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    Contact Name     Power Unit
             
    Contact Phone   Color
         
    Dealer Name   Capacity
         
    Quote #   Options 1
           
    Date:   Options 2
           
            Rails Position
           
    Wheel Chair Width at Wheels       Platform Width        
    Field Name Field Value   Check Result   Sum Check Stairs   ANGLE DEGREE TEST  
    Top Riser A  
      Step Risers Treads   ASA  
    Top Tread B  
      20   OA Run  
    Top Bullnose C         19   OA Length  
    Bottom Riser D  
      18   Top Step Angle  
    Bottom Tread E  
      17   ASA minus OA Run must be + / - 2 degrees  
    Bottom Bullnose F         16    
    Landing Tread G  
      15   Result  
    Overall Height H  
      14          
    Sum of Risers Form C  
            13        
    Top Landing I         12        
    No. of Risers J         11        
    Minimum Headroom K         10        
    Overal Length L  
      9        
    Sum of Treads Form C  
            8        
    Overall Run R  
      7        
    Nose to Nose N         6    
    Angle AA  
      5    
    Door Dimension P         4    
    Door Dimension S         3    
    Narrowest Stair Width T     2 E - Bottom Tread    
    Bottom Riser to Obst W         1 G -Landing Tread    
    Bottom Riser to Obst X         Sum Sum    
    Average Tread Tread
            Box H Box L    
    Average Rise Riser
             
    Difference    
    COMMENTS