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HBD
CUSTOMER INFORMATION
CONTACT: HYDRAULIC
COMPANY:
PHONE: BOX DUMPER
SURVEY SHEET
EMAIL: ERGONOMIC SOLUTIONS
CONTAINER TYPE & SIZE

CIRCLE ONE OR MORE:
BASKET PALLET GAYLORD OTHER NOTE: 6,000 LB.
CAPACITY UNITS USE
IF OTHER, PLEASE DESCRIBE: DOUBLE-ACTING
CYLINDERS.

LENGTH: WIDTH:
HEIGHT: DIAMETER:

STANDARD CHUTE IS 52”W x 50”L. IF SPECIAL CHUTE SIZE IS REQUIRED, CHUTE
PLEASE INDICATE IDEAL CHUTE DIMENSIONS: WIDTH
HOLD DOWN
WIDTH: LENGTH: HEIGHT
CHUTE
STANDARD FEATURES LENGTH

DUMP HEIGHT AND
36”
48”
60”
HOLD DOWN BAR HEIGHTS 18” - 36” 18” - 42” 18” - 50”
(CIRCLE ONE):
CAPACITY (CIRCLE ONE): 2,000 LBS. 4,000 LBS. 6,000 LBS.
OPTIONS (LIST ALL THAT APPLY)
SPECIAL DUMP HEIGHT:
SPECIAL CAPACITY:
SPECIAL HOLD DOWN BAR HEIGHTS:
TAPERED CHUTE (LIST OPENING WIDTH): DUMP
SPECIAL COLOR (STANDARD BLUE): HEIGHT
STAINLESS STEEL CHUTE:

POWER (460V, 3 PHASE STANDARD) IF CUSTOM, INDICATE BELOW
_____ A/C (110V _____ 220V _____ 460V _____ OTHER _____)
_____ SINGLE PHASE _____ THREE PHASE
_____ ROTARY AIR / HYDRAULIC (80 CFM @ 80 PSI, 1/2 GPM)
CONTROLS: _____ HAND _____ FOOT _____ AUTOMATED
POWER UNIT: ___ EXTERNAL ___ INTERNAL (STANDARD) ___ SIDE MTG.
IF EXTERNAL, LENGTH OF CORDS (8’ STD):
IF ANY OTHER SPECIAL POWER OR
CONTROLS ARE REQUIRED, PLEASE INDICATE:

APPLICATION INFORMATION

DUTY CYCLE: STARTS PER HOUR: HOURS PER SHIFT:
SHIFTS PER DAY: DAYS PER WEEK:
DUTY CYCLE IS CALCULATED BY STARTS PER HOUR OR NUMBER OF TIMES “UP” BUTTON IS PUSHED.
JOGGING (BOUNCING OF CHUTE) IS NOT RECOMMENDED.
ANTICIPATED CYCLE TIME:
SPECIAL TEMPERATURE REQUIREMENTS:
ARE THERE OVERHEAD HEIGHT RESTRICTIONS?
IS THIS A HAZARDOUS LOCATION? IF YES: CLASS: _______ DIV: _______ GROUP: ________
OTHER SPECIAL REQUESTS OR APPLICATION INFORMATION: