Inspection

Inspection Details

Equipment ID
20642

Inspection Date
5/25/2023

Inspection Type
Annual Inspection

Inspector Name
Raymond Stidham

Mechanic Name
Derek Dixon

Relief Valve Pressure
430

Slide

Governor Rope Pull

Door Closing Force
21

External ID
ddc38c78-8be0-45d4-aece-8afa529aff5b

Location

Stockton Family Medical Clinic
1521 3rd Rd, Stockton, MO
Phone: (417) 276-5131
Email: justin.bryant@citizensmemorial.com

Owner

Attn: Justin Bryant
Citizens Memorial Health Care Foundation
1500 N Oakland Ave, Bolivar, MO 65613
Phone: (417) 328-7884
Email: justin.bryant@citizensmemorial.com

Billing

Attn: Jennifer Long
Citizens Memorial Health Care Foundation
1500 N Oakland Ave, Bolivar, MO 65613
Phone: (417) 328-6409
Email: jennifer.long@citizensmemorial.com

Violations

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
A17.1-2016 : Elevators	2.36 - Hydraulic Cylinders	8.6.5.5 Gland Packing and Seals	x	Must repair /replace left jack packing gland to limit leakage. 8.6.5.5	11/17/2022
A17.1-2016 : Elevators	5.1 - Pit access, lighting, stop switch, and condition	8.6.4.7 Cleaning of Pits		Pit must be kept free of Oil. 8.6.4.7	11/17/2022
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	4.5 - Access to Hoistway	8.6.4.14 Hoistway Access Switches		Must make both top and bottom floor Hoistway access key switches operable. 8.6.4.14

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