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CUSTOM CRANE BLOCKS REQUEST FOR QUOTATION CUSTOMER NAME DATE ADDRESS CONTACT NAME TELEPHONE FAX E-MAIL TYPE OF CRANE (Please one only) Over Head Travelling Crane (OHTC)  Mobile Crane  Application / Environmental Conditions Used. __________________________ SHEAVES Number of Sheaves ________ Outside Diameter ________mm Rope Diameter ________mm BEARINGS High Capacity PTFE Bush  Bronze Bush  Roller Bearing  Tapered Roller Bearing  Other (Specify) __________________________ BLOCK CAPACITY, DIMENSIONS & WEIGHT If multiple sheaves centre distance between all sheaves __________________________mm Working Load Limit ______ Metric Tonnes Design Class ______ If Replacement Weight ______ KG HEAD FITTING TYPE (Please one only) Hook Single  Duplex (Rams Horn)  Swivel Eye  Fixed Shackle  Other (Please Specify) ___________________________ Motorized Hook  SPECIAL REQUIREMENTS Coating (Otherwise standard SuperLift coating system used) Proof Load Testing (Please i if required)  Other (Please Specify) ______________________ 19 All specifications & dimensions are subject to change without notice. Ph: +(613) 9357 0277 www.superlift.com.au Fax: +(613) 9357 0621