INSP - VA Garland 2025 OOS

VA *DUODQG 6HPL$QQXDOELEVATOR INSPECTION

INSPECTION DATA - TO BE COMPLETED BY INSPECTOR

1. Unit #

2.Site Name:

Garland

3. Contract #:

VA Garland Medical Center

5. Building Name:

Building Physical Address: 2300 Marie Curie

Garland TX

Number, Street, Suite No., Apt. No.

4. Removed from Service Date:

N/A

Building Designation:

P14

75216
State

City

6.Manufacturer:

BAXCO

7. Model Type:

BMHC-20

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

LULA

Other (specify) :

13. # of Floors

1992

Hydraulic

14. Speed

Other (specify)
17. Due Date for Next 5 year Safety Test:

871002-A

15. Capacity

16. # of Car Openings

4000

19. Type of Inspection (check all that apply)

2027

Annual

New Installation

Alteration

Accident

5 Year Test

OTHER

Re-Inspection

18. Test Data Tag in Place:

Yes
Item #

No
Rule

Code Year

Violations (Use page ELE2a if additional pages are necessary)

X

Semi-Annual

Check box if page 2 attached

Repeat

Unit OUT OF SERVICE after jack replacement (building stated something wrong with motor)

21. Comments:

Semi-Annual inspection and testing per A17.1 and A17.2 elevator code. Testing was performed by Eugene M Kissinger QEI C-5598, elevator inspector for Reliant Elevator Inspections & Consulting, LLC. Elevator test 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.

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:

4602 Deepdale Drive

Ƈ

Corpus Christi, Texas 78413

Ƈ

832-734-9977

VA *DUODQG 6HPL$QQXDOELEVATOR INSPECTION

INSPECTION DATA - TO BE COMPLETED BY INSPECTOR

1. Unit #

2.Site Name:

Garland

3. Contract #:

VA Garland Medical Center

5. Building Name:

Building Physical Address: 2300 Marie Curie

Garland TX

Number, Street, Suite No., Apt. No.

9. Type of Unit: (Check one)

X

X

N/A

Building Designation:

P2

75216
State

City

Pass

Esc.

11. Year Installed

10.Drive Machine: (check one)