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Silo Cleaning Service Application Data Sheet

Please fill out information below and click "Submit"
Fields with (*) are required
Company:   Street:
Contact:   City:
Phone*:   State:
Email*:   Zip:
Fax:   Date:
(If prints available, disregard)
A ft/m

B ft/m

C ft/m

D ft/m

E ft/m

F ft/m

G ft/m

H ft/m

I ft/m

J ft/m

K ft/m
  Number of discharge feeders:


Number of clogged feeders:


Discharge type:
Slide Gate
Rotary Valve
Vibratory
Other

Feed rate:
TPH

Roof Opening:
Square
Round
Rectangle

" x "

Height of lip on manhole:
ft. in.

Thickness of roof:
ft. in.
  Roof Openings
INFORMATION NEEDED:

Elevator to the top of the container?
No Yes

Air Slides or other fluidizing equipment?
No Yes

Inverted cones or baffles?
No Yes

Describe


A working dust collection system?
No Yes

Instruments or structural supports inside?
No Yes

Liner or coatings inside container?
No Yes

Obstructions?
Vertical Horizontal
(within 5' any direction inside / outside roof opening)
  Type of Outlet:
110V 220V 440V

Type of Bottom:
Flat Cone Sloped Other

Air supply available:
PSI CFM

Type of Vessel:
Silo Bin Bunker RailCar Interstice Tank

How long is container available for cleaning?


Safety Training required?
No Yes   f/ Hrs

Top of Silo:
Indoors Outdoors

Is roof sloped?
No Yes   @ pitch / angle

Roof Load rating?

Data Sheet
Last cleaned:


Method used:


Material:


Estimate of non-flowing material:


Planned Storage Capacity:


Last cleaned:


Method used:

  Condition of non-flowing material:
Wet Dry

Material Temp:
°F

Moisture %


Compaction:
Soft (Shovel)
Medium (Pick)
Hard (Jackhammer)

HOW WILL DISLODGED MATERIAL BE REMOVED:
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