By submitting this form, I am certifying that all violations listed
on the following inspection report have been corrected, and that
the equipment has been brought into compliance:
 
Inspection Report Number   -   - 
State Number 
 
 
If you have any questions, please contact us at:
   (919) 807-2770 or 1-800-625-2267
   dol.elevatormail@labor.nc.gov
 
 
               
 
 
 
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