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: Tonya Adams Title: Community director Registration No: SP57-131-100 Type: Follow-up

---

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): 2.4 ORP: 739/7.29 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: 7.4 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: 6-15-2031 CPO: - CPO exp. date: - Smoke Free Air Act 1. Facility in compliance with smoking ban? Yes No ( If no, complete complaint form )

Notes: Follow up inspection. Pool free chlorine measured at 2.4 ppm and controller ORP reading 739. Pool is allowed to re-open to the public. Please email a letter of correction stating how the violations listed on the previous inspection report have been and/or will be corrected to Todd.Jewell@linncountyiowa.gov within 30 days of this inspection.

	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).