## Orbital Equipment Request

### Job Site:

### Equipment Box Serial Number:

### Operator:

### Model #107 Orbital Weld Machine
### Model #207 Orbital Weld Machine

### Foreman:

### Serial #

### Serial #

| Components              | Quantity Shipped | Date Received | Date Returned | Comments |
|-------------------------|------------------|---------------|----------------|----------|
| Power Cord              |                  |               |                |          |
| Interconnect Cord       |                  |               |                |          |
| 25' Head Extension      |                  |               |                |          |
| 50' Head Extension      |                  |               |                |          |
| Remote Control          |                  |               |                |          |
| Remote Extension        |                  |               |                |          |
| Regulator with 2 FM     |                  |               |                |          |
| #500 Weld Head         |                  |               |                |          |
| #750 Weld Head         |                  |               |                |          |
| #750 Cass. Head        |                  |               |                |          |
| #900 Weld Head         |                  |               |                |          |
| #1500 Weld Head        |                  |               |                |          |
| #1500 Cass. Head       |                  |               |                |          |
| #2500 Weld Head        |                  |               |                |          |
| #3500 Weld Head        |                  |               |                |          |
| #4500 Weld Head        |                  |               |                |          |
|                         |                  |               |                |          |

| Collets                 | 500              | 750           | 900            | 1500     | 2500     | 3500     | 4500     |
|-------------------------|------------------|---------------|----------------|----------|----------|----------|----------|
| 1/8"                    |                  |               |                |          |          |          |          |
| 1/4"                    |                  |               |                |          |          |          |          |
| 3/8"                    |                  |               |                |          |          |          |          |
| 1/2"                    |                  |               |                |          |          |          |          |
| 5/8"                    |                  |               |                |          |          |          |          |
| 3/4"                    |                  |               |                |          |          |          |          |
| 7/8"                    |                  |               |                |          |          |          |          |
| 1"                      |                  |               |                |          |          |          |          |
| 1-1/4"                 |                  |               |                |          |          |          |          |
| 1-1/2"                 |                  |               |                |          |          |          |          |
| 2"                      |                  |               |                |          |          |          |          |
| 2-1/2"                 |                  |               |                |          |          |          |          |
| 3"                      |                  |               |                |          |          |          |          |
| 3-1/2"                 |                  |               |                |          |          |          |          |
| 4"                      |                  |               |                |          |          |          |          |
| 4-1/2"                 |                  |               |                |          |          |          |          |

$$
7/8^{n1}
$$

$$
1^{n}
$$

$$
1-1/4^{n}
$$

$$
1-1/2^{n}
$$