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: Cottage Grove Place
Address: 2115 1st Ave SE
Cedar Rapids, IA  52402
Person Contacted: J Moyer
Title: Manager
Registration No: SP57-073-100
Type: Routine
Water Quality Information
Name: Indoor Spa
Registration No: SP57-073-100
Area (Sq. ft.): 87
Volume (Gallons): 286
Filter Type:
Filter Rate:
Turnover Rate:
Chlorine (Free):
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):
Chlorine (Combined):
Bromine:
Pool: 2-18ppm Spa: 4-18ppm
Water Quality Information (continued)
Cyanuric Acid:
Must be less than 80 ppm
pH:
Pool and Spa: 7.2ppm-7.8ppm
If less than 6.8 or greater than 8.2 = closure
Total Alkalinity:
Calcium Hardness:
Temperature (F):
Spa must not exceed 104°
Type of Disinfectant:
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: Spa was reinspected due to several reoccurring violations noted on annual inspection and the following was noted:
Monthly microb sample completed. GFCI/cleaning added to pool log. SVRS not needed as 4 drains are >36" apart. Spa will be drained q 2 weeks. First Aid Kit replenished. Sign is by E Phone. 3 drain covers on order. MSDS & E Plan signed off on. Underwater light works.

  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).