INSP - VA Dallas Packet
Updated
A PDF document (3.3 MB) attached to NTX Elevator Inspection, from the Department of Veterans Affairs. Due Nov 9, 2026, 3:00 PM (UTC-6).
File name: INSP - VA Dallas September 2025 Packet.pdf
The full file is for paid members, or buy this bid alone.
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VA Dallas 9/25 Semi-Annual ELEVATOR INSPECTION
INSPECTION DATA - TO BE COMPLETED BY INSPECTOR
2.Site Name:
1. Unit #
Dallas
3. Contract #:
5. Building Name:
VA Dallas Medical Center - Building 2
Building Physical Address:
4500 S Lancaster Rd
Dallas
Number, Street, Suite No., Apt. No.
TX
4. Removed from Service Date:
N/A
Building Designation:
P1
75216
State
City
6.Manufacturer:
OTIS
7. Model Type:
RMH
Zip
8. Serial Number:
9. Type of Unit: (Check one)
X
Pass
Esc.
11. Year Installed
10.Drive Machine: (check one)
X Electric
M.W
Frt
W.L.
12. Year Altered
1952
Hydraulic
14. Speed
Other (specify)
17. Due Date for Next 5 year Safety Test:
LULA
Other (specify) :
13. # of Floors
2019
15. Capacity
227789
16. # of Car Openings
4000
19. Type of Inspection (check all that apply)
2030
Annual
New Installation
Alteration
Accident
5 Year Test
OTHER
Re-Inspection
18. Test Data Tag in Place:
Yes
No
X
Semi-Annual
Item #
Rule
Code Year
Violations (Use page ELE2a if additional pages are necessary)
A17.1 8.6.1.4.1
2016
MCP's - Provide Test Tags, Site Documentation
YES
A17.1 8.6.4.7
2016
Clean pit of debris and rubbish
YES
A17.2 5.1.1e
2016
No water or oil shall be allowed to accumulate in pit.
YES
A17.1 2.2.5
2016
Repair Pit and Hoist-way lighting (replace burnt out bulbs)
A17.1 2.14.7.1.3
2016
Repair emergency lighting and alarm.
Check box if page 2 attached
Repeat
21. Comments:
Semi-Annual inspection and testing per A17.1 and A17.2 elevator code. Inspection was performed by Metro Elevator and witnessed by Eugene M Kissinger - QEI C-5598, elevator inspector for Reliant Elevator Inspections & Consulting, LLC. Elevator tests performed correctly and passed with the violations noted above.
22. INSPECTOR SIGNATURE IS REQUIRED FOR CERTIFICATE PROCESSING
I certify that this is a true report of my inspection. I further certify that the information on this report is correct. ct.
C-5598
EugHQH0.LVVLQJHU
QEI INSP LIC#
Inspector Name Printed
9/17/2025
Date Inspection Completed
CONTACT INFORMATION - TO BE COMPLETED BY OWNER OR OWNER AGENT
24. Building Contact Name:
Contact Phone Number:
Ken Ballard
Building Contact Business/Public Email Address:
(Ex. [email protected])
742-8387
Area Code
Phone Number
Building Contact Mailing Address:
4500 S Lancaster
Dallas
Texas
75215
Number, Street, Suite No., Apt. No.
City
State
Zip
See instruction sheet for disclosure information
25. Elevator Mechanic Name:
Elevator Company: Metro Elevator
Troy Hale
4602 Deepdale Drive
Ƈ
Corpus Christi, Texas 78413
Ƈ
832-734-9977
VA Dallas 9/25 Semi-Annual ELEVATOR INSPECTION
INSPECTION DATA - TO BE COMPLETED BY INSPECTOR
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