Inspection

Inspection Details

Equipment ID
10639

Inspection Date
3/26/2020

Inspection Type
Annual Inspection

Inspector Name
Raymond Stidham

Mechanic Name
Bryan Wright

Relief Valve Pressure
680

Slide

Governor Rope Pull

Door Closing Force
21

External ID
2744ea20-844d-4217-933c-8e6009f62498

Location

Sam's Club-# 8293 Independence
4100 S BOLGER RD, INDEPENDENCE, MO
Phone: (816) 350-2131

Owner

Attn: Walmart Elevators c/o Lerch Bates
Walmart Elevators c/o Lerch Bates
9780 S Meridian Blvd, Ste 450, Englewood, CO 80112
Phone: (720) 239-1356
Email: Walmart.Elevators@LerchBates.com

Billing

Same as Owner

Violations

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
MO Minimum : Elevators	11 CSR 40-5.090 Inspection and Testing	8.6.5.16.5 Over Speed Valve Testing		Must preform Cat. 5 OSV test, seal, and tag 90 days to correct.	3/1/2024
MO Minimum : Elevators	11 CSR 40-5.090 Inspection and Testing	8.6.5.16.5 Over Speed Valve Testing (Re-Inspect)	x	Must perform Cat. 5 test for Overspeed Valve. 8.6.5.16.5	3/1/2024
A17.1-2016 : Elevators	1.6 - Car emergency signal	8.6.4.15 Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x	Must Make Emergency Phone operable. 8.6.4.15	3/1/2024

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