|
GCI Application Data Sheet (Print & Fill out)
4179 County Road 40 NW
Garfield, MN 56332
800-758-5126, Fax 320-834-2212, sales@gcilift.com
Company Name:____________________ Contact Name:_______________________
Street Address:_____________________ Phone: (___)________________________
City, State, Zip:_____________________ Fax: (___)__________________________
Proposal Requested: ___Budgetary ___Firm, Need Proposal: (date) ___/___/___
Air Pressure & Size of Line at Install Area ________Size _________psi
Electrical _______110/220 _______230 3ph _______460 3ph
Products to be Handled:_________________Current Handling Method:__________________
Max Cycles/Hour:________________________ Shifts per Day:_________________________
Environment:__Wet __Corrosive__Dust__Abrasive __Explosive __Clean, Temp _______
Weight (lbs) Height Width Length I.D. O.D.
Max:__________ ______ ______ _______ ______ _______
Min: __________ ______ ______ _______ ______ _______
Maximum/Minimum Reach Needed:_____/_____Inches from Center Line of Arm
Distance to Bottom of Product at Lowest Position:_________Inches
Distance to Bottom of Product at Highest Position:_________Inches
Please Indicate Where Measurement Was Taken From:_______________________________
Floor, Platform, Etc.
Clearance Factors:
Distance to lowest fixed overhead obstruction which can't or would not be moved:
_____________inches from floor.
Obstruction:___________________________________________________________________
_____________________________________________________________________________
Mounting Preference:
____Fixed Floor Mount ____Fixed Overhead Mount
____Portable Forklift/Pallet Jack Base ____Mobile Overhead Bridge Mount
End Tooling Preference:____Hook ____Gripper ____Vacuum ___Expanding Probe
____90o Tilt ____180o Tilt ______________________________Other
Special Handling Considerations: Grip Area, Pressure, Temp, Other, Describe:
____________________________________________________________________________
____________________________________________________________________________
The following is vital to our understanding of your requirements, please supply
as completely as possible:
-Parts Drawings -Photos of area and parts to be handled
-Machine Layouts -Video of area and current process
-Layout Drawings -Sample Parts (may or may not be needed)
Comments and Sequence of Operation:___________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Side View/Ceiling Truss Top View (Layout Sketch)
|
