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-Party Inspector Conveyance Responsible Party Facility Inspection Date: Start Time: Facility ID: State Conveyance #: CP Building Name: City: County: Address: Zip Code: Phone: Company: City: State: Address: Zip Code: Owner Contact Name: Phone: Email: Job/Contract #: Original Code Data Plate Year: Year Installed: Conveyance Local ID: Altered Code Data Plate Year: Manufacturer: Conveyance Use: Passenger Conveyance Type: Traction Hydraulic Service.

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