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Get VA Elevator/Escalator Inspection Program Certificate of Compliance 2005-2024

E Name of Building Owner/Agent: Address: Elevator Maintenance Company’s Name: Address: Type of Machinery: (elevator/escalator, etc.) Address of Machinery: Machinery Number (if applicable): Date of Last Inspection: Type of Inspection: (periodic/routine, etc.) I hereby certify that all violations listed in the last inspection report have been corrected: (List all violations below). Name (Please Print): Title: Company Name: Address: Telephone: Date: Signature: REVISED 12/28/05 Department o.

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