Inspection

Inspection Details

Equipment ID
23491

Inspection Date
9/4/2025

Inspection Type
Annual Inspection

Inspector Name
Curtis Belew

Mechanic Name
Walter Tauchert

Relief Valve Pressure
650

Slide
NA

Governor Rope Pull
NA

Door Closing Force
20

External ID
f7241391-9ddf-4057-930d-ab158f653fa3

Location

The Boulevard
3340 Ehlmann Rd, St. Charles, MO
Phone: (000) 000-0000

Owner

Attn: Kelly Arnold
Boulevard Senior Living St. Charles
3330 Ehlmann Rd, Boca Raton, FL 33486
Phone: (417) 893-6006
Email: karnold@boulevardseniorliving.com

Billing

Attn: Kelly Arnold
The Boulevard
3330 Ehlmann Rd, St. Charles, MO 63301
Phone: (314) 258-3441
Alt Phone: (636) 757-5077
Email: karnold@boulevardseniorliving.com

Violations

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	2.41 - Maintenance Records	8.6.1.4		Provide a code compliant MCP including onsite documents.	10/26/2021
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		A current MO State operating certificate shall be posted in the elevator equipment room, in a noncombustible frame with a clear protective vision plate over it.	10/26/2021
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.17 - Standby power operation	8.11.2.1.1(q)	x	Elevators that are equipped to operate on emergency power shall be tested with no load in the car while operating on the emergency generator.	9/27/2021
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.6 - Car emergency signal	3.27 (Hydro) Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x	The in car emergency telephone shall be operational.	10/17/2022
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	11 CSR 40-5.090 Inspection and Testing	8.6.5.16.5 Over Speed Valve Testing		This elevator is equipped with an overspeed valve. A category 5 test shall be performed on the overspeed valve on or before the next annual inspection.	10/26/2022
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.6 - Car emergency signal	3.27 (Hydro) Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x	Emergency phone does not work.	11/21/2023
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.17 - Standby power operation	2.27.2	x	Emergency power must be tested annually.	11/21/2023
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	11 CSR 40-5.090 Inspection and Testing	8.6.5.16.5 Over Speed Valve Testing	x	The presence of an overspeed valve has been confirmed, along with an installation date of 2018. The overspeed valve shall be scheduled for a category 5 test.	11/21/2023
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	11 CSR 40-5.090 Inspection and Testing	8.6.5.16.5 Over Speed Valve Testing	x	The presence of an overspeed valve has been confirmed, along with an installation date of 2017. The overspeed valve shall be scheduled for a category 5 test. Testing still due as of 11/21/2023.	2/5/2024
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		A current MO State operating certificate shall be posted in the elevator equipment room, in a noncombustible frame with a clear protective vision plate over it.

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