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BULK MATERIAL HANDLING SOLUTIONS
                                                                                                   Belt Conveyors

           Technical Data (to be filled out by customer):

             Style:
                       A                              B                            C

                                                               X                                X
                              E                                          H              G
                                                        E                          E                A°
                                      L                            A
                                                                 L                            L
                       D                        K                   E
                                         X
                                              B°    H
                             E    G
                                         A°                           E        A°    H

                                          L                                  L
               Specifications:

            Quantity:            Style:                                  Conveyor Length:
                                                                         Horizontal Length:
            Type of Conveyor:   ❐  Slider Bed         ❐  Incline Belt    Incline Length:
                                ❐  Flat Belt          ❐  Box Wall        Bolt-On Cleat Length:
                                ❐  Cleated Slider Bed   ❐  Troughed Belt   Hopper Height:
            Belt Specifications:   BF:                                   Degree of Incline:
                                Belt Type:                               Floor Distance:
            Construction:   ❐  Bolt-Together 10 ga.   ❐  Bolt-Together 7 ga.   Infeed Height to Top of
                           ❐  Welded 7ga.                                Belt:
                                                                         Discharge Height to Top
            Motor:         __________________HP   FPM:________________   of Belt:
                                         ❐  Fixed  ❐  Variable           Paint Color:
            Drive Specs:   ❐  End Drive           ❐  Center Drive        Leg Supports:
            Voltage:  ❐  115V Single Phase   ❐  460V Three Phase   Options:  ❐  6” High Side Skirts   ❐  Side Guides
                     ❐  230V Single Phase   ❐  208V Three Phase          ❐  Casters             ❐  12” High Side Skirts
                     ❐  230V Three Phase   ❐  575V Three Phase           ❐  Infeed Hopper       ❐  Vulcanized Cleats
                                                                         ❐  Discharge Guides    ❐  Belly Rest
                                                                         ❐  Inverter rated motor
            Controls Req’d:   ❐  Start/stop       ❐  AC Frequency Controller   Additional
                            ❐  E-Stop             ❐  DC Controller           Information:
                            ❐  Pull Cord Stop     ❐  None
           Material Information:
            Product(s) Conveyed:               Product Wt/Hr:                  Product Density #/hr:
            Min/Max Product Size:              Product Temp:                   Hr/Day Operation:
            Does Product Impact                Method of                       Continuous?intermittent
            Belt:                              Loading:                        Operating Cycle:
            % Fines Present:                   Indoors/Outdoors:               Freefall Distance:

             Tough, Gentle, Clean
                                                                                    Gough Econ, Inc.
                                                                                    P.O. Box 668583, Charlotte, NC 28266-8583
                                                                                    Phone: 800.264-6844      Fax: 704.392.8706
                                                                                    E-Mail: sales@goughecon.com
                                                                                    Form: beltconveyor.doc
                                                                                    Website: www.goughecon.com
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