Inspection

Inspection Details

Equipment ID
14056

Inspection Date
9/2/2025

Inspection Type
Annual Inspection

Inspector Name
Michael Elder

Mechanic Name
Matthew Trehal

Relief Valve Pressure
450

Slide
NA

Governor Rope Pull
NA

Door Closing Force
25

External ID
66d175ef-0d0d-4148-b0f2-cbdbf6749fb8

Location

Casey's General Store
303 S Hwy 13, Lowry City, MO
Phone: (417) 434-9384
Alt Phone: (417) 434-9380

Owner

Attn: Casey's Store Support Center
Casey's Store Support Center
1 SE Convenience Blvd, Ankeny, IA 50021
Phone: (515) 965-6555
Email: store_3998@cgsretail.com

Billing

Same as Owner

Violations

Code	Item	Section	Reinspection	Red Tag	Reason For Violation	Fixed Date
conversion	conversion	n/a			machine room fire extinguisher inspection tag is from 2013, it is to be inspected and tagged annually	11/6/2019
conversion	conversion	n/a			emergency phone dials disconnected number, phone needs to be reprogrammed to working number	11/6/2019
A17.1-1996 : Elevators	1.6 - Car emergency signal	211.1 Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x		Emergency telephone needs calling number corrected.	9/20/2019
A17.1-1996 : Elevators	1.6 - Car emergency signal	1001.2(a)(6) (Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x		Elevator Emergency Telephone not working the day of Inspection. Building lost all communication devices. The alarm bell does work and the elevator is not for the general public employee only usage..	9/9/2021
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	(G)1 - 8.6.4.15 Car Emg Sys (Phone or alarm not functioning Mandatory Re-Inspection due in 14 days)	x		Emergency phone not working	9/14/2022
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	8.6.1.6.5 Fire Extinguishers			Fire extinguisher out of date
A17.1-1996 : Elevators	1.6 - Car emergency signal	211.1 Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x		Emergency Telephone needs to be reprogrammed or replaced.	2/20/2024
A17.1-1996 : Elevators	2.41 - Maintenance Records	8.6.1.4			8.6.1.4.1 MCP has not been initiated.
A17.1-1996 : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate			State Operating Certificate not Current and available in the Elevator Equipment Room.
A17.1-1996 : Elevators	1.6 - Car emergency signal	211.1 Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x		Emergency phone won't dial out.	9/26/2024
A17.1-1996 : Elevators	2.41 - Maintenance Records	8.6.1.4			MCP needed
A17.1-1996 : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate			Current state operating certificate needed and displayed
A17.1-1996 : Elevators	1.6 - Car emergency signal	211.1 Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x		Emergency telephone line not active. Must Reinspect when issue corrected.	1/13/2025
A17.1-1996 : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate			Current State Operating Certificate not available.
A17.1-1996 : Elevators	1.6 - Car emergency signal	1001.2(a)(6) (Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x		Phone failed to operate	1/13/2025
A17.1-1996 : Elevators	1.6 - Car emergency signal	211.1 Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x		Emergency phone failed to operate.	2/4/2025
A17.1-1996 : Elevators	1.6 - Car emergency signal	211.1 Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x	x	Emergency phone failed to operate	4/29/2025
A17.1-1996 : Elevators	1.6 - Car emergency signal	211.1 Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x		Phone not working on battery back up, needs battery back up for calling out when no power	5/9/2025
MO Minimum : Elevators	(G) - Maintenance, Repair and Replacements	8.6.1.6.5 Fire Extinguishers			Fire extinguisher out of date

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