Inspection
Inspection Details
        Equipment ID
11062
    11062
        Inspection Date
5/15/2024
    5/15/2024
        Inspection Type
Annual Inspection
    Annual Inspection
        Inspector Name
Raymond Stidham
    Raymond Stidham
        Mechanic Name
Derek Dixon
    Derek Dixon
        Relief Valve Pressure
560
    560
        Slide
          
    
    
        Governor Rope Pull
          
    
    
        Door Closing Force
22
    22
        External ID
dccc9887-eb48-4ef2-8c8d-7166205213a5
dccc9887-eb48-4ef2-8c8d-7166205213a5
Location
            Kerry and Synda Douglas Medical Center
1155 W Parkview St, Bolivar, MO
Phone: (417) 326-6000
Email: justin.bryant@citizensmemorial.com
        
    1155 W Parkview St, Bolivar, MO
Phone: (417) 326-6000
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
        
    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
        
    Citizens Memorial Health Care Foundation
1500 N Oakland Ave, Bolivar, MO 65613
Phone: (417) 328-6409
Email: jennifer.long@citizensmemorial.com