Request Type: Installation
Date of Delivery: 12/12/25
Delivery Time: 9-10AM
Time Technician needs to arrive at location: 8:30AM
Estimated Time on Site (hours): 6
Product: (8) 626-001, (8) 002-20044-866, (3) 6212-001-800 - RBWS & SCML
EMSAR Technician Expectations:
1. Review all of the attached documents in detail
2. Call the Midmark contact (created the dispatch) with any questions
3. Call the customer POC 48 hours ahead of time to confirm date/time
4. Call the delivery agent 24 hours ahead of time to confirm date/time and confirm preassembly will be done and essential tools are known
5. Arrive on scheduled time to meet with customer Point of Contact (POC) and confirm rooms are ready for delivery prior to actual delivery
6. Supervise the delivery
7. Fill our Serial Number Tracking file and provide back to the customer
8. Fill out the Proof of Delivery (POD), get the driver and customer signatures
9. Fill out the Medical Delivery Observation Form
10. Email POD and Observation form to MDSLogistics@midmark.com<mailto:MDSLogistics@midmark.com>
1/5/26 CDempsey- reaching out to Art about correction. Attached form sent by Art.
12/30/25 NSuarez POD form is still not filled out.
12/19/25 ADiaz - uploaded requested forms. Midmark said next time I'm supposed to fill out observation form, but did not require a new form this time.
12/19/25 NSuarez please fill Medical observation form, serial number file, and POD form if someone else filled the form out that works for Midmark please let me know.
🔧Work Performed
Helped coordinate the installation of 8 new exam tables
🔍Technician Findings
Helped coordinate the installation of 8 new exam tables
⚠️Problem Description
Request Type: Installation
Date of Delivery: 12/12/25
Delivery Time: 9-10AM
Time Technician needs to arrive at location: 8:30AM
Estimated Time on Site (hours): 6
Product: (8) 626-001, (8) 002-20044-866, (3) 6212-001-800 - RBWS & SCML
EMSAR Technician Expectations:
1. Review all of the attached documents in detail
2. Call the Midmark contact (created the dispatch) with any questions
3. Call the customer POC 48 hours ahead of time to confirm date/time
4. Call the delivery agent 24 hours ahead of time to confirm date/time and confirm preassembly will be done and essential tools are known
5. Arrive on scheduled time to meet with customer Point of Contact (POC) and confirm rooms are ready for delivery prior to actual delivery
6. Supervise the delivery
7. Fill our Serial Number Tracking file and provide back to the customer
8. Fill out the Proof of Delivery (POD), get the driver and customer signatures
9. Fill out the Medical Delivery Observation Form
10. Email POD and Observation form to MDSLogistics@midmark.com
📞
Call
Completed Nov 26, 2025
delivery
📅
WO-01317453 - Delivery - Galveston - University of Texas Medical Branch Health (AKA UTMB Health)
Dec 12, 2025 9:30am – 3:30pm
Work Order: WO-01317453
Account: MIDMARK
Customer Case Number: 8680438
Location: University of Texas Medical Branch Health (AKA UTMB Health)
Address: 902 Texas Avenue, 6th floor, Galveston, Texas 77550
Manufacturer:
Model #:
Serial #:
Contact Name: LaToya Letroise
Contact Phone: 409-772-6935
Cont
WORD_X
Service Request Document (12)
Nov 26, 2025
WORD_X
Midmark Delivery Service Expectations (12)
Nov 26, 2025
WORD_X
2022 Medical POD Checklist (9)
Nov 26, 2025
EXCEL_X
Medical Observation Form Rev 3.29.2022 (12)
Nov 26, 2025
EXCEL_X
2022 Serial File Midmark (12)
Nov 26, 2025
PDF
2022 Serial File Midmark (12) copy
Dec 19, 2025
EXCEL_X
Copy of Medical Observation Form Rev 3.29.2022 (12)