Annex on the Square 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: Annex on the Square

Address:	501 4th Ave SE
	Cedar Rapids, Iowa 52404

Person Contacted: Terry Delay
Title: Maintenance Supervisor
Registration No: SP57-131-100
Type: Routine

Water Quality Information
Name:	Annex on the Squa
Registration No:	SP57-131-100
Area (Sq. ft.):	800
Volume (Gallons):	20,794
Filter Type:	Sand
Filter Rate:
Turnover Rate:
Chlorine (Free):	0.4
ORP:	803/69.1/7.49
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):	0.4
Chlorine (Combined):	0
Bromine:	-
Pool: 2-18ppm Spa: 4-18ppm

Water Quality Information (continued)
Cyanuric Acid:	<30
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:	40
Calcium Hardness:	220
Temperature (F):	69.1
Spa must not exceed 104°
Type of Disinfectant:	Chlorine
Disinfection make and model:	DCM3
Drain Cover make and model:
Drain Cover exp. date:
CPO:	Terry Delay
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 today to open for the first time.

Please email a corrective action plan to emily.forde@linncountyiowa.gov within 30 days.

#	Section		Reference	Ref. Page
1)	Management/Personnel	Pool:	15.4(6)f	24
1)	Management/Personnel	Spa:	15.51(5)e	17
	Item: Records shall include results of monthly microbial analyses
	Comment: Please submit each month the pool is open for use.

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 additional "Pool Rules" sign.

3)	Water Quality	Pool:	15.4(2)a(1)	9
	Item: Pool water shall have a free chlorine residual of at least 1.0 ppm and no greater than 8.0 ppm, or a total bromine residual of at least 2.0 ppm and no greater than 18.0 ppm when pool is in use
	Comment: Please raise pool free Chlorine to a minimum of 1.0PPM.

4)	Safety	Pool:	15.4(4)h	18 and 19
	Item: All drains shall be VGB compliant and within their life expectancy date
	Comment: Please provide VGB compliance documentation.

5)	Safety	Pool:	15.4(6)k	25
5)	Safety	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/sign off on the EAP/SDS annually.

	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).