Inspection

Inspection Details

Equipment ID
18502

Inspection Date
9/24/2021

Inspection Type
Annual Inspection

Inspector Name
Ronald Edwards

Mechanic Name
Eddie Sargent

Relief Valve Pressure
520

Slide

Governor Rope Pull

Door Closing Force
F-28 R-28

External ID
29bc3deb-bf72-4ec8-b14d-c4dac771c721

Golden Valley MOB
1602 N 2nd St, Clinton, MO
Phone: (660) 883-5511

Attn: Marty Kampe
Golden Valley Hospital
1600 N 2nd St, Clinton, MO 64735
Phone: (660) 890-7087
Email: mkampe@gvmh.org

Same as Owner

Violations

Code	Item	Section	Reinspection	Reason For Violation	Fixed Date
A17.1-2016 : Elevators	5.15 - Overspeed Valve	8.6.5.16.5		unable to test valve	1/17/2023
A17.1-1996 : Elevators	CSR 40-5.100 State Operating Certificate	5.100(2) Display of Operating Certificate		No current citrt displayed	1/17/2023
A17.1-2016 : Elevators	2.40 - Maintenance Records	8.6.1.2.2 On-Site Documentation		no MCP on site
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	emg phone no voltage

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