MRI Report - NRHP Reporting and Data

MRI Monthly Inspection Report

Date	Facility	Safety zone placards in place	Fire Extinguisher damage	All interior lighting operable	Safety cones are setup around the trailer	Water and Glycol levels checked	Trailer lights / reflectors operable	Any visual interior water damager or glycol leakage	Compartments on the drivers side of the trailer are locked	Physical Inspection Comments	Electronic Signature
10/2022	Mt.Grant General Hospital	Yes	No	Yes	Yes	Yes	Yes	No	Yes		Sean Berendt
10/2022	Mt.Grant General Hospital	Yes	No	Yes	Yes	Yes	Yes	No	Yes		Sean Berendt
09/2022	Battle Mountain General Hospital, Mt.Grant General Hospital, South Lyon Medical Center	Yes	No	Yes	Yes	Yes	Yes	No	Yes		Sean Berendt
08/2022	Mt.Grant General Hospital	Yes	No	Yes	Yes	Yes	Yes	No	Yes	I am reporting that both data cables are installed and operable. The Maintenance staff at Battle Mountain installed an aluminum pedestrian plate over the drainage ditch that runs through the sidewalk. We will use that drainage ditch to safely and successfully run the shore cable and data cables to the hospital power source. This will allow pedestrians to walk on the sidewalk without encountering obstacles.	Sean Berendt
06/2022	Mt.Grant General Hospital	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	The broken bubble level located on the driver's side of the trailer has been replaced.	Sean Berendt
05/2022	Mt.Grant General Hospital, South Lyon Medical Center	Yes	No	Yes	Yes	Yes	Yes	No	Yes	At the time of the actual physical inspection, the Magnet Warning Sign was not available for installation. Is was reported to me on 5.26.22, the Sign had been successfully installed. Additional inspection notes: I climbed onto the roof of the trailer and completed an inspection. Nothing of note to report. On 5.19.22 I brought the trailer to Reno. The trailer successfully completed it's yearly annual inspection. The trailer also passed a chassis/suspension alignment.	Sean Berendt
05/2022	South Lyon Medical Center	Yes	No	Yes	Yes	Yes	Yes	No	Yes	The MRI warning sign that was removed from the primary entry door, still has not yet arrived to SLMC. Once the sign arrives, I will ensure that it is properly installed. I performed an inspection of the roof and found everything to be satisfactory.	Sean Berendt
04/2022	South Lyon Medical Center	No	No	Yes	No	Yes	Yes	No	Yes	Outside looks good.	Richard Krey
04/2022	South Lyon Medical Center	No	No	Yes	No	Yes	Yes	No	Yes	Outside looks good.	Richard Krey
04/2022	South Lyon Medical Center	Yes	No	Yes	No	Yes	Yes	No	Yes	Outside looks good.	Richard Krey
03/2022	South Lyon Medical Center	Yes	No	Yes	Yes	Yes	Yes	No	Yes	I observed pealing from trailer's wrap. Location: One vertical seam on the driver's side (left) near the rear of the trailer. Photo documentation was taken and forwarded to my contact at AMST.	Sean Berendt
01/2022	Pershing General Hospital, Battle Mountain General Hospital, Mt.Grant General Hospital, South Lyon Medical Center	Yes	No	Yes	Yes	Yes	Yes	No	Yes	Humidifier filled in Hawthorne. Fire Extinguishers are not damaged and still holding a positive charge. I believe the fuel gauge problem was mis reported. I ran the generator for two straight days. I found that the fuel guage was/is calibrated to the amount of fuel I could visually see inside of the tank.	Sean Berendt
12/2021	Pershing General Hospital, Battle Mountain General Hospital	Yes	Yes	Yes	Yes	Yes	Yes	No	Yes	Fuel gage is inaccurate.	KW
12/2021	South Lyon Medical Center	Yes	Yes	Yes	Yes	Yes	Yes	No	Yes	Fuel gage is inaccurate.	KW
12/2021	South Lyon Medical Center	Yes	Yes	Yes	Yes	Yes	Yes	No	Yes	Fuel gage is inaccurate.	KW
12/2021	Mt.Grant General Hospital	Yes	Yes	Yes	Yes	Yes	Yes	No	Yes	Fuel gage is inaccurate.	KW

MRI Facilities

Date	Facility	Any visible exterior damage	Power cable is securely hooked to the power supply when parked	Main door is locked when not in use	Any visual exterior water damage or leakage	Any visible wear or damage to the power cable?	Compartments on the driver side of the trailer locked	Any visible damage to external wrap	Safety cones are setup around the trailer	Physical Inspection Comments	Electronic Signature
12/2021	Mt.Grant General Hospital	No	Yes	Yes	No		Yes	No			Raul Gutierrez
12/2021	Battle Mountain General Hospital	No	Yes	Yes	No		Yes	No	Yes		Roy Campbell
12/2021	South Lyon Medical Center	No	Yes	Yes	No	No	No	No	Yes		Billy Ogden
01/2022	South Lyon Medical Center	No	Yes	Yes	No	No	Yes	No	Yes		Billy Ogden
01/2022	Pershing General Hospital	No	Yes	Yes	No	No	Yes	No	Yes	No damage noted	Loren Bianchi
02/2022	Pershing General Hospital	No	Yes	Yes	No	No	Yes	No	Yes	No damage noted.	Loren Bianchi
02/2022	Pershing General Hospital	No	Yes	Yes	No	No	Yes	No	Yes	No damage noted - L. Bianchi	Loren Bianchi
01/2022	Pershing General Hospital	No	Yes	Yes	No	No	No	No	Yes	No damage noted. L. Bianchi	Loren Bianchi
02/2022	Mt.Grant General Hospital	No	Yes	Yes	No	No	Yes	Yes	Yes	There are some scuff marks up at the top looks like tree branches scuffed the wrap/banner as trailer was pulled by trees. The banner/wrap is peeling apart at the seams on the left side (if sitting in the drivers seat) towards the back of the trailer.	Randy Canady
03/2022	Pershing General Hospital	No	Yes	Yes	No	No	Yes	Yes	Yes	Scratches on wrap previously idendified	Loren Bianchi
03/2022	Battle Mountain General Hospital	No	Yes	Yes	No	No	Yes	No	Yes		Roy campbell
03/2022	South Lyon Medical Center	No	Yes	Yes	No	No	Yes	No	No		Billy Ogden
03/2022	Mt.Grant General Hospital	No	Yes	Yes	No	No	Yes	Yes	Yes	Hi, Just to let you know we will normally be doing the monthly inspection that is being sent in to you around the third week of the month. I see that you made a note that someone will be fixing the wrap, I will still make a quick note about it just for general purposes, not to be a pest. Thank you have a great weekend!!! Randy	Randy Canady
04/2022	Pershing General Hospital	No	Yes	Yes	No	No	Yes	No	Yes	no damage	Loren Bianchi
04/2022	Pershing General Hospital	No	Yes	Yes	No	No	Yes	No	Yes		Loren Bianchi
04/2022	Mt.Grant General Hospital	Yes	Yes	Yes	No	No	Yes	No	Yes	OVER SPRAY ON TIRES SIGN BROKEN OVER MAIN DOOR	CODY BURKE
04/2022	South Lyon Medical Center	No	Yes	Yes	No	No	Yes	No	Yes		Billy Ogden
04/2022	Pershing General Hospital	No	Yes	Yes	No	No	Yes	No	Yes		Loren Bianchi
05/2022	South Lyon Medical Center	Yes	Yes	Yes	No	No	No	No	Yes	Sign on walk door missing.	Billy Ogden
05/2022	Pershing General Hospital	No	Yes	Yes	No	No	Yes	No	Yes	none	Loren Bianchi
05/2022	South Lyon Medical Center	Yes	Yes	Yes	No	No	Yes	No	Yes	Flex covering on CAT6 wire bad. Door sign still missing.	Billy Ogden
05/2022	Pershing General Hospital	No	Yes	Yes	No	No	Yes	No	Yes		Loren Bianchi
06/2022	Pershing General Hospital	No	Yes	Yes	No	No	Yes	No	Yes		Loren Bianchi
06/2022	Mt.Grant General Hospital	No	Yes	Yes	No	No	Yes	No	Yes		Cody Burke
06/2022	Pershing General Hospital	No	Yes	Yes	No	No	Yes	No	Yes		Loren Bianchi
07/2022	Pershing General Hospital	No	Yes	Yes	No	No	Yes	No	Yes		Loren Bianchi
07/2022	South Lyon Medical Center	No	Yes	Yes	No	No	Yes	No	Yes		Billy Ogden
07/2022	Pershing General Hospital	No	Yes	Yes	No	No	Yes	No	Yes		Loren Bianchi
08/2022	Mt.Grant General Hospital	No	Yes	Yes	No	Yes	Yes	No	Yes	MC cable jacketing from the trailer to the power supply damaged in two spots. Discovered upon arrival.	Cody Burke
08/2022	Pershing General Hospital	No	Yes	Yes	No	No	Yes	No	Yes		Loren Bianchi
08/2022	South Lyon Medical Center	No	Yes	Yes	No	No	No	No	No	#3 door on the drivers side unlocked and open. I closed the door, did not lock it.	Billy Ogden
08/2022	Mt.Grant General Hospital	No	Yes	Yes	No	No	Yes	No	Yes		Cody Burke
08/2022	Pershing General Hospital	No	Yes	Yes	No	No	Yes	No	Yes	None	Loren Bianchi
08/2022	South Lyon Medical Center	No	Yes	Yes	No	No	Yes	No	Yes		Billy Ogden
08/2022	Mt.Grant General Hospital	No	Yes	Yes	No	No	Yes	No	Yes		Cody Burke
09/2022	Pershing General Hospital	No	Yes	Yes	No	No	Yes	No	Yes		Loren Bianchi
10/2022	Mt.Grant General Hospital	No	Yes	Yes	No	No	Yes	No	Yes		Cody Burke
10/2022	Pershing General Hospital	No	Yes	Yes	No	No	Yes	No	Yes		Loren Bianchi
10/2022	South Lyon Medical Center	No	Yes	Yes	No	No	Yes	No	Yes		Billy Ogden
10/2022	Battle Mountain General Hospital	No	Yes	Yes	No	No	Yes	No	Yes		Roy Campbell
10/2022	Mt.Grant General Hospital	No	Yes	Yes	No	No	Yes	Yes	Yes	Small scratches in the wrap on the right side of the door.	Cody Burke
10/2022	Pershing General Hospital	No	Yes	Yes	No	No	Yes	No	Yes		Loren Bianchi
11/2022	South Lyon Medical Center	No	Yes	Yes	No	No	Yes	No	Yes		Billy Ogden
11/2022	Mt.Grant General Hospital	No	Yes	Yes	No	No	Yes	No	Yes		Cody Burke
11/2022	Battle Mountain General Hospital	No	Yes	Yes	No	No	Yes	No	Yes		roy
12/2022	South Lyon Medical Center	No	Yes	Yes	No	No	Yes	No	Yes		Billy Ogden
Date	Facility	Any visible exterior damage	Power cable is securely hooked to the power supply when parked	Main door is locked when not in use	Any visual exterior water damage or leakage	Any visible wear or damage to the power cable?	Compartments on the driver side of the trailer locked	Any visible damage to external wrap	Safety cones are setup around the trailer	Physical Inspection Comments	Electronic Signature

Reporting And Data

MRI Monthly Inspection Report

MRI Facilities

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