INSP - VA Bonham Sept 2025.pdf

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NTX Elevator Inspection
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This document is a VA Bonham Annual Elevator Inspection Report dated September 29, 2025, conducted by QEI (Qualified Elevator Inspector) Eugene M. Kissinger (License C-5598) of Reliant Elevator Inspections & Consulting, LLC. The inspection covers nine elevators across four buildings within the Sam Rayburn Memorial complex located at 1201 E. 9th Street, Bonham, Texas 75418. All inspections were performed in accordance with A17.1 and A17.2 elevator codes, and all units passed their annual testing and safety evaluation.

The report details individual inspection results for nine passenger elevators with varying specifications: Building 1 contains two MCE HMC 4000 units (P1 and P2, both 2010, 4000 lb capacity); Building 2 contains two ECI Pixel AC units (P3 and P4, 1978/2017 alterations, 4000 lb capacity); Building 3 contains one ESCO Relay-Logic unit (P1, 1979, 3000 lb capacity); and Building 24 contains four ESCO Relay-Logic units (P1, S1, P2, P3, all 1994, 4000 lb capacity). All units passed inspection with noted violations requiring remediation, including fire safety system repairs, door restrictor adjustments, lighting repairs, emergency system fixes, auxiliary relay replacements, and machine room safety improvements. The next five-year safety tests are due September 2029. Building contact is John Dupeire (903-583-6493), and elevator maintenance is provided by Metro Elevator through mechanics Ryan Irwin and Jay Tonn. Unit P3 in Building 24 is currently out of service for building repair.

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VA BONHAM E I

4602 Deepdale Drive Corpus Christi, Texas 78413 832-734-9977

INSPECTION DATA - TO BE COMPLETED BY INSPECTOR

1. Unit # 2.Site Name: 3. Contract #: 4. Removed from Service Date: N/A

5. Building Name: Building Designation: 6.Manufacturer:

Building Physical Address: 7. Model Type:

Number, Street, Suite No., Apt. No. City State Zip

8. Serial Number:

9. Type of Unit: (Check one) Pass Esc. M.W Frt W.L. LULA Other (specify) :

10.Drive Machine: (check one) 11. Year Installed 12. Year Altered 13. # of Floors

Electric Hydraulic

14. Speed 15. Capacity 16. # of Car Openings

Other (specify)

17. Due Date for Next 5 year Safety Test: 19. Type of Inspection (check all that apply)

Annual New Installation Alteration Re-Inspection

18. Test Data Tag in Place:

Yes No Accident 5 Year Test OTHER Semi-Annual Item # Rule Code Year Violations (Use page ELE2a if additional pages are necessary) Check box if page 2 attached Repeat

21. Comments:

Annual inspection and testing per A17.1 and A17.2 elevator code. Testing done 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 Eug QEI INSP LIC# Inspector Name Printed Date Inspection Completed

CONTACT INFORMATION - TO BE COMPLETED BY OWNER OR OWNER AGENT

24. Building Contact Name: Contact Phone Number:

Area Code Phone Number

Building Contact Business/Public Email Address: Building Contact Mailing Address:

(Ex. johndoe@yourcompanyemail.com) Number, Street, Suite No., Apt. No. City State Zip

See instruction sheet for disclosure information

25. Elevator Mechanic Name: Elevator Company:

1 of 9 Bonham

Sam Rayburn Memorial Bldg 1 P1 MCE

1201 E 9th St Bonham TX 75418 HMC 4000

3275853 x x 2010 6 200 4000 1

A17.1 8.6.1.4.1 2016 YES

A17.1 3.27.3 2016 YES

A17.1 3.27.3 2016

A17.1 2.2.5 2016

MCP's - PROVIDE Fire Logs, Periodic Test Tag Repair Fire Phase I hall indicator Repair Fire Phase I car indicator Repair Pit lighting

9/29/2025

Ryan Irwin & Jay Tonn Metro Elevator

X

E. M. Kissinger Digitally signed by E. M. Kissinger Date: 2025.09.29 15:35:30 -05'00'

John Dupeire 903-583-6493

1201 E. 9th Street Bonham TX 75418

INSPECTION DATA - TO BE COMPLETED BY INSPECTOR

1. Unit # 2.Site Name: 3. Contract #: 4. Removed from Service Date: N/A

5. Building Name: Building Designation: 6.Manufacturer:

Building Physical Address: 7. Model Type:

Number, Street, Suite No., Apt. No. City State Zip

8. Serial Number:

9. Type of Unit: (Check one) Pass Esc. M.W Frt W.L. LULA Other (specify) :

10.Drive Machine: (check one) 11. Year Installed 12. Year Altered 13. # of Floors

Electric Hydraulic

14. Speed 15. Capacity 16. # of Car Openings

Other (specify)

17. Due Date for Next 5 year Safety Test: 19. Type of Inspection (check all that apply)

Annual New Installation Alteration Re-Inspection

18. Test Data Tag in Place:

Yes No Accident 5 Year Test OTHER Semi-Annual Item # Rule Code Year Violations (Use page ELE2a if additional pages are necessary) Check box if page 2 attached Repeat

21. Comments:

Annual inspection and testing per A17.1 and A17.2 elevator code. Testing done by Eugene M issinger - EI 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 Eug QEI INSP LIC# Inspector Name Printed Date Inspection Completed

CONTACT INFORMATION - TO BE COMPLETED BY OWNER OR OWNER AGENT

24. Building Contact Name: Contact Phone Number:

Area Code Phone Number

Building Contact Business/Public Email Address: Building Contact Mailing Address:

(Ex. johndoe@yourcompanyemail.com) Number, Street, Suite No., Apt. No. City State Zip

See instruction sheet for disclosure information

25. Elevator Mechanic Name: Elevator Company:

2 0f 9 Bonham

Sam Rayburn Memorial Bldg 1 P2 MCE

1201 E 9th St Bonham TX 75418 HMC 4000

3275856 x x 2010 6 200 4000 2

A17.1 8.6.1.4.1 2016 YES

A17.1 3.27.3 2016 YES

A17.1 2.14.5.7 2016

Remove auxiliary relay wired into main contractor and replace auxiliary contacts on main relay.

MCP's - PROVIDE Fire Logs, Periodic Test Tag Repair Fire Phase I hall indicator Restricted opening of car doors (repair or replace door restrictor)

9/29/2025

Ryan Irwin & Jay Tonn Metro Elevator

E. M. Kissinger Digitally signed by E. M.

Kissinger Date: 2025.09.29 15:40:22 -05'00'

X

1. Unit # 2.Site Name: 3. Contract #: 4. Removed from Service Date: N/A

5. Building Name: Building Designation: 6.Manufacturer:

Building Physical Address: 7. Model Type:

Number, Street, Suite No., Apt. No. City State Zip

8. Serial Number:

9. Type of Unit: (Check one) Pass Esc. M.W Frt W.L. LULA Other (specify) :

10.Drive Machine: (check one) 11. Year Installed 12. Year Altered 13. # of Floors

Electric Hydraulic

14. Speed 15. Capacity 16. # of Car Openings

Other (specify)

17. Due Date for Next 5 year Safety Test: 19. Type of Inspection (check all that apply)

Annual New Installation Alteration Re-Inspection

18. Test Data Tag in Place:

Yes No Accident 5 Year Test OTHER Semi-Annual Item # Rule Code Year Violations (Use page ELE2a if additional pages are necessary) Check box if page 2 attached Repeat

21. Comments:

Annual inspection and testing per A17.1 and A17.2 elevator code. Testing done by Eugene M issinger - EI 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 Eug QEI INSP LIC# Inspector Name Printed Date Inspection Completed

CONTACT INFORMATION - TO BE COMPLETED BY OWNER OR OWNER AGENT

24. Building Contact Name: Contact Phone Number:

Area Code Phone Number

Building Contact Business/Public Email Address: Building Contact Mailing Address:

(Ex. johndoe@yourcompanyemail.com) Number, Street, Suite No., Apt. No. City State Zip

See instruction sheet for disclosure information

25. Elevator Mechanic Name: Elevator Company:

3 of 9 Bonham

Sam Rayburn Memorial Bldg 2 P3 ECI

1201 E 9th St Bonham TX 75418 Pixel AC

25768 x x 1978 2017 4 200 4000 1

A17.1 8.6.1.4.1 2016 YES

A17.1 2.20.2.2 2016 YES

A17.1 2.29 2016 YES

Remove auxiliary relay wired into main contractor and replace auxiliary contacts on main relay.

MCP's - PROVIDE Fire Logs, Periodic Test Tag, Site Documents Provide and fill out rope tags Car COP number should match building designation P3

9/29/2025

Ryan Irwin & Jay Tonn Metro Elevator

E. M. Kissinger Digitally signed by E. M. Kissinger Date: 2025.09.29 16:11:42 -05'00'

X

1. Unit # 2.Site Name: 3. Contract #: 4. Removed from Service Date: N/A

5. Building Name: Building Designation: 6.Manufacturer:

Building Physical Address: 7. Model Type:

Number, Street, Suite No., Apt. No. City State Zip

8. Serial Number:

9. Type of Unit: (Check one) Pass Esc. M.W Frt W.L. LULA Other (specify) :

10.Drive Machine: (check one) 11. Year Installed 12. Year Altered 13. # of Floors

Electric Hydraulic

14. Speed 15. Capacity 16. # of Car Openings

Other (specify)

17. Due Date for Next 5 year Safety Test: 19. Type of Inspection (check all that apply)

Annual New Installation Alteration Re-Inspection

18. Test Data Tag in Place:

Yes No Accident 5 Year Test OTHER Semi-Annual Item # Rule Code Year Violations (Use page ELE2a if additional pages are necessary) Check box if page 2 attached Repeat

21. Comments:

Annual inspection and testing per A17.1 and A17.2 elevator code. Testing done by Eugene M issinger - EI 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 Eug QEI INSP LIC# Inspector Name Printed Date Inspection Completed

CONTACT INFORMATION - TO BE COMPLETED BY OWNER OR OWNER AGENT

24. Building Contact Name: Contact Phone Number:

Area Code Phone Number

Building Contact Business/Public Email Address: Building Contact Mailing Address:

(Ex. johndoe@yourcompanyemail.com) Number, Street, Suite No., Apt. No. City State Zip

See instruction sheet for disclosure information

25. Elevator Mechanic Name: Elevator Company:

4 of 9 Bonham

Sam Rayburn Memorial Bldg 2 P4 ECI

1201 E 9th St Bonham TX 75418 Pixel AC

25759 x x 1978 2017 4 200 4000 1

A17.1 8.6.1.4.1 2016 YES

A17.1 2.29 2016 YES

A17.1 2.14.7.1.3

Repair brake switches actuating bolts broken.

MCP's - PROVIDE Fire Logs, Periodic Test Tag, Site Documents Car COP number should match building designation P3 Repair emergency lighting and alarm.

9/29/2025

Ryan Irwin & Jay Tonn Metro Elevator

E. M. Kissinger Digitally signed by E. M. Kissinger Date: 2025.09.29 16:42:53 -05'00'

X

1. Unit # 2.Site Name: 3. Contract #: 4. Removed from Service Date: N/A

5. Building Name: Building Designation: 6.Manufacturer:

Building Physical Address: 7. Model Type:

Number, Street, Suite No., Apt. No. City State Zip

8. Serial Number:

9. Type of Unit: (Check one) Pass Esc. M.W Frt W.L. LULA Other (specify) :

10.Drive Machine: (check one) 11. Year Installed 12. Year Altered 13. # of Floors

Electric Hydraulic

14. Speed 15. Capacity 16. # of Car Openings

Other (specify)

17. Due Date for Next 5 year Safety Test: 19. Type of Inspection (check all that apply)

Annual New Installation Alteration Re-Inspection

18. Test Data Tag in Place:

Yes No Accident 5 Year Test OTHER Semi-Annual Item # Rule Code Year Violations (Use page ELE2a if additional pages are necessary) Check box if page 2 attached Repeat

21. Comments:

Annual inspection and testing per A17.1 and A17.2 elevator code. Testing done by Eugene M issinger - EI 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 Eug QEI INSP LIC# Inspector Name Printed Date Inspection Completed

CONTACT INFORMATION - TO BE COMPLETED BY OWNER OR OWNER AGENT

24. Building Contact Name: Contact Phone Number:

Area Code Phone Number

Building Contact Business/Public Email Address: Building Contact Mailing Address:

(Ex. johndoe@yourcompanyemail.com) Number, Street, Suite No., Apt. No. City State Zip

See instruction sheet for disclosure information

25. Elevator Mechanic Name: Elevator Company:

5 Bonham

Sam Rayburn Memorial Bldg 3 P1 ESCO

1201 E 9th St Bonham TX 75418 Relay-Logic

FC9212169

x

1979 2 80 3000 1

A17.1 8.6.1.4.1 2016 YES

A17.1 2.14.5.7 2016 YES

A17.1 8.6.4.7.1 2007 YES

A17.1 8.6.1.6.3 2007 YES

A17.1 8.6.1.6.5 2016 YES

A17.1 28.2.3.2 2007 YES

A17.1 3.27.3 2016 YES

8 A17.2 5.1.1e 2016

9 A17.1 3.19.4.2 2016

No Load - 220psi Relief 580psi

MCP's - PROVIDE Fire Logs, Periodic Test Tag Restricted opening of car doors (repair or replace door restrictor) Relocate pit stop switch and light switch next to pit ladder.

Replace machine room shut-off valve rated for hydraulic oil.

Fire extinguisher shall be provided in machine room.

Provide shunt trip activated by heat detector.

Repair Fire Phase I hall indicator light, and Phase II operation.

9/29/2025

Ryan Irwin & Jay Tonn Metro Elevator

E. M. Kissinger Digitally signed by E. M. Kissinger Date: 2025.09.29 16:20:24 -05'00'

X

X

No water or oil shall be allowed to accumulate in pit.

Determine working pressure, record on data plate, Seal relief Valve

1. Unit # 2.Site Name: 3. Contract #: 4. Removed from Service Date: N/A

5. Building Name: Building Designation: 6.Manufacturer:

Building Physical Address: 7. Model Type:

Number, Street, Suite No., Apt. No. City State Zip

8. Serial Number:

9. Type of Unit: (Check one) Pass Esc. M.W Frt W.L. LULA Other (specify) :

10.Drive Machine: (check one) 11. Year Installed 12. Year Altered 13. # of Floors

Electric Hydraulic

14. Speed 15. Capacity 16. # of Car Openings

Other (specify)

19. Type of Inspection (check all that apply)

Annual New Installation Alteration Re-Inspection

18. Test Data Tag in Place:

Yes No Accident 5 Year Test OTHER Semi-Annual Item # Rule Code Year Violations (Use page ELE2a if additional pages are necessary) Check box if page 2 attached Repeat

21. Comments:

Annual inspection and testing per A17.1 and A17.2 elevator code. Testing done by Eugene M issinger - EI 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 Eug QEI INSP LIC# Inspector Name Printed Date Inspection Completed

CONTACT INFORMATION - TO BE COMPLETED BY OWNER OR OWNER AGENT

24. Building Contact Name: Contact Phone Number:

Area Code Phone Number

Building Contact Business/Public Email Address: Building Contact Mailing Address:

(Ex. johndoe@yourcompanyemail.com) Number, Street, Suite No., Apt. No. City State Zip

See instruction sheet for disclosure information

25. Elevator Mechanic Name: Elevator Company:

6 of 9 Bonham

Sam Rayburn Memorial Bldg 12 P1 ESCO

1201 E 9th St Bonham TX 75418 Relay-Logic

FC-83 6459

x

1994 2 80 2500 1

17. Due Date for Next 5 year Safety Test:

A17.1 8.6.1.4.1 2016 YES

A17.1 2.2.5 2016 YES

A17.1 2.14.5.7 2016 YES

A17.1 2.8.2.3.2 2007 YES

A17.1 2.14.7.1.3 2016 YES

A17.1 3.27.3 2016 YES

A17.1 3.14 2016

No Load pressure 200psi - Relief Pressure 400psi

Need to perform CAT-5 rupture valve test.

Unit would not lift load. due to water in oil, valve set-up, control valve banned by state.

Need to replace hydraulic valve, valve is condemned by state of Texas, due to history of failure, and is unsafe for the riding public.

MCP's - PROVIDE Fire Logs, Periodic Test Tag, Site Documents Repair Pit lighting Restricted opening of car doors (repair or replace door restrictor) Provide shunt trip activated by heat detector.

Repair emergency lighting and alarm.

Repair Fire Phase I hall indicator, Repair PFire Phase II operation.

Repair car top lighting

9/29/2025

Ryan Irwin & Jay Tonn Metro Elevator

X

E. M. Kissinger Digitally signed by E. M. Kissinger Date: 2025.09.29 16:42:01 -05'00'

X

1. Unit # 2.Site Name: 3. Contract #: 4. Removed from Service Date: N/A

5. Building Name: Building Designation: 6.Manufacturer:

Building Physical Address: 7. Model Type:

Number, Street, Suite No., Apt. No. City State Zip

8. Serial Number:

9. Type of Unit: (Check one) Pass Esc. M.W Frt W.L. LULA Other (specify) :

10.Drive Machine: (check one) 11. Year Installed 12. Year Altered 13. # of Floors

Electric Hydraulic

14. Speed 15. Capacity 16. # of Car Openings

Other (specify)

19. Type of Inspection (check all that apply)

Annual New Installation Alteration Re-Inspection

18. Test Data Tag in Place:

Yes No Accident 5 Year Test OTHER Semi-Annual Item # Rule Code Year Violations (Use page ELE2a if additional pages are necessary) Check box if page 2 attached Repeat

21. Comments:

Annual inspection and testing per A17.1 and A17.2 elevator code. Testing done by Eugene M issinger - EI 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 Eug QEI INSP LIC# Inspector Name Printed Date Inspection Completed

CONTACT INFORMATION - TO BE COMPLETED BY OWNER OR OWNER AGENT

24. Building Contact Name: Contact Phone Number:

Area Code Phone Number

Building Contact Business/Public Email Address: Building Contact Mailing Address:

(Ex. johndoe@yourcompanyemail.com) Number, Street, Suite No., Apt. No. City State Zip

See instruction sheet for disclosure information

25. Elevator Mechanic Name: Elevator Company:

7 of 9 Bonham

Sam Rayburn Memorial Bldg 24 S1 ESCO

1201 E 9th St Bonham TX 75418 Relay-Logic

FC-9212170

x

1994 2 80 4000 1

17. Due Date for Next 5 year Safety Test:

A17.1 8.6.1.4.1 2016 YES

A17.1 8.6.1.6.5 2016 YES

A17.1 2.14.5.7 2016 YES

A17.1 2.8.2.3.2 2007 YES

A17.1 3.27.3 2016 YES

A17.1 3.18.3.7 2016

A17.1 2.11.3 2016

No Load Pressure 195psi, Working Pressure 395psi, Relief Pressure 485psi

MCP's - PROVIDE Fire Logs, Periodic Test Tag.

Fire extinguisher shall be provided in machine room.

Restricted opening of car doors (repair or replace door restrictor) Provide shunt trip activated by heat detector.

Repair Fire Phase I hall indicator, Repair Fire Phase II operation.

Repair scavanger pump for oil collection Repair 1st floor door closure

9/29/2025

Ryan Irwin & Jay Tonn Metro Elevator

X

E. M. Kissinger Digitally signed by E. M. Kissinger Date: 2025.09.29 16:39:38 -05'00'

X

1. Unit # 2.Site Name: 3. Contract #: 4. Removed from Service Date: N/A

5. Building Name: Building Designation: 6.Manufacturer:

Building Physical Address: 7. Model Type:

Number, Street, Suite No., Apt. No. City State Zip

8. Serial Number:

9. Type of Unit: (Check one) Pass Esc. M.W Frt W.L. LULA Other (specify) :

10.Drive Machine: (check one) 11. Year Installed 12. Year Altered 13. # of Floors

Electric Hydraulic

14. Speed 15. Capacity 16. # of Car Openings

Other (specify)

19. Type of Inspection (check all that apply)

Annual New Installation Alteration Re-Inspection

18. Test Data Tag in Place:

Yes No Accident 5 Year Test OTHER Semi-Annual Item # Rule Code Year Violations (Use page ELE2a if additional pages are necessary) Check box if page 2 attached Repeat

21. Comments:

Annual inspection and testing per A17.1 and A17.2 elevator code. Testing done by Eugene M issinger - EI 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 Eug QEI INSP LIC# Inspector Name Printed Date Inspection Completed

CONTACT INFORMATION - TO BE COMPLETED BY OWNER OR OWNER AGENT

24. Building Contact Name: Contact Phone Number:

Area Code Phone Number

Building Contact Business/Public Email Address: Building Contact Mailing Address:

(Ex. johndoe@yourcompanyemail.com) Number, Street, Suite No., Apt. No. City State Zip

See instruction sheet for disclosure information

25. Elevator Mechanic Name: Elevator Company:

8 of 9 Bonham

Sam Rayburn Memorial Bldg 24 P2 ESCO

1201 E 9th St Bonham TX 75418 Relay-Logic

FC-9212168

x

1994 2 80 4000 1

17. Due Date for Next 5 year Safety Test:

A17.1 8.6.1.4.1 2016 YES

A17.1 8.6.1.6.5 2016 YES

A17.1 2.14.5.7 2016 YES

A17.1 2.8.2.3.2 2007 YES

A17.1 3.27.3 2016 YES

A17.1 3.26.10 2016 YES

A17.1 2.7.3.4 2016 YES

No Load Pressure 240psi. Working Pressure 400psi, Relief Pressure 500psi

MCP's - PROVIDE Fire Logs, Periodic Test Tag, Site Documents Fire extinguisher shall be provided in machine room.

Restricted opening of car doors (repair or replace door restrictor) Provide shunt trip activated by heat detector.

Repair Fire Phase I and II operation Repair rescue operation Machine room door shall be self-closing

9/29/2025

Ryan Irwin & Jay Tonn Metro Elevator

X

E. M. Kissinger Digitally signed by E. M. Kissinger Date: 2025.09.29 16:37:18 -05'00'

X

1. Unit # 2.Site Name: 3. Contract #: 4. Removed from Service Date: N/A

5. Building Name: Building Designation: 6.Manufacturer:

Building Physical Address: 7. Model Type:

Number, Street, Suite No., Apt. No. City State Zip

8. Serial Number:

9. Type of Unit: (Check one) Pass Esc. M.W Frt W.L. LULA Other (specify) :

10.Drive Machine: (check one) 11. Year Installed 12. Year Altered 13. # of Floors

Electric Hydraulic

14. Speed 15. Capacity 16. # of Car Openings

Other (specify)

19. Type of Inspection (check all that apply)

Annual New Installation Alteration Re-Inspection

18. Test Data Tag in Place:

Yes No Accident 5 Year Test OTHER Semi-Annual Item # Rule Code Year Violations (Use page ELE2a if additional pages are necessary) Check box if page 2 attached Repeat

21. Comments:

Annual inspection and testing per A17.1 and A17.2 elevator code. Testing done by Eugene M issinger - EI 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 Eug QEI INSP LIC# Inspector Name Printed Date Inspection Completed

CONTACT INFORMATION - TO BE COMPLETED BY OWNER OR OWNER AGENT

24. Building Contact Name: Contact Phone Number:

Area Code Phone Number

Building Contact Business/Public Email Address: Building Contact Mailing Address:

(Ex. johndoe@yourcompanyemail.com) Number, Street, Suite No., Apt. No. City State Zip

See instruction sheet for disclosure information

25. Elevator Mechanic Name: Elevator Company:

9 of 9 Bonham

Sam Rayburn Memorial Bldg 24 P3 ESCO

1201 E 9th St Bonham TX 75418 Relay-Logic

FC-9212169

x

1994 2 80 4000 1

17. Due Date for Next 5 year Safety Test:

A17.1 8.6.1.4.1 2016 YES

A17.1 8.6.1.6.5 2016 YES

A17.1 2.14.5.7 2016 YES

A17.1 2.8.2.3.2 2007 YES

A17.1 3.27.3 2016 YES

A17.1 3.26.10 2016 YES

UNIT IS OUT OF SERVICE FOR BUILDING REPAIR

MCP's - PROVIDE Fire Logs, Periodic Test Tag, Site Documents Fire extinguisher shall be provided in machine room.

Restricted opening of car doors (repair or replace door restrictor) Provide shunt trip activated by heat detector.

Repair Fire Phase I and II operation Repair rescue operation

9/29/2025

Ryan Irwin & Jay Tonn Metro Elevator

X

E. M. Kissinger Digitally signed by E. M. Kissinger Date: 2025.09.29 16:40:41 -05'00'

X

Building 1 Car P1 2025.pdf
Building 1 Car P2 2025.pdf
Building 2 Car P3 2025.pdf
Building 2 Car P4 2025.pdf
Building 3 Car P1 2025.pdf
Building 12 Car P1 2025.pdf
Building 24 Car S1 2025.pdf
Building 24 Car P2 2025.pdf
Building 24 Car P3 2025.pdf

File details come from the government source that posted it. Updated .