LANDOLL CORPORATION

1900 NORTH STREET MARYSVILLE, KS 66508

PHONE: (785) 562-5381 FAX: (785) 562-4853
Customer ELECTRIC TRUCK Installation Report
Customer ARABELA, S.A. de C.V. Truck Serial Number B55/56ACHL-1109A-06786
Calle 3 Norte No. 102, Parque Ind. Toluca 2000
Address City, State, Zip Toluca, Estado de Mexico, 50200
October 24Th., 2011
Installation Date Before any warranty claim can be honored for new equipment being
installed, this form must be filled out completely and properly signed
12 Month Warranty End Date October 24Th., 2012 by the dealer/branch representative and responsible customer official.
Installation report must be submitted with five days after delivery. The
October 24Th, 2014 installation date will initiate the warranty.
36 Month Warranty End Date

NOTE: CUSTOMER MUST FILE CLAIM WITH CARRIER FOR ANY DAMAGES RECEIVED DURING TRANSIT. List damages:
CHECK OPERATION AND ADJUST WHERE NECESSARY
1. Upright and Fork Carriage 14. Hydraulic Controls:
a. Forks or Parts………………………………………………………….. a. Hoist………...………………………….
b. Chain Adjustment of Lift Tie Bar Assembly……………………… b. Tilt (angle and alignment)…………..
2. Load Backrest……………………………………………………………… c. Attachment..………………………….
3. Sheet metal (battery compartment)…………………………………… d. Limit switches………………………..
4. Tires: 15. Hydraulic System - Oil Leaks:
a. Drive Tires……………………………………………………………… a. Hydraulic Pump……………………….
b. Steer Tires………………………………………………………………. b. Control Valve………………………….
5. Wheel Bolts: Tighten…………………………...………………………… c. Hoist Cylinder………………………..
6. Seat Adjuster……………………………………………………………….. d. Tilt Cylinder………………………….
7. Brakes: e. Attachment Cylinders……………….
a. Pedal Firmness………………………………………………………….. f. Hydraulic Lines & Fittings………….
b. Pedal Free Play………………………………………………………… 16. Test Run
c. Adjustment……………………………………………………………… Was truck operator instructed?……………….. YES NO
8. Horn and Lights: Was truck manual delivered?………………….. YES NO
(Head-Spot-Tail)…………………………………………………………….. Was maintenance department instructed?…… YES NO
9. Drive Controls: Was truck already in service?…………………. YES NO
a. Direction Master Switch (Forward, Reverse, and Neutral)………. Were caution/warning plates reviewed
b. Accelerator Pedal………………………………………………………. with operator?…………………………………… YES NO
10. Speed Control: 17. Battery Specific Gravity:
a. Review SCR settings…………………………………………………… a. Voltage & water level (lead acid)….
b. Plugging…………………………………………………………………. 18. Fluid and Lube:
c. 1A Contactor operation……………………………………………… a. Master brake cylinder……………….
11. Steering: b. Hydraulic oil; check dipstick………
a. Power Steer Operation……………………………………………….. c. Transmission(s)……………………..
b. Motor Locks…………………………………………………………… d. Lube points…………………………..
12. Hour Meter Reading……………………………………………………… 19. Battery:
Enersys 3F3
13. Electrical Controls: a. Make & Model____________________________
a. Contactor...…………………………………………………………….
1,300 Kgs
b. Drive Motors………………..………………………………………… b. Service Weight____________________________
c. Pump Motor…………………………………………………………….
d. Switches (limit-brake-seat-valve)……………………………………
e. Battery care and charging…………………………………………….
COMMENTS:
TRUCKS SHOULD BE GIVEN GENERAL INSPECTION - PARTICULARLY APPEARANCE - BOLTS, COTTER PINS, ETC.

I hereby certify that this machine has been thoroughly checked and found to be in good mechanical and operating condition.
Serviceman Enrique de Mendez G. Date October 24Th. 2011
Dealer/Branch Montacargas y Manejo de Materiales, S.A. de C.V.
LAN-0014 Address Lago Cuitzeo #177, Col. Anahuac, Mexico D.F. 11320
REV 000 ACCEPTANCE BY COMPANY OFFICAL
Feb 2000 Customer Date
Signature Title