Five Seasons M/H Est Pool Inspection Report

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: Five Seasons M/H Est

Address:	3421 Blairs Ferry Rd NE
	Cedar Rapids, IA 52402

Person Contacted: Liz Fredin
Title: CPO
Registration No: SP57-017-100
Type: Routine

Water Quality Information
Name:	Out. Pool < 1500
Registration No:	SP57-017-100
Area (Sq. ft.):	780
Volume (Gallons):	35000
Filter Type:	Sand
Filter Rate:
Turnover Rate:
Chlorine (Free):	5.4
ORP:	747
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):	5.6
Chlorine (Combined):	0.2
Bromine:	NA
Pool: 2-18ppm Spa: 4-18ppm

Water Quality Information (continued)
Cyanuric Acid:	<30
Must be less than 80 ppm
pH:	7.4
Pool and Spa: 7.2ppm-7.8ppm If less than 6.8 or greater than 8.2 = closure
Total Alkalinity:	110
Calcium Hardness:	440
Temperature (F):	79
Spa must not exceed 104°
Type of Disinfectant:	Chlorine
Disinfection make and model:	Pulsar $SF-4W
Drain Cover make and model:
Drain Cover exp. date:
CPO:
CPO exp. date:

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

Notes: Please email Diane.midcalf@linncounty.org in 3 days with pool chemical readings. Make sure you have a minimum of 2 manual readings each day and any additional readings from the ORP controller to fulfill readings every 4 hours while the pool is open.

Please email Diane.midcalf@linncounty.org within 30 days explaining how these violations were addressed.

#	Section		Reference	Ref. Page
1)	Management/Personnel	Pool:	15.4(6)l	25
1)	Management/Personnel	Spa:	15.51(5)j	18
	Item: A written emergency plan shall be provided and reviewed annually
	Comment: Please have staff sign off on this now and annually thereafter.

2)	Management/Personnel	Pool:	15.4(6)b	23
	Item: "Pool Rules" signage incorrectly posted. Rules sign shall include No diving in shallow end, No horseplay, and No running on deck. Post conspicuously at a minimum of 2 locations within the swimming pool enclosure.
	Comment: Please post one more Pool Rules sign.

3)	Management/Personnel	Pool:	15.4(6)d	24
	Item: "No Lifeguard" signage incorrectly posted
	Comment: Please have sing posted on outside of pool deck door stating ‘NO LIFEGUARD ON DUTY’

4)	Filtration/Recirculation	Pool:	15.4(1)b(4)	8
4)	Filtration/Recirculation	Spa:	15.51(1)e	9
	Item: Skimmer shall have an easily removable basket/screen upstream from any valve and have a Self-adjusting weir in place
	Comment: All skimmers shall have weirs.

5)	Safety	Pool:	15.4(4)n(1)8	23
	Item: Rooms or buildings where chlorine is stored or used shall be placarded in accordance with 875--Chapter 140, Iowa Administrative Code
	Comment: Please place a ‘HAZARDOUS CHEMICALS’ sign on the outside of the door to the filter room.

6)	Safety	Pool:	15.4(4)a(3)	12
6)	Safety	Spa:	15.51(4)a(3)	13
	Item: Material safety data sheets (MSDS) for the chemicals used at the pool or spa shall be at the facility in a location known and readily accessible to the facility staff.
	Comment: Please have staff sign off on MSDS sheets now and annually thereafter.

	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).