HARRISTON INDUSTRIES 4240 CLOD HOPPER, Operator'S Manual, Page: 3 / 84

HARRISTON INDUSTRIES, INC.
MODEL 4240 CLOD HOPPER
WARRANTY REGISTRATION FORM & INSPECTION REPORT
I have thoroughly instructed the buyer on the above described equipment which review included the Opera-
tor’s Manual content, equipment care, adjustments, safe operation and applicable warranty policy.
Date _______________________________ Dealer’s Rep. Signature __________________________
Signature ____________________________
The above equipment and Operator’s Manual have been received by me and I have been thoroughly instructed
as to care, adjustments, safe operation and applicable warranty policy.
Date ________________________________ Owner's Signature ______________________________
DEALER INSPECTION REPORT SAFETY
WARRANTY REGISTRATION (please print)
This form must be filled out by the dealer and signed by both the dealer and the customer at the time of delivery.
Customer’s Name __________________________ Dealer's Name ___________________________
Address __________________________________ Address ________________________________
City, State/Prov., Code _______________________ City, State/Prov., Code _____________________
Phone Number ( _____ ) ___________________
Conveyor Model ____________________________
Serial Number _____________________________
Delivery Date ______________________________
____ Guards and Shields Installed and Secured
____ Review Operating and Safety Instructions
____ All Decals Installed
____ All Refelctors, Lights and SMV Installed,
Clean and In Good Working Order. ____ Inspect Electrical System
____ Machine Lubricated
____ Drive Belts and Chains Tensioned and Aligned
____ Speed Reducer Gearbox Oil Level Checked
____ Lubricate Machine
____ Conveyors Tensioned and Aligned
WHITE YELLOW PINK
HARRISTON IND. INC. DEALER CUSTOMER