TE 5 - GSA Form 55.pdf

GSA Form PDF 897 KB Posted

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Elevator Maintenance, Inspection, and Repair Services for Eielson AFB, Fort Wainwright, and Fort Greely, Alaska
Solicitation number
W912CN-22-Q-0020-Elevators
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GSA 55 (REV. 7/2002)

GENERAL SERVICES ADMINISTRATION

CERTIFICATE OF ELEVATOR INSPECTION

GENERAL SERVICES ADMINISTRATION - PUBLIC BUILDINGS SERVICE

INSPECTED

DATE

ELEVATOR MECHANIC

ELEVATOR ENGINEER

ACKNOWLEDGMENT OF ELEVATOR INSPECTION CERTIFICATE

CERTIFICATION

I CERTIFY THAT I RECEIVED THE ORIGINAL OF THIS CERTIFICATE OF INSPECTION (GSA FORM 55) THAT IT HAS BEEN COUNTERSIGNED BY THE ELEVATOR MECHANIC, AND IS POSTED IN THE CAR OF THE ELEVATOR TO WHICH IT PERTAINS.

THE ORIGINAL OF THIS CERTIFICATE INSTRUCTS THE OPERATOR, IN CASES OF ELEVATOR TROUBLE OR EMERGENCY, TO CALL:

GENERAL SERVICES ADMINISTRATION

GSA 55A (REV. 7/2002)

11.0.0.20130303.1.892433.887364

Building:
ElevatorNumber:
TypeDuty:
City:
Capacity:
Passengers:
CallNumber:
Elevator Mechanic :
Elevator Mechanic :
Elevator Mechanic :
Elevator Mechanic :
Elevator Engineer:
Elevator Engineer:
Elevator Engineer:
Elevator Engineer:
Row 1 of 4. Date. Enter 2 digit month, 2 digit day and 4 digit year.:
Row 2 of 4. Date. Enter 2 digit month, 2 digit day and 4 digit year.:
Row 3 of 4. Date. Enter 2 digit month, 2 digit day and 4 digit year.:
Row 4 of 4. Date. Enter 2 digit month, 2 digit day and 4 digit year.:
THE ORIGINAL OF THIS CERTIFICATE INSTRUCTS THE OPERATOR, IN CASES OF ELEVATOR TROUBLE OR EMERGENCY, TO CALL: :
THE ORIGINAL OF THIS CERTIFICATE INSTRUCTS THE OPERATOR, IN CASES OF ELEVATOR TROUBLE OR EMERGENCY, TO CALL: :
THE ORIGINAL OF THIS CERTIFICATE INSTRUCTS THE OPERATOR, IN CASES OF ELEVATOR TROUBLE OR EMERGENCY, TO CALL: :
1. Date. Enter 2 digit month, 2 digit day and 4 digit year.:
SuperSign:

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