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Application Information Sheet
PROFILE INFORMATION:      * Required Fields
*Name
*Phone Fax
*Email Address
*Company
*Address
*City
*State *Zip
1. TYPE OF ITEM HANDLED
Cartons Drums Wood boxes Rolls of paper
Tote pans Rolls of cloth Crates Bags
Baskets Bundles Pallets Other
2. GIVE SIZE AND WEIGHT OF ALL PRODUCTS TO BE HANDLED
  Size of Packages Weight
Length Width Height
Min.
Avg.
Max.
3. WILL THERE BE SHOCK LOADING?
Yes No
If so, from what height will package be dropped?
4. RATE OF ITEMS PER HOUR
Enter rate here: per hour
5. TOTAL LIVE LOAD
Enter total live load (in pounds) here: lbs.
6. WILL CONVEYORS BE STOPPED AND STARTED UNDER FULL LOADS?
Yes No
7. MAXIMUM NUMBER OF STARTS PER MINUTE
Enter starts here:
8. NUMBER OF HOURS CONVEYOR WILL BE USED DAILY>
Enter hours here:
9. WILL CONVEYORS BE REVERSIBLE?
Yes No
10. PAINT FINISH
Other than HYTROL green powder paint please supply 2" x 2" metal.
11. SPECIAL MOTORS OR DRIVES
Brand
Voltage
Phase
Cycles
Standard Duty Totally Enclosed
Explosion Proof (Provide Class Group Div)
Energy Efficient
Washdown Duty
12. CONDITIONS SURROUNDING CONVEYORS
Excessive or abrasive dust
Moisture or humidity
Corrosive fumes
Ambient Temperature ( ° F)
Oil
Other:
* GENERAL CONVEYOR APPLICATION (IMPORTANT)