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: Overlook 380 Address: 2040 Glass Rd Cedar Rapids, IA  52402 Person Contacted: Ashley Title: GM Registration No: SP57-009-101 Type: Routine

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Water Quality Information Name: POOL < 1500 SQ FT Registration No: SP57-009-101 Area (Sq. ft.): 800 Volume (Gallons): 24,600 Filter Type: Sand Filter Rate: - Turnover Rate: - Chlorine (Free): 1.0 ORP: 7.39/689 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): 1.4 Chlorine (Combined): 0.4 Bromine: - Pool: 2-18ppm Spa: 4-18ppm

Water Quality Information (continued) Cyanuric Acid: 0 Must be less than 80 ppm pH: 7.0 Pool and Spa: 7.2ppm-7.8ppm If less than 6.8 or greater than 8.2 = closure Total Alkalinity: 60 Calcium Hardness: 160 Temperature (F): 75.2 Spa must not exceed 104° Type of Disinfectant: Chlorine Disinfection make and model: Accutab Drain Cover make and model: Aquastar Long Drain Cover exp. date: 10/24/2027 CPO: Ryan Clemetson CPO exp. date: 4/30/2030 Smoke Free Air Act 1. Facility in compliance with smoking ban? Yes No ( If no, complete complaint form )

Notes: Routine inspection.

Chlorine and pH are reading on the low end, but still in range. Please keep an eye on it.

Please email emily.forde@linncountyiowa.gov once the SDS/EAP are reviewed and staff have signed the sign off sheet.

#	Section		Reference	Ref. Page
1)	Safety	Pool:	15.4(6)k	25
		Spa:	15.51(5)i	18
	Item: Each member of staff shall sign off that they have reviewed SDS sheets along with the Emergency Action Plan annually.
	Comment: Please have staff review and sign off annually.

	Name		Date
Inspector:		Inspection:
Report Received By:		Received:
Reviewed By:		Reviewed:

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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).