Swimming Pool / Spa
Inspection Report

Jones County Environmental Services
105 Broadway Place, Suite 11
Anamosa, IA 52205
Phone: (319) 462-4715 Fax: (319) 462-5302
E-mail: environmental@co.jones.ia.us 		  Facility Name: Little Bear Pool
Address: Highway 136 N
PO Box 101
Wyoming, IA  52362
Person Contacted: Connie
Title: N/A
Registration No: SP53-006-100
Type: Routine
Water Quality Information
Name: Out. Pool < 1500
Registration No: SP53-006-100
Area (Sq. ft.): 1800
Volume (Gallons): 6900
Filter Type: Sand
Filter Rate:
Turnover Rate:
Chlorine (Free): 5.2
ORP:
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
Chlorine (Total): 5.2
Chlorine (Combined): 0
Bromine: n/a
Pool: 2-18ppm Spa: 4-18ppm
Water Quality Information (continued)
Cyanuric Acid: 30
Must be less than 80 ppm
pH: 7.7
Pool and Spa: 7.2ppm-7.8ppm
If less than 6.8 or greater than 8.2 = closure
Total Alkalinity: 180
Calcium Hardness: 300
Temperature (F):
Spa must not exceed 104°
Type of Disinfectant: Chlorine
Disinfection make and model:
Drain Cover make and model:
Drain Cover exp. date:
CPO:
CPO exp. date:

Smoke Free Air Act
1. Facility in compliance with smoking ban?
( If no, complete complaint form )

Notes: Please ensure that a sample of the water is tested for bacteria once every month and keep this record in your operations manual.

  Name   Date
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).