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Deca Air-Slides
 
Needs Assessment Worksheet

Use this form as an RFP (Request for Proposal), to solve your toughest material flow problems. We stand by our Deca Air-Slide solutions. Our engineering skills, combined with the quality of our Air-Slides, deliver unbeatable value.

Tell us your needs by completing this worksheet. Prefer a phone consultation before getting started? Call us toll-free at 866-384-3788 (Central Time Zone). Our expert staff will respond with a no obligation Engineering Proposal.

air-slides
  
  		• You can simply fill out this form online and click "Request Proposal" at the end. Email drawings or other supporting documents (showing your company name) to sales@DecaVibrator.com
    OR
  		• Print out the form, complete it, and fax it (plus labeled drawings or other supporting documents) to our office FAX number (708) 974-9429, ATTN: Sales
    OR
  		• Print out and mail your completed form and any drawings or supporting documents to our office address
    10140 Virginia
    Chicago Ridge, IL 60415
    ATTN: Sales
    Questions about what's on the Worksheet? Prefer a phone consultation? Call us toll-free at 866-384-3788 (Central Time Zone). We're anxious to help.
     
    INSTRUCTIONS FOR COMPLETING FORM ONLINE:
    To move between text boxes, use TAB to move forward, or <Shift>TAB to move backward.
     
    Go to "Resources" in Navigation Bar (on the left) for assistance in filling in your Needs Assessment Worksheet.
     
    All information you submit to Deca will be treated confidentially.
    1. Description of Material in Bin
    A) Material:
    B) Moisture Content:
    C) Range of Particle Size:
    Minimum in. or mesh
    Maximum in. or mesh
    Percent under 60 mesh %  |  Under 200 mesh %
    D) Material Temperature (max): degrees fahrenheit
    E) Bulk Density: lbs/ft3  (for help, check "Resources" at www.DecaVibrator.com)
    F) Special Characteristics:
     
    2. Description of Bin
    (Please submit simple drawing. Label with company name.)
    A) Capacity: tons or ft3
    B) Bin wall material:
    C) Bin wall thickness:
    D) Size of discharge opening:
    E) Slope of bin wall: degrees from horizontal
    F) Type of gate:
    G) Number of bins of this type:
     
    3. Flow of Material
    A) Level of material is to feet above opening
    B) Bin is filled by:
    Conveyor     Feeder     Bucket
    And discharges onto:
    Conveyor     Feeder     Truck
    C) Required flow from bin is:
    Continuous     Intermittent
    D) Required rate of flow is TPH
     
    4. Function of Control Box
    A) Will remote control be used: Yes     No
    B) Will manual override be needed: Yes     No
    C) Is 110-volt 60-hz available: Yes     No
    D) Please specify any special features required:

     
    5. General
    A) Have electric or pneumatic vibrators been tried? Yes     No
    If yes, please specify:
    1. Name
    2. Type
    3. Model No.
    B) Air supply available at bin: psi and cfm
    C) Pipe size: dia
    D) Will this be a: Pilot installation      Full system installation
     
    6. Please summarize the problem to be solved:

     
    7. Which best describes your business:

        Other specify:
     
    8. Corporate Information:
        * indicates required field
    Company Name*
    		   Parent Company
    Address 1*
    		   Address 2
    City*    State/*
    Province     		   Postal
    Code *     		   Country *
     
    9. Contact Information:
    Title   Name*   Suffix
    Job Title*
    Email Address*
    Direct phone*
    		 Cell phone
    		 Fax
     
    10. Please Contact Me Via: (check all that apply)
    Email     Direct Phone     Fax     Cell phone
     

    Before submitting, please check for skipped questions. Under Resources (on the Navigation Bar above and to the left), we feature some bulk density reference tables to help you. We’re also happy to interpret questions or coach you on compiling answers. Just give us a call at 866-384-3788 toll-free.

    • When complete, please click on the Request Proposal button below.
       
    • Send any drawings, hand-written answers or supporting documents (label with company name):
      • EMAIL: sales@decavibrator.com
        OR
      • FAX: (708) 974-9429 - Attention: Sales
        OR
      • MAIL: Attention Sales, Deca Products,
        10140 Virginia
        Chicago Ridge, IL 60415
    Thank you!