　　　容積　　　　　　　　㎥"]
[null,11,"腰洗い槽",null,"　有　・　無　　　　最大深度　　　　　　　㎝　　　　容積　　　　　　　　㎥"]
[null,12,"シャワー設備",null,"　有　・　無　　　　個数　　　　　　　　個　　（うち故障　　　　　　　　個）"]
[null,13,"うがい設備",null,"　有　・　無　　　　個数　　　　　　　　個　　（うち故障　　　　　　　　個）"]
[null,14,"洗顔設備",null,"　有　・　無　　　　個数　　　　　　　　個　　（うち故障　　　　　　　　個）"]
[null,15,"専用更衣室",null,"　　　有　　　・　　　無",{"$nulls":5},16,"専用便所",null,null,"　　　有　　　・　　　無"]
[null,17,"消毒剤保管庫",null,"　　　有　　　・　　　無",{"$nulls":5},18,"消毒剤保管庫\nの施錠",null,null,"　　　有　　　・　　　無"]
[null,19,"監視台",null,"　　　有　　　・　　　無",{"$nulls":5},20,"専用量水器",null,null,"　　　有　　　・　　　無"]
["Ⅱ","一　般　開　放",null,null,"　有　・　無　　　（予定期日　　　　　　　　　　　　　　　　　　　　　　　　　）"]
["Ⅲ","緊急時の連絡方法"]
["≪所見・指導助言事項≫"]

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[null,null,"水泳プール","水　質　検　査　票",{"$nulls":11},"月度"]
["東京都渋谷区立",{"$nulls":3},"小　・　中　学校",{"$nulls":5},"　　学校薬剤師　："]
[null,"採水日　　　　　　平成",null,null,"年",null,"月",null,"日","（",null,"）曜日"]
["Ⅰ　状　況",1,"天気",{"$nulls":8},"Ⅲ　　衛　　生　　状　　況",21,"排水",null,"Ａ ・ Ｂ ・Ｃ"]
[null,2,"気温",{"$nulls":6},"℃",null,null,22,"清掃",null,"Ａ ・ Ｂ ・Ｃ"]
[null,3,"水温",{"$nulls":6},"℃",null,null,23,"清掃用具",null,"Ａ ・ Ｂ ・Ｃ"]
[null,4,"採水時遊泳人員",{"$nulls":6},"名",null,null,24,"プールサイド",null,"Ａ ・ Ｂ ・Ｃ"]
[null,5,"指導教員等人員",null,null,"名","授業　・　一般開放",{"$nulls":5},25,"専用更衣室",null,"Ａ ・ Ｂ ・Ｃ"]
["Ⅱ　　検　　査　　項　　目",10,"足洗い場残留塩素濃度",{"$nulls":9},26,"足洗い場",null,"Ａ ・ Ｂ ・Ｃ"]
[null,11,"腰洗い槽残留塩素濃度",{"$nulls":9},27,"腰洗い場",null,"Ａ ・ Ｂ ・Ｃ"]
[null,"採水場所　",null,"①",{"$nulls":3},"②",{"$nulls":4},28,"専用便所",null,"Ａ ・ Ｂ ・Ｃ"]
[null,12,"残留塩素濃度",null,null,"㎎/ℓ",{"$nulls":3},"㎎/ℓ",null,null,29,"洗顔場・うがい場",null,"Ａ ・ Ｂ ・Ｃ"]
[null,13,"水素イオン濃度","pH",{"$nulls":3},"pH",{"$nulls":4},30]
[null,14,"ＫＭｎＯ４消費量",null,null,"㎎/ℓ",{"$nulls":3},"㎎/ℓ",null,null,31,"機械室",null,"Ａ ・ Ｂ ・Ｃ"]
[null,15,"大腸菌群",null,null,"　/５",{"$nulls":3},"　/５",null,null,32,"消毒剤保管庫",null,"Ａ ・ Ｂ ・Ｃ"]
[null,16,"濁度（白線の見え方）","良く見える・見える",{"$nulls":3},"良く見える・見える",{"$nulls":3},"Ⅳ　管　　理　　状　　況",41,"温度計",null,"Ａ ・ Ｂ ・Ｃ"]
[null,17,"一般細菌","コロニー数",{"$nulls":3},"コロニー数",{"$nulls":4},42,"ｐＨ測定器",null,"Ａ ・ Ｂ ・Ｃ"]
[null,18,"専用量水器目盛り",{"$nulls":6},"㎡",null,null,43,"残留塩素測定器",null,"Ａ ・ Ｂ ・Ｃ"]
[null,19,"煤煙又は浮遊物の影響",null,"無　　　　・　　　　有",{"$nulls":7},44,"プール日誌",null,"Ａ ・ Ｂ ・Ｃ"]
[20,"判定",null,"適合　　　・　　　不適合",{"$nulls":8},45,"消毒剤管理",null,"Ａ ・ Ｂ ・Ｃ"]
[null,"＜参考＞　　注水口",null,null," ・採水場所は①②の中層で\n　 これ以外の時は図に記入\n ・判定基準\n　　 　A : 清潔　・　良\n　　 　B : 普通\n　　 　C : 不潔・不良・不備",{"$nulls":7},46,"循環装置安全性",null,"Ａ ・ Ｂ ・Ｃ"]
[null,"①",{"$nulls":10},47,"塩素剤注入装置",null,"Ａ ・ Ｂ ・Ｃ"]
[null,"プール",{"$nulls":10},48,"排水口の安全性",null,"Ａ ・ Ｂ ・Ｃ"]
[{"$nulls":3},"②",{"$nulls":8},49,"循環水取入口の安全性",null,"Ａ ・ Ｂ ・Ｃ"]
["≪所見・指導助言事項≫"]