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Belt Cleaner Worksheet

For the Arch/BMS Secondary Metal Bladed Cleaner, this worksheet is required prior to
quotations and before orders can be processed to insure proper installation and blade selection.

Company: Date:
Address:
City: State: Zip:
Phone: Fax:
Contact: Project:

D1 A DIMENSIONS
C
A
B
C
E

D1
D2

K
G1

E
F1
Q

D2 M
F2

H
G1
G2
G2

B
H
P
K
M
F1 F2 SCRAPER RECOMMENDATION: N
P
N Q
Arch Job No.

Conveyor ref/number:
Material: Type of Splice:
Characteristics: Reversible Conveyor: YES NO
Belt Speed: Crowed Pulley/Drum: YES NO
Belt Condition: Moisture Content of Material:
Any Obstructions:
FILL IN OVER THE DASHED LINES TO SHOW THE BELT LINE. SKETCH ANY OBSTRUCTIONS AND PROPOSED MOUNTING POSITIONS.

DIMENSIONS
X Belt Line
C Z
C
X Z
Y Belt Line
C
W
Y

C W

To be completed by Arch personnel


Checked with head office YES NO
Originator 3
Sales / Service Engineer 2
Signed: 1
Head Office
Date:

94 RESET FORM SUBMIT

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