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COMMODITY
MODEL
SERIAL NO.
CAPACITY
TEST LOAD
DATE OF INSPECTION
JUDGEMENT
INSPECTOR
Chain Hoist
SMHX-
________Ton
________Ton
P
A
S
S
E
D
LIFT
________ ft.
Record your purchase and installation information here
Purchased from: ________________________________ Date: _____________________________
Serial Number: _________________________________ Model Number: _____________________
Stock Number: _________________________________
Location Installed: _______________________________
Date Installed: __________________________________ Date in Service: ____________________
WMH Tool Group
2420 Vantage Drive
Elgin, Illinois 60124
Phone: 800-274-6848
www.wmhtoolgroup.com