Walk-in Questionnaire - print and email or fax.
Your Personal Information
Your Company Name:
Quote Due Date:
______ /
____
/ _____
Contact Name:
Date Requested:
____________
Quote Date Due: ____________
Contact Phone Number:
( ) ______ - ___________
Contact Fax Number:
( ) ______ - ___________
Contact Email:
__________@__________________
Ship to Address:
Street
___________________
Street
___________________
City
_________________________________
State
____________________ Zip __________________
Describe the Room Application:
The following information is required to complete your quote:
Size of Room (exterior dimensions):
L
X
W X
H
Interior finish (check one):
Galfan
__ .040 anodized
aluminum __ .040 stucco
aluminum
__
Baked enamel over 22 ga steel
_
22 ga. galvanized __
Baked enamel .040 aluminum
___
22 Gauge Stainless Steel ___
Exterior finish (check one):
Galfan
__
.040 anodized aluminum __
.040 stucco aluminum
__
Baked enamel over 22 ga steel
_
22 ga. galvanized __
Baked enamel .040 aluminum
___
22 Gauge Stainless Steel ___
Room location (check one):
Indoors ___ Outdoors ___
Ambient temperature and humidity where the room will be located:
Min/Max temperature of the area to °F
Min/Max Percent Relative Humidity:
to %RH
Is a panelized floor desired?
Yes or No
Is a ramp required?
Yes or No (floor is 4” thick; ramps are common)
Number of doors required:
________
Door size
(standard door is 36” x 78”): X
__________
Window in the door?
Yes or No
Required temperature within the room:
°C
Desired control accuracy (check one):
+/-2.0°C +/-1.0°C
+/-0.5°C
________
Required humidity level (Option; will add cost):
%RH
Desired humidity control accuracy (if applicable):
(+/-10%)
(+/-5%)
(+/-3%)
___
Type of product entering the room:
The amount and temperature of product entering the room:
lbs @ °C/°F
Is a specific time required for the product to reach the room
temperature?
Yes or No If yes indicate the desired time: Hours
Will people be working in the room?
Yes or No
Yes or No How many?
Total
working hours per day: ______
Will electrical equipment be used in the room?
Total watts?
W
Estimated number of door openings in 24 hours:
________
Indicate the time the door will be left open per cycle: (mins.)
If ventilation is required indicate the amount:
CFM and
Temp/RH
of the air brought in:
°C/°F
@
%RH
Lights required?:
(Incandescent are best for freezers): Yes or No
Fluorescent Incandescent _____
Desired light intensity in foot-candles:
(30 FC avg. for storage, 70 FC avg. work) _______
Compressor location (check one):
Indoors Outdoors Roof of Unit
_______
Compressor cooling (check one):
Air cooled
Water
cooled _______
Ambient temp where compressor will be located:
Min/Max:
/
°F/C
Electrical service available:
/ / Volts/Cycle/Phase
Options
(check the desired items):
Assembly and Test at the factory with printed test results.
Elec. Receptacles:
115V
208/1
208/3
230/1 ____
Shelving,
SS or Green;
tiers ___
width length _____
Microprocessor control with:
digital air/product temp display __ air & product alarm __ mode
indicator ___
Temperature recorder, records 7 days on a 10” circular chart.
Temperature and humidity recorder, 7 days on a 10” circular
chart.
Ceiling
Plenum
for improved temperature uniformity.
Vinyl
Mat,
resistant to mildew, inorganic acids, oils and grease.
36”
Heavy Duty Kick Plates
Yes or No
Specify; interior _____
exterior of door (recommended for carts)
_______
Wall
Panel Backing
for mounting casework.
|
