Inspection

Inspection Details

Equipment ID
10779

Inspection Date
8/4/2020

Inspection Type
Annual Inspection

Inspector Name
Timothy Trout

Mechanic Name
Sam Cones

Relief Valve Pressure
380

Slide

Governor Rope Pull

Door Closing Force
25

External ID
25cafe9f-e80c-43a7-91cc-1478caa4ef1f

Douglas Co Wellness
603 NW 10TH ST, AVA, MO
Phone: (417) 683-5739

Attn: UNK
Douglas Co Public Health Serv Group, Inc
PO BOX 1359, AVA, MO 65608
Phone: (000) 000-0000
Email: jheinlein@mo-ozarks.org

Same as Owner

Code	Item	Section	Reinspection	Red Tag	Reason For Violation	Fixed Date
MO Minimum : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate			Obtain and display a current state operating certificate in the machine room	8/29/2023
MO Minimum : Elevators	(B) - Car Enclosure: Passenger	(B)11 Phone or alarm not functioning (Mandatory Re-Inspection due in 14 days)	x		Repair the emergency phone as the incoming line is dead, has no voltage.	8/31/2022

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