CLOSED
UNIT
WORKSHEET
Send hard copy: ❑ yes ❑ no
❏ New ❏ Revision Worksheet_______of_______Total Sheets Faxed__________Planning Sheet____________
Today's Date____________Required Date____________Est. Order Date____________Account #______________
Acccount Name__________________________________Project Name___________________________________
Fax to_________________________________________________________Fax #_________________________
Rep
___________________________________________________________
Territory#_______________________
For questions: Contact Name_______________________________________Phone________________________
Outside Dimension:
Depth Length Stationary Mobile
Stationary = 24
1
/
2
" Single Wide 21
1
/
2
"22
11
/
16
"
Standard Mobile = 24
7
/
8
" Double Wide 41
1
/
4
"42
1
/
2
"
Ext. Mobile = 27
7
/
8
" Triple Wide 61" 62
3
/
8
"
OUTSIDE HEIGHTS INTERIOR HEIGHTS
Front View
2nd Bay
1st Bay 3rd Bay
MOBILE
(1929mm)
76"
STATIONARY
(1829mm)
72"
34"
(864mm)
(1092mm)
43"
(1168mm)
46"
(1016mm)
40"
(1092mm)
43"
(940mm)
37"
(1016mm)
40"
No full
extension
shelves above
(1219mm)
48"
from floor
NOTE: Mid-level lock module for tall units should be drawn
in grid. It occupies 3" vertical space.
NOTE: Any height (varying on 3" increments from standard)
non-locking unit can be quoted as “standard custom” with
cutting/surcharges. Nonstandard sized
locking units must be
quoted through the custom engineering department.
NOTE: Cassettes and 3" Drawers cannot occupy the bottom 3 inches.
(76mm)
3"
➨
(76mm)
3"
➨
(152mm)
6"
➨
(76mm)
3"
▼
Overhead Storage Units/Accessories
Quantity
Overhead Cabinet _________
Upper Shelf (12
1
/
4
" x 16
7
/
8
")
_________
MB30230B
(order in multiples of 12)
_________
MB30235B
(order in multiples of 6)
_________
3" Wide Bin (6 per shelf) _________
4.5" Wide Bin (4 per shelf) _________
6" Wide Bin (3 per shelf) _________
Tilt out Bin _________
Lower Shelf
(4
1
/
4
" x 16
7
/
8
")
_________
Doors
Left Hinge Right Hinge
Short Door w/90° Hinge ________ ________
Short Door w/270° Hinge ________ ________
Tall Door w/90° Hinge ________ ________
Tall Door w/270° Hinge ________ ________
Short Door w/90° Hinge & Lock ________ ________
Short Door w/270° Hinge & Lock ________ ________
Tall Door w/90° Hinge & Lock ________ ________
Tall Door w/270° Hinge & Lock ________ ________
Door Label Holders (10 pk) ________
# of Units
_________
(fill out rest of worksheet based on one unit)
Check one:
___Mobile Application
___Stationary Application
NOTE: Form must be completely filled out or request will
be rejected.
Color Options For Drawer Handles
❑ Default Taupe ❑ Mauve ❑ Yellow
❑ Slate Blue ❑ Jade
Lock Style
Basic Touch Pad____
(for single wide, locking, low profile units)
Mechanical Key Lock
1st Bay____ 2nd Bay____ 3rd Bay____
If multiple locks indicate:
Keyed Alike____ Keyed Differently____
Note which accessories get keyed differently. Otherwise,
locks will be keyed to default scenario.
Shelf Assemblies & Accessories
Quantity
Single Wide Poly Shelf
(18 x 22 x 1
1
/
2
) _________
Poly Shelf with Drawer Face (18 x 22 x 3) _________
Single Wide Q-Slot Wire Shelf (19
3
/
4
x 21
3
/
4
) _________
Single Wide Full Ext. Shelf (16
1
/
2
x 21
3
/
4
) _________
Double Wide Q-Slot Wire Shelf (39
1
/
2
x 21
3
/
4
) _________
Double Wide Full Extension (36
3
/
8
x 21
3
/
4
) _________
Shelf Dividers (21 x 3) _________
Shelf Ledges (15
1
/
4
x 4
1
/
8
) _________
Label Holders sglwd______ dblwd______
*Wire Shelves occupy 1.5" H.
Miscellaneous Accessories
Quantity
3" Drawer Divider Short_____Long_____Kit_____
6/9" Drawer Divider Short_____Long_____Kit_____
3" Exchange Tote (include “L” for locking) _________
6" Exchange Tote (include “L” for locking) _________
9" Exchange Tote (include “L” for locking) _________
Drawer Label Holders (10 pk) _________
NOTE: Choose drawers by drawing on grid.
NOTE: Choose locking drawer (w/cover) by writing “L”
on the appropriate drawer drawn on grid.
Cassette
Quantity
Two Level Cassette (9"H) (3 grid spaces) _________
Three Level Cassette (12"H) (4 grid spaces) _________
Four Level Cassette (15"H) (5 grid spaces) _________
Five Level Cassette (18"H) (6 grid spaces) _________
3" Wide Bin (6 per level) _________
4 –
1
/
2
" Wide Bin (4 per level) _________
6" Wide Bin (3 per level) _________
Cassette Label Kit _________
Bin Divider Kit
(Divides up to 4 bins)
_________
NOTE: Bins are shipped with one label. Cassette label kit
labels up to 18 bins per size and up to 18 bins per color
(Blue, Green or Mauve)
Overbridge & Accesories
Quantity
Overbridge w/2 hanger rails _________
Overbridge w/1 rail & 1 shelf _________
Overbridge w/2 shelves _________
Utility Pole w/Universal Clamp _________
Universal Clamp _________
Short Utility Hook (pkg. of 4) _________
Blade/Specimen Holder _________
Half-sized Metal Utility Bin _________
Full-sized Metal Utility Bin _________
Label/Tape Dispenser _________
Wire Supply Basket _________
Utility Bin w/Cover (pkg. of 6) (5 fit/rail) _________
Side Accessories
Note: Side storage units are 19
1
/
2
" x 5
3
/
4
"
(495 x 146mm)
Left Right
Swingout Side Storage Unit _________ _________
Fixed Side Storage Unit _________ _________
Lockable Tambour Door _________ _________
Tilt out/Removable Bin _________ _________
Full Width Shelf _________ _________
Tray w/Dividers _________ _________
Chart Holder _________ _________
Gas Tank Cylinder Holder* _________ _________
Sharps Container Holder _________ _________
Cup Holder _________ _________
Waste Basket and Holder _________ _________
Handle _________ _________
IV Pole Kit (Attaches to Cart) _________ _________
*May not be used on swing out units.
66"
63"
60"
57"
54"
51"
48"
45"
42"
39"
36"
33"
30"
27"
24"
21"
18"
15"
12"
9"
6"
3"
Filler Kit
(For tall Workcenter Application only)
Quantity
Back filler _________
Corner filler, 45° _________
Corner filler, 90° _________