One Stop Shopping for Loading Dock Equipment
     N90 W14507 Commerce Drive   Menomonee Falls, WI 53051 
Phone: 262-502-1707  Fax: 262-502-1762 .
e-mail:info@multi-fab.com   www.multi-fab.com


Your Quickest Source for Dockboard Equipment
HYDRAULIC MOTOR SURVEY SHEET
Please fill in the blanks or circle the appropriate answers below.
Date:
Installing Dealer : Phone Number:
Contact Name: Email Address:
Company Name: Street Address:
City:  State:  Zip:
 DOCKBOARD INFORMATION
. Make .
. Model .
. Serial # .
Lip Extension Mechanism
Mech. Style: Hyd. Style:
Independent Lip Out Option: Yes No (Usually an additional button on Control Panel)
No. of Platform Lifting Cylinders One Two
Size of Main Platform Cylinder(s):
Body Diameter:
Body Length: (Rod Retracted)
(Pin to Pin)
Overall Length: (Rod Extended)
(Pin to Pin)
Additional Dockboard Information:
MOTORPUMP INFORMATON
Motor Brand: Model #:
Horsepower (HP):
Gallons Per Minute (GPM):
    (Sometimes noted in owners manual)
Voltage:
Phase:
Reservoir Size: (Or Physical Dimensions) 1 Gallon 2 Gallon
Additional Motorpump Information:

© Copyright 2003 by Multi-Fab Products, LLC and Web Centers of America, Inc.