Inspection

Inspection Details

Equipment ID
20552

Inspection Date
7/12/2024

Inspection Type
Annual Inspection

Inspector Name
Raymond Stidham

Mechanic Name
Stephen Long

Relief Valve Pressure
1400

Slide
Stopped Level

Governor Rope Pull
N/A

Door Closing Force
16

External ID
16b66ca7-f057-466d-b2fa-a666022f4254

River Bluff Fellowship
2655 E FR 188, Ozark, MO
Phone: (417) 881-2806

Attn: River Bluff Fellowship
River Bluff Fellowship
2655 E Fr 188, Ozark, MO 65721
Phone: (000) 000-0000

Same as Owner

Violations

Code	Item	Section	Reason For Violation	Fixed Date
conversion	conversion	n/a	Must make in car fire service Jewel operable	5/27/2020
A17.1-2016 : Elevators	2.40 - Maintenance Records	8.6.1.2.1(a)	Must provide and Maintain On sit written MCP	7/21/2021
A17.1-2016 : Elevators	2.40 - Maintenance Records	8.6.1.4 Instructions for Locating Maintenance Records	Must provide and Maintain all required Maintenance Logs.	7/21/2021
A17.1-2016 : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate	must post current State Cert. in Mach. room. 5.100(2)	9/8/2022
A17.1-2016 : Elevators	2.7 - Fire Extinguisher	8.6.1.6.5	Must provide current Annual test tag on Mach. room fire extinguisher. 2.7	9/8/2022

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