Rev. 8/15/11 Electrical/Shipping Certification Form for Destroyit® model 4605/4107 Shredders Please note that we cannot ship the equipment until this form is completed and returned to MBM. (Fax to: 843-552-2974, attn: Customer service department). POWER REQUIREMENTS: 1. 208/230 VAC, 50/60 HZ, 3-Phase STABLE VOLTAGE 2. 20 Amp circuit breaker with outlet for a type L15/20-220V plug Please indicate the measured no-load voltage at the electrical connection intended for the shredder: A-B _______ A-C _______ B-C _______ A-ground _______ B-ground _______ C-ground _______ Machines may be hard-wired to a circuit breaker. The power cord is 12 AWG (3 conductors and 1 ground). SHIPPING REQUIREMENTS: All elevators/doors must accommodate the following weights and dimensions: 4605. Shipping weight: 715 lbs. Dimensions (D x W x H): 35˝ x 37˝ x 75˝ (crated) / 30˝ x 29˝ x 67˝ (uncrated). 4107. Shipping weight: 994 lbs. Dimensions (D x W x H): 74 1/2˝ x 39˝ x 65˝ (crated) / 67˝ x 30˝ x 56 3/4˝ (uncrated / without side tables installed). Oiler may be detached to reduce width to 27˝. Please indicate door openings the shredder will pass through (W x H): _____________________________ Shipping address: Company name: ____________________________________ Address: __________________________________________ City: __________________ State: _____ Zip: ___________ Special requirements: _____________________________________________________________ I understand the electrical and shipping requirements for this paper shredder and hereby certify that our facility meets these requirements. Customer name: __________________________________ Title __________________________ Signature: ___________________________________ Date ___________________ IMPORTANT: The 4605/4107 shredders are engineered to shred only the types of material listed in the product descriptions contained in MBM Corporate communications. The shredding of unapproved material will void warranty. They are not designed to be used in any type of mobile shredding activities and doing so will also void warranty. Proper oiling of the cutting shafts is imperative for the correct operation of the machine. It is the customer’s responsibility to ensure that the machine is properly oiled (if equipped with an oiler, MBM recommends 10 pulls on the oiling lever for every bag filled). _______customer initials. INSTALLING DEALER: I have checked the requirements for this paper shredder and confirm that the facility listed above meets these requirements. I have also requested the customer to check the TIP & TELL indicator upon receipt. Dealer name: ____________________________________ Sales/service person name: _______________________________ Title __________________________ Signature: ___________________________________ Date ___________________ MBM Corporation is not responsible for any charges incurred as a result of incorrect electrical or shipping information. Additional charges may apply for special handling.
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