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150 EHLT / EHLTX / PST CUSTOMER INFORMATION
ERGONOMIC SOLUTIONS SCISSOR LIFT TABLES TABLE SPECIFICATIONS
EHLTD / EHLTS
CONTACT:
COMPANY:
EHLTSD / AHLT
PHONE:
EMAIL:
SURVEY SHEET
MODEL NUMBER:
DECK SIZE (W x L):
DECK
DECK
RAISED HEIGHT:
WIDTH
LENGTH
LOWERED HEIGHT:
TRAVEL:
RAISED &
LOWERED CAPACITY:
HEIGHT
PRODUCT INFORMATION
CIRCLE ONE OR MORE:
BASKET PALLET GAYLORD OTHER
IF OTHER, PLEASE DESCRIBE:
FRAME
LENGTH FRAME LENGTH: WIDTH:
WIDTH HEIGHT: DIAMETER:
SPECIAL COLOR / PAINT (WATER-BASED ENAMEL STANDARD)
“RAL” NO: COLOR:
MANUFACTURER: TYPE OF COATING:
POWER (460V, 3 PHASE STANDARD) IF CUSTOM, INDICATE BELOW OPTIONS (CHECK ALL THAT APPLY)
_____ A/C (110V _____ 220V _____ 460V (STD.) _____ OTHER _____) ___ CHAIN GATES
_____ SINGLE PHASE _____ THREE PHASE (STD.) ___ HANDRAILS W/ TOEBOARDS
_____ ROTARY AIR / HYDRAULIC (80 CFM @ 80 PSI, 1/2 GPM) ___ BRIDGE PLATE W/ CURBS
_____ AIRBAG ___ CONVEYOR ROLLER DIAMETER & CENTERS
_____ WASH-DOWN ___ ROTATE OPTION ___ BALL TRANSFER TOP
(2,000 LB. MAX. CAPACITY)
_____ UL OR CSA APPROVED ELECTRICAL COMPONENTS ___ ACCORDION SKIRT
_____ NO POWER UNIT (TOEGUARDS & UPPER TRAVEL LIMIT SWITCH INCLUDED) ___ SURFACE MOUNT ___ MANUAL TURNTABLE
_____ NO POWER UNIT OR CONTROLS ___ PIT MOUNT ___ FORK POCKET SUBFRAME
CONTROLS: _____ HAND (STD) _____ FOOT ___ SCALE - CAPACITY / SIZE (NTEP NOT AVAILABLE)
___ PORTABLE (PST - 12V DC STANDARD
POWER UNIT: _____ EXTERNAL _____ INTERNAL (STD MOST MODELS)
___ POWER TRACTION DRIVE SYSTEM (PTDS - 24V DC)
IF EXTERNAL, LENGTH OF CORDS (8’ STD):
___ SEMI-PORTABLE
IF ANY OTHER SPECIAL POWER OR
CONTROLS ARE REQUIRED, PLEASE INDICATE: ___ INTERNATIONAL SHIPPING, ISBM-15 CRATE
APPLICATION INFORMATION
DUTY CYCLE: STARTS PER HOUR: HOURS PER SHIFT:
SHIFTS PER DAY: DAYS PER WEEK:
INDEXING: INCREMENT:
DUTY CYCLE IS CALCULATED BY STARTS PER HOUR OR NUMBER OF TIMES “UP” BUTTON IS PUSHED.
ANTICIPATED CYCLE TIME:
SPECIAL TEMPERATURE REQUIREMENTS:
IS THIS A HAZARDOUS LOCATION? IF YES: CLASS: _______ DIV: _______ GROUP: ________
OTHER SPECIAL REQUESTS OR APPLICATION INFORMATION: