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REQUEST FORM FOR STEEL TELESCOPIC COVERS
Company Name Telephone
Contact Person Fax
Address E-Mail
Dealt by:
Date (dd/mm/year)
1. COMPULSORY DATES FOR QUOTATION PREPARATION
1.1 Requested number of covers: Serial Production Spare part
1.2 Requested form of telescopic covering:
1.3 Working position of drawing (see 4.2):   
Horizontal Lateral Vertical Sloping
1.4 Requested stroke H mm
Machine dimensions
1.5 Shrank length L min: mm
1.6 Max. extended length L max: mm
1.7 Overlap of the biggest part Z1: mm
1.8 Overlap of the smallest part Z2: mm
1.9 Traveling speed v: m/min
1.10 Material: Common Steel
  Cr - Ni steel
1.11 Bed width Sl mm
1.12 Cover width mm
- sloping part of cover-left Skl mm
- central part of cover Sks mm
1.13 Cover arm height - left Rkl mm
1.14 Cover arm height - right Rkp mm
1.15 Cover height over the bed Kv mm
1.16 Slide way width - left Dp l mm
1.17 Slide way height - left Vdl mm
1.18 Slide way width - right Dpp mm
1.19 Slide way height - right Vdp mm
1.20 Lower arm left Lk mm
1.21 Lower arm right Pk mm
1.22 Declivity left : °
1.23 Declivity right ß: °
1.24 Slide way hardness > 60 HRC: Yes No
1.25 Non-movable part of the cover: Biggest Smallest None
2. COMPLEMENTARY DATA
2.1 speed-up a m/s2
2.2 Working environment Wet
  Dry
  Combined
2.3 External loading of cover (cca. 80 kg) Yes No
2.4 Machine type
2.5 Axle X
  Y
  Z
2.6 Lubricant
2.7 Sort of splints
2.8 Environmental temperature °c
2.9 Type of straight way (enclose the drawing)
2.10 Placing of maker's badge (draft)
3. EQUIPMENT
3.1 Sort of wiper: Cr-Ni profile + wiper polyurethane
  drawn profile + wiper polyurethane
  brass
  TSA 8 PU or TSA 12 PU
3.2 Sliding shoe: Brass
  Brass with a special sliding coat
  Plastic 
3.3 Supporting roller: Steel
  Plastic
3.4 Suspension equipment:
3.5 Discharge trough:
3.6 Special forms, spurious parts, fastening hole: enclosed on a special sheet
  none
3.7 Drawings, drafts, photos, remarques:
4. DRAWING ENCLOSURE
4.1 Dimension indication of cover
4.2 Working position of cover