Inspection

Inspection Details

Equipment ID
22502

Inspection Date
9/16/2020

Inspection Type
5 Year Annual Inspection

Inspector Name
Michael Terhune

Mechanic Name
Stephen Jenkins

Relief Valve Pressure
1700

Slide

Governor Rope Pull

Door Closing Force
N/A

External ID
5d60f436-bde7-40fe-b5d8-648cd929c914

Sam's Club
849 STONERIDGE PKWY, JEFFERSON CITY, MO
Phone: (920) 621-8731

Attn: Sam's Club
Sam's Club
4201 NORTHVIEW DR STE 314, BOWIE, MD 20716
Phone: (888) 746-7726

Same as Owner

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
conversion	conversion	conversion - reinspect	x	Must make emergency phone operable	5/28/2019
conversion	conversion	conversion - reinspect	x	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)	x	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	x	telephone line bad	5/26/2021
ASME A18.1-2005 : Lifts & Chairlifts	2.11 - Emergency Signals	2.11.2	x	No active telephone line	9/11/2024

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