Inspection

Inspection Details

Equipment ID
22502

Inspection Date
6/4/2026

Inspection Type
Annual Inspection

Inspector Name
Leland Jones

Mechanic Name

Relief Valve Pressure
1850

Slide
NA

Governor Rope Pull
NA

Door Closing Force
10/10

External ID
0039bead-7910-45dc-910c-a22ac3e98eea

Location

Sam's Club #6505
849 Stoneridge Pkwy, Jefferson City, MO
Phone: (920) 621-8731

Owner

Attn: Sam’s Club c/o ATIS Elevator Inspections
Sam’s Club c/o ATIS Elevator Inspections
2100 Maplewood Commons, Saint Louis,, MO 63143
Phone: (314) 375-2144 Ext: 1034
Email: samsclub@atis.com

Billing

Same as Owner

Violations

Code	Item	Section	Reinspection	Red Tag	Reason For Violation	Fixed Date
conversion	conversion	conversion - reinspect	Yes	No	Must make emergency phone operable	5/28/2019
conversion	conversion	conversion - reinspect	Yes	No	Must adust /replace guide shoes to keep car frame from rubbing guide rail.	5/28/2019
ASME A17.1 2004 with 2005 Addendum and 2005 : Elevators	1.6 - Car emergency signal	8.11.2.1.1(f) (Insp code) Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	Yes	No	Must make emergency Phone operable for two way comunication 1.6	9/16/2020
ASME A18.1-2005 : Lifts & Chairlifts	2.11 - Emergency Signals	2.11	Yes	No	telephone line bad	5/26/2021
ASME A18.1-2005 : Lifts & Chairlifts	2.11 - Emergency Signals	2.11.2	Yes	No	No active telephone line	9/11/2024
ASME A18.1-2005 : Lifts & Chairlifts	2.11 - Emergency Signals	2.11.2	Yes	No	MUST MAKE PHONE OPERABLE	11/12/2025

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