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	General information           • Firm ___________________   • Address _______________   • ZIP Code _______________   • City ___________________   • Province _______________   • Nation _________________   • Contact Person __________   • Telephone / Mobile _______   • Fax ___________________   • E-mail _________________     Internet Site ____________
	Information about the load to be transported           Material to be transported __________     Load length (l) ___________________  [mm]   Load width (w) ___________________  [mm]   Load height (s) ___________________  [mm]   Material on Pallet _________________ Yes No     Maximum Weight _________________  [Kg]   Max Weight at Max Height __________  [Kg]   Max Lifting Height (h3) _____________  [mm]
	Lift Truck Conditions of Use   Power Supply___________ Electric Diesel GPL :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::   Work Environment                 Floor _____________________ Asphalt Cement Self-locking Gravel   Conditions _________________ Smooth Rough Very Rough       Cleaning __________________ Clean Dusty Very Dusty     :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: Shed Specifications       Last storage level on shelf (h5) __ [mm]   Maximum Ceiling Height (h6) _____ [mm] ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::   Work Corridors     Distance between shelves (LS) ___ [mm]   Distance between aisles (AST3) __ [mm] :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: Contrast aisles _________ None U Guide L Guide :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: Operation Time / Day ________ [h] :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: Operation Temperature ___ -20° ÷ -10° -10° ÷ 0° 0° ÷ 40 ° >40° :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: Do you do manual picking? ______________ Yes No :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: Are you already using a lateral lift truck? __ Yes No ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::   Notes

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