LIFTER SELECTION CHECKLIST

First Name *

Last Name *

Company *

Email *

Phone Number *

1. Dump Height

2. Threshold

3. Hopper Opening

4. Ceiling Height

B) Choose Receptacle Type and Location:

1 - Dock Level Hopper - You are dumping downward from above the container

2 - Ground Level Hopper or Conveyor - You are dumping upward, over and into the container

3 - Ground Level Dumping Into or Through Window - The hopper and lifter are seperated by a wall

Dock Level Hopper:
Distance from edge of dock to hopper:

Dock Level Hopper - Hight of curb
(some docks have a curb to stop you from rolling over the edge)

Ground Level Hopper or Conveyor:
Height from ground to to of hopper or conveyor:

Width of conveyor if a conveyor is used:

Ground Level Dumping into or through window - Window Dimensions
(width X height)

Height of windows bottom edge

Depth or thickness of wall at window:

Lifter choices for Ground Level Dumping into or through a window:
(select one)

Standard Mount

Mobile

Other: Please explain:

D) Load Requirements
Maximum weight of materials to be dumped with lifter:

E) Does Lifter need power unit:

Yes

No

F) What side of the lifter do the controls need to be located?

Left

Right

Remote Station

G) Control Type Preferred:
(select one)

Hydraulic Lever

Push Button - special order

Palm Controller - special order

I) Moter Starters:
All units are supplied with NEMA 4 Electrical, watertight enclosures. Please specify if any other requirements are needed

J) Hydraulic Requirements:
(hydraulic oil type)

Standard

USDA Approved

Other

K) Physical Installations of Lifter:
(type of surface lifter will be mounted on)

Concrete

Steel

Other

Requested Delivery Date:
Average lead time is 4-6 weeks from ROI.

Customer: *

Address: *

City: *

State *

Zip Code: *

Date:

PO#