Midmark Service Request Dispatch Authorization - WO-00125583
Closed
Travel Zone 1
PROBLEM SUMMARY
Inspection NWD 3 YR run with SR 1490050
ADDITIONAL NOTES
This dispatch needs to be completed on the same day as SR 1490050. Please schedule ASAP as the customer is wanting to
have this done this coming Friday 11/14. No PM to be completed, Chair Inspection only. Inspection Requirements: Complete a
separate Inspection form for each serial number. Emailed inspection form to dispatch@emsar.com If assistance is needed,
please contact Medical @ 844-856-1230. Thank you!
DISPATCH ITEMS
Serial # V1886762 Item 630-020
ITEM DESCRIPTION
630-020 PROCEDURES CHAIR PROGRAMMABLE W/O TOP
PCR CODES
Problem Cause Resolution
UM GENERAL INQUIRY UM GENERAL INQUIRY GENERAL INQUIRY
12/2/2025 NSuarez SRA needs to be completed as well as all the inspection checklist for all Parent and child work orders.
11/12/25 SReich
Your shipment
1ZE444250171781954
Scheduled Delivery
Today, November 12 by 10:30 A.M.
Order No: 737717
Customer PO No: SR1490050
Customer: Midmark No Charge
Service Request NO: 1490050
Ship To Name: Rebecca Fitzgerald MD
Ship To Address: 321 N Larchmont Bl Ste 906
Ship To City/State: LOS ANGELES, CA 90004
Waybill (Tracking #): 1ZE444250171781954
Carrier: UPS-Air-Next Day Air
The following items have shipped from Midmark Corporation on: 11-NOV-2025
LINE NO: 1.1 QTY: 1 ITEM: 002-10250-00 SERIAL #: DESCRIPTION: M9 PERIODIC MAINTENANCE SERVICE
11-11 Mburris called site spoke with Ariana La France to set appt
11/11/2025 SRobinson- Called Ariana La France, 1(323) 464-8046. It went to VM, LM with WO# and advised a coordinator will be reaching out to schedule.
🔧Work Performed
PERFORMED INSPECTION
🔍Technician Findings
INSPECTION FOR CHAIR
⚠️Problem Description
Travel Zone 1
PROBLEM SUMMARY
Inspection NWD 3 YR run with SR 1490050
ADDITIONAL NOTES
This dispatch needs to be completed on the same day as SR 1490050. Please schedule ASAP as the customer is wanting to
have this done this coming Friday 11/14. No PM to be completed, Chair Inspection only. Inspection Requirements: Complete a
separate Inspection form for each serial number. Emailed inspection form to dispatch@emsar.com If assistance is needed,
please contact Medical @ 844-856-1230. Thank you!
DISPATCH ITEMS
Serial # V1886762 Item 630-020
ITEM DESCRIPTION
630-020 PROCEDURES CHAIR PROGRAMMABLE W/O TOP
PCR CODES
Problem Cause Resolution
UM GENERAL INQUIRY UM GENERAL INQUIRY GENERAL INQUIRY
📄Description
Midmark Model: 630 (Series) Human Form Procedures Chair
📞
Call
Completed Nov 11, 2025
11/11/2025 SRobinson- Called Ariana La France, 1(323) 464-8046. It went to VM, LM with WO# and advised a coordinator will be reaching out to schedule.
📅
WO-01314535 - Inspection - 630 (Series) - Los Angeles - Rebecca Fitzgerald MD
Nov 13, 2025 10:30am – 7:00pm
Work Order: WO-01314535
Account: MIDMARK
Customer Case Number: SR 1490056 WO-00125583
Location: Rebecca Fitzgerald MD
Address: 321 N Larchmont Bl Ste 906, Los Angeles, CA 90004
Manufacturer: Midmark Corp
Model #: 630 (Series)
Serial #: V1886762
Contact Name: Ariana La France
Contact Phone: 323-464-8
PDF
005-00019-00_AA3 Inspection Checklist (1)
Nov 11, 2025
PDF
SRA_WO-00125583_ver1
Nov 11, 2025
PDF
CHAIR CHECKLIST 1
Dec 3, 2025
PDF
CHAIR CHECKLIST 3
Dec 3, 2025
PDF
CHAIR CHECKLIST 3
Dec 3, 2025
PDF
CHAIR CHECKLIST 1
Dec 3, 2025
PDF
CHAIR CHECKLIST 3
Dec 3, 2025
PDF
CHAIR CHECKLIST 3
Dec 3, 2025
PDF
sra chairs
Dec 3, 2025
Timeline
📞
Case Linked Nov 10, 2:12 PM
Case Number:00542563
Subject:Midmark Service Request Dispatch Authorization - WO-00125583
Status:Closed
📋
Work Order Created Nov 11, 11:42 AM
Work Order:WO-01314535
Type:Inspection
Priority:P4
📅
Status: Ready for Scheduling by Shelby RobinsonNov 11, 11:59 AM
From:Entered
To:Ready for Scheduling
Duration in Previous:17m
👷
▶
2
Technician Assigned Nov 11, 12:30 PM
Technician Assigned → Status: Assigned
👷
Status: Assigned by Michael Burris
From:Ready for Scheduling
To:Assigned
Duration in Previous:30m
📅
▶
2
Dispatch Scheduled Nov 11, 12:52 PM
Dispatch Scheduled → Status: Scheduled
🗓️
Status: Scheduled by Michael Burris
From:Assigned
To:Scheduled
Duration in Previous:21m
⏳2.0 business days
🔧
Status: Tech On Site by Michael RussellNov 13, 5:09 PM
From:Scheduled
To:Tech On Site
Duration in Previous:2d 4h
⏱️
Labor Added Nov 13, 5:15 PM
Type:Labor
Status:Open
Qty:1
⏳3.8 business days
✔️
Status: Completed by Michael RussellNov 18, 9:27 AM
From:Tech On Site
To:Completed
Duration in Previous:4d 16h
⚠️5.0 business days
🏁
Status: Closed by Michael RussellNov 24, 9:57 AM
From:Completed
To:Closed
Duration in Previous:6d 0h
⚠️5.0 business days
✏️
Status: WO Correction Needed by Nancy SuarezDec 2, 11:28 AM
From:Closed
To:WO Correction Needed
Duration in Previous:8d 1h
🏁
Status: Closed by Michael RussellDec 3, 7:39 AM
From:WO Correction Needed
To:Closed
Duration in Previous:20h 11m
📄
▶
3
Status: Ready to Bill Dec 3, 12:19 PM
Status: Ready to Bill → Invoice Created → Status: Invoiced
🧾
Invoice Created
Invoice Number:SM-248059
💰
Status: Invoiced by Nancy Suarez
From:Invoice Pending
To:Invoiced
Duration in Previous:3m
Bottlenecks
Tech On Site
Duration: 3.2 business days (threshold: 1.0 business days)
Exceeded by 2.2 business days
Completed
Duration: 5.0 business days (threshold: 1.0 business days)
Exceeded by 4.0 business days
Closed
Duration: 5.0 business days (threshold: 1.0 business days)