Swimming Pool / Spa Inspection Report Linn County Public Health 1020 - 6th Street SE Cedar Rapids, IA 52401 Phone: (319) 892-6000 Fax: (319) 892-6099 E-mail: health@linncountyiowa.gov |
Facility Name: Keystone Place
Title: Maintenance Director Registration No: SP57-104-100 \ SP57-104-101 Type: Routine |
Name: | Indoor Pool < 1500 sq ft | Indoor Spa |
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Registration No: | SP57-104-100 | SP57-104-101 |
Area (Sq. ft.): | 450 | 48 |
Volume (Gallons): | 12350 | 900 |
Filter Type: | Sand | Sand |
Filter Rate: | ||
Turnover Rate: | ||
Chlorine (Free): | 8 | 7.4 |
ORP: | 732 | 776 |
Pool: 1-8ppm, ORP 700-880 mV If less than 0.6ppm or greater than 8.0ppm = closure Spa: 2-8 ppm ORP 700-880 mV If less than 1.0ppm or greater than 8.0ppm = closure |
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Chlorine (Total): | 8.4 | 7.6 |
Chlorine (Combined): | .4 | .2 |
Bromine: | ||
Pool: 2-18ppm Spa: 4-18ppm | ||
Cyanuric Acid: | ||
Must be less than 80 ppm | ||
pH: | 8.0 | 7.4 |
Pool and Spa: 7.2ppm-7.8ppm If less than 6.8 or greater than 8.2 = closure |
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Total Alkalinity: | 520 | 80 |
Calcium Hardness: | 340 | 200 |
Name: | Indoor Pool < 1500 sq ft | Indoor Spa |
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Registration No: | SP57-104-100 | SP57-104-101 |
Temperature (F): | 98 | |
Spa must not exceed 104° | ||
Type of Disinfectant: | Chlorine | Chlorine |
Disinfection make and model: | ||
Drain Cover make and model: | ||
Drain Cover exp. date: | ||
CPO: | ||
CPO exp. date: |
1. Facility in compliance with smoking ban? | |
( If no, complete complaint form ) |
# | Section | Reference | Ref. Page | |
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1) | Management/Personnel | Pool: | 15.4(6)f | 24 |
Spa: | 15.51(5)e | 17 | ||
Item: Records shall include results of chemical tests, results of microbial analyses, reports of complaints/injuries/illnesses, daily water temp. (spa), dates of draining/cleaning, and dates of review of MSDS | ||||
Comment: Require all pool staff (CPO as well as those that help with testing) to sign off annually and at time of on-boarding. | ||||
2) | Safety | Pool: | 15.4(4)f(4) | 17 |
Item: A first-aid kit shall be equipped with: band-aids, sterile 4x4 bandage compress, self-adhering gauze bandage, disposable gloves, and a chemical cold press. | ||||
Comment: First aid kit present in control room but not accessible to pool users without assistance. Provide first aid kit in pool area or easy access to a properly equipped first aid kit with a sign stating its location. | ||||
Name | Date | ||
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Inspector: | Inspection: | ||
Report Received By: | Received: | ||
Reviewed By: | Reviewed: |
These items must be corrected as soon as possible in order to comply with the Iowa Department of Public Health Swimming Pool and Spa Rules. A letter regarding the actions which will be taken in order to correct all deficiencies must be submitted within 30 days to this office. If for any reason you take issue with any of the items cited regarding swimming pool rules, a variance can be requested by following the instructions in the Iowa Department of Public Health Swimming Pools manual, amended July 8th, 2009, page 57, section 641-15.7 (135I). Variance requests regarding spa rules must be made in compliance with the instructions in the Iowa Department of Public Health Spa manual, revised July 8th, 2009, page 32, section 641-15.7 (135I).