Florida Department of Agriculture and Consumer Services Division of Consumer Services/Bureau of Fair Rides inspection EVENT REPORT Phone 143004354352; Fax (#3501 1110-3797 FairRidesQFreshFromF orida.com ADAM H. PUTNAM COMMISSIONER INVOICE 3806629 PURPOSE: Reinspection MIDWAY RIDES OF UTICA EVENT NAME: BROWARD CD. FAIR PO. BOX 4277 EVENT ADDRESSILOCATION: 901 S. FEDERAL HWY NY 13504 EVENT HALLANDALE BEACHIBROWARD OPEN DATE: 11/21/2017 INSPECTION 1711-37640 Rides: 2 5# Rides Passed: 2 in! Rides Failed: 0 Rides Not Ready: 0 .3 Go Karts: 0 j# Go Karts Passed: 0 it" Go Karts Failed: it! Go Karts Not Ready: 0 USND Theme Name I Status" De?ciency Unit 14764 CATERPILLAR Pass 195524 153st; FLYER Pass 192144 I acknowledge that all identi?ed rides issued a stop operation order (RT andror carriers or components issued an out of service are not in compliance with Florida Statute 616.242 andior Rule Chapter Est-13, RAG. Further de?ciencies may still must and s. at! not operate until it passes a subsequent inspection by the Department. ins gig?; /?Zg dim Ow?m?i?Manager 1 Date Run Date: November 21, 2017 5:19 PM Page: 1 of 1 Florida Department of Agriculture and Consumer Services Division of Consumer Services, Bureau of Fair Rides Inspection Fair Rides Inspection Worksheet ADAH H. PUTNAM. COMSSIONER Date:1112712017 07:18:02 Page 3 of Inspection 1711-37640 Event: BROWARD CO. FAIR Inspector: SMITHI JEFF Location: 901 S. FEDERAL HWY Open Date: 1112112017 HALLANDALE BEACH. BROWARD Close Date: 1112112017 Company: MIDWAY RIDES 0F UTICA Theme: SKY FLYER Set-law: SF2015-3 Type: Super Ride MFG: AK RIDES Ic 192744 Inspect By Date: 1112112017 Permit 57379 Red Tag Inspection Not Started Left: slide Right: vortex DEFICIENCIES: Unresolved OSTs: None Florida Department of Agriculture and Consumer Services 2-.- Division of Consumer Services/Bureau of Fair Rides Inspection EVENT REPORT Phone 1-aoo43sT352; Fax (350} 4105797 ADAM H. PUTNAM COMMISSIONER MIDWAY RIDES OF UTICA P.O. BOX 4277 UTICA. NY 13504 INVOICE 3008876 PURPOSE: Scheduled EVENT NAME: BROWARD co. FAIR RIDE DEFECT EVENT ADDRESSILOCATION: GULF STREAM PRK EVENT CITYICOUNTY: OPEN DATE: 111252017 INSPECTION 1711-38142 Ridisn? is Rides Passed: 1 Rides Failed: Rides Not Ready: 0 Go Karts: 0? Go Karts Passed: Go Karts {Ea?Karts NotMR?eady: Cl ?i Theme Name stems OST 3 I Unit 15339" tsitv Ftt'iER 1 Pass: 194342 i I I acknowledge that all identi?ed rides issued a stop operation order (RT andior carriers or components issued an out of service (OST are not in compliance with Florida Statute 616.242 andlor Rule Chapter 5J-18, F.A.C. Further de?ciencies may still exist and rideis) shall not operate until it passes a subsequent inspection by the Department. ?ail/Jr ,{42 Q7 ?peoior's Name 0 eriManager Run Date: November 27. 201? 4:20 PM Page: 1 of1 Date: 111271?2017 04:18:25 Inspection 1711-38142 Inspector: CORVO. CARLOS 'Open Date: Close Date: 11l26/2017 Company: MIDWAY RIDES 0F UTICA Florida Department of Agriculture and Consumer Services Division of Consumer Services. Bureau of Fair Rides Inspection Fair Rides Inspection Worksheet i of 1- Page 1 Eiient: BROWARD co. FAIR RIDE Location: GULF STREAM PRK HALLANDALE. BROWARD . '1 SKY FLYER - Theme: gig-twig, Serial#: SF2015-3 T?ief? 'Super Ride MFG: AK RIDES 101-? 1- WW: lo 11: 194842 1172512017 Permit 57379 - Red Tag Inspection Not Started Left: open i mm Right: Vortex osmosis-Es. 08? Unresolved OSTs: None I 1.. ?Florida Department of Agriculture and Consumer Services Division of Consumer Services/Bureau of Fair Rides Inspection AMUSEMENT RIDE INSPECTION REPORT Section Florida Statutes Rule 5J-18.0012. Florida AdministratiVe Code ADAM H. PUTNAM COMMISSIONER Phone 1-800-435-7352; Fax (850) 410?3797 DATA: Date 1 5" ?7 Ride Owner we); mace?ref on e.4_ Scheduled Unanncunced Inspector avg Ride Name {To a" 1' Var/L. Re-Inspection?Pennit Event we. a; .5: MFG Rice: InspectlenIRed reg History Location m- m: a Serlel 5F 2. 0 I -3 Temporary - Permanent USAID Location When Facing: Permit?! W73 L. 0.0: R. V04 72" (Check each requirement as It Is accomplished or place (N) it not applicable) 1. RIDE STATUS 2. INSTALLATION 3. STRUCTURAL at"! Perrnit' Blocking 4' HydraulicsiPneurnatlcs Insurance Fencing/Guarding bi?) PinslBoltleeys CompliancelND?l' Structural Integrity Manuals 1) Signs Tirelehgelleasters Electrical Beariri sf?pindlesl?xles. r. 1; Treckigi'n?t lion 4. ATTACHMENTS 5. OPERATION s. omen . Attachments z} RPM Check )Auiomatlc SprinklerISmoke Detector Carrier/Tubs er It Controls Water Quality" 3-H Restraints t) Brakes of Bungy Cords z) Sweeps 4 Limit Controls '9 Cr es . . omments DEFICIENCIES: 6 3615 ?t ?w - . ii) x?A?jt??-Tw? ZJv-e 71 ?urrf/r- r?s?ecpeewfwg air/ac? Resume: . . TO Sectlon 51524217}. F.-B.. AN INSPECTION Issueo. when box In checked. The above identi?ed amusement ride meets the requirements of Section 618.242. F.S. and Rule Chapter-Nets. F.A.O. and the de?ciencies El noted above (it any] have been corrected. ESPECTION CERTFICATE (FDAGS 0350, Rev; 7 ?9 1" I acknowledge. receipt 0! this inspection report and the NOTICE OF RIGHTS on the reverse side of this Form. I certify amusement ride is" in with Section 616.242. F.S. The employee responsible for operating this rlde has been trained in accordance with Section F.S. and the manufacturers operating or the operating fact sheets for this ride are available to the Operator,lend the last 14 daily i pection reports were completed and available upon request. I . . OmerrMeneger Signature Inspector?s Signature 616.242. F5. and Rule Chapter 5J-1B. F.A.C. and shall not Operate until it passes a subsequent Inspection by the Department. STOP OPERATION ORDER (FDACS 03545. Rev. 12I09) - ?st/Manager Signature 'Tn'cpeotor'e Slice-furs? I TO Section 615.242m. the above identi?ed amusement ride does not meet?h?e?ecruiremenis 0' 366?? Pink/Event soncsoa; 1.9 Rev, 12/09 While/Bureau oenery/ Owner or Manager Impacts" :16! a . W?u??e FH tsetse Florida Department of Agriculture and Consumer Services Division of Consumer ServiceslBureau of Fair Rides Inspection AMUSEMENT RIDE INSPECTION REPORT Section 616.242I4). Florida Statutes Rule 5J-1B.0012. Florida Administrative Code ADAM H. PUTNAM COMMISSIONER Phone 1-800-435-7352; Fax (850) 410-3797 FairRides@FreshFromFlorida.com DATA: Date ?7 Ride Owner awew? a! Writ-wee" Scheduledenannounced Inspector for? am 1 Ride Name 1?3 ?g Re-inspection - Permit Event we (I I: MFG .tr-I as InspectionIRed Tag History Location EJ Serial -- '3 I '55" "3 Temporary - Permanent USAID {1.3 d' Location When Facing: Permit ijEj?} L. ?719? R. {We wt Tee?s KIDDIE NON-KIDDIE REQUIREMENTS: (Check each requirement as it is accomplished or place (N) if not applicable) 1. RIDE STATUS 2. INSTALLATION 3. STRUCTURAL Permit Blocking Hydraulics/Pneumatics Insurance FencinglGuarding Pins/Boltleeys of") Compliance/NOT 04,) Braces/GuyslAnchors Structural Integrity d9) Manuals .4) Signs Tires/Wheels/Casters Electrical rI BearingsISpindlesIAxles f. TracklRim Iron 4. ATTACHMENTS 5. OPERATION 6. OTHER Attachments w) RPM Check Automatic Sprinkler/Smoke Detector Carrier/Tubs at Controls Water Quality Restraints Brakes c.(a Bungy Cords Limit Controls ?I?Cranes DEFICIENCIES: 33, Eat {3'ng axed} w; tier 5 7'9, at SKA 1' fi/?Jr- la a in: 1-5 ,yr? I (in! .1 3? RESULTS: To Section 516.242m. F.S., AN INSPECTION CERTIFICATE Is issusb. when box is checked. The above BE identi?ed amusement ride meets the requirements of Section 616.242. F.S- and Rule Chapter F.A.C. and the de?ciencies noted above (it any) have been corrected. INSPECTION CERTFICATE (FDACS 03550, Rev: 01I09) ?i re? 1?1? .4 it. I acknowledge receipt of this inspection report and the NOTICE OF RIGHTS on the reverse side of this form. I certify this amusement ride is in compliance with Section 616:242, ES. The empioyee responsible for operating this ride has been trained in accordance with Section 61624206). F.S. and the manufacturers operating instructions or the Operating fact sheets for this ride are available to the operator. and the last 14 daily inspection reports were com plated and available upon request. xx" . yr OvmerIManager Signature Inspector's Signature PURSUANT TO Section 618.24zt7). .S., the above identified amusement ride does not meet the requirements of Section 616.242. F5. and Rule Chapter 5J-18, F.A.C. and shall not operate until it passes a subsequent inspection by the Department. STOP OPERATION ORDER (FDACS 03545, Rev. 12I09) OwnerlManager Signature I nspector's?Sig nature i FDACS-03419 Rev. 1209 White/Bureau Canary! Owner or Manager Pink/Event Inspection