Design Data Form

BELTWALL
Email Completed Form To: beltwall@beltservice.com

Customer Name: Contact Name:

Street Address: Contact PH/Cell:
City/State/Zip: Contact Email:
Reference: New Project † Replacement Belt †

Material Data (circle imperial/metric dimensions)

Material: Ambient Temperature: Min. Max. (°F /°C)
Max. Design Capacity: STPH/MTPH Material Temperature: Min. Max. (°F /°C)
Bulk Density: lb/ft3/t/m3 Oily Condition: YES † NO †
Angle of Repose: ° Moisture: %
Lump Size: Min. Max. (in/mm) Belt Width Preference: (in/mm)
Belt Speed Preference: (ft/min / m/s)

* Provide sieve analysis if available. If sieve analysis not available, indicate % of min/max. Measure max lump size in any dimension.

Conveyor Configuration (New or Existing)

FIG. NO. (Include unit of measure)
E E E E
B B B A C E
F F F F B D F
A C C D A C A C D

Figure 1 Figure 2 Figure 3 Figure 4 Figure 5

Existing Conveyor and Belt Information (if applicable)

Conveyor:
Drive (D): 0
Tail (T): 0
Lower Return Bend (LR): 0
Noseover (NO): 0 (Pulley or Roller Curve)
Downtime Deflection (DT): 0 x FW x WS
Upturn Deflection (UT): 0 x FW x WS

Belt: include units of measure

Belt Endless Length:

Belt Width (BW):
Belt rating (PIW, N ⁄ mm):
Top Cover Gauge: SW
Bottom Cover Gauge:
Cover Compound: H
No. of Tension Plies: CH
Type of Cross Rigid Plies:
R CP
Cut Edge or Molded Edge: CW
Splice Type:
BW
End Preparation:
Sidewall Height (H):
Sidewall Base Width (SW:)
Sidewall Recess (R):
Cleat Type (C, I, S, 2 Piece):
Cleat Height (CH):
Cleat Pitch (CP): C - Rubber S - Rubber S - 2 Piece I - Rubber I - 2 Piece

Cleat Width (CW):

Sidewall bolted to cleat (Y/N): Notes:
Spill Plate Installed (Y/N):
Spill Plate Material:

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